I had Dr. Pousti do my augmentation about 5 years ago after I had previously had an augmentation with a surgeon on the East Coast. My previous augmentation was not what I had hoped for. So I researched and found Dr. Pousti. He not only did a superior job requiring my previous augmenation, but right after surgery, I had symmastia. Dr. Pousti took on the difficult task of repairing this issue as well and I would not even think of going to anyone else. He is a perfectionist, focused, personable, caring, determined and honest. De does amazing work!

I want to thank Dr.Poutsi for his excellence in patient care & bottom line incredible results. Equally impressive, the staff. I cannot say enough on how tremendously comforting & catering you all were. I was comfortable to call & ask any question no matter how trivial. There is no other practice like Dr.Poutsi & the team right down to the sugery center staff. Forever a patient

This 25 year old patient from Hermosa Beach, California had her first breast surgery performed in 2004 by a previous surgeon. She was left with unsatisfactory results but felt hopeful and returned to that same surgeon for 3 other revisionary breast surgeries. After the third revision surgery, she decided to research for a qualified experienced surgeon who performed many breast revision procedures. She had found Dr. Pousti’s website while searching the internet for board certified plastic surgeons in California.

The patient was extremely impressed with the volume of information and pictures Dr. Pousti’s website provided and decided to set up a consultation to meet with him in San Diego. After her initial consultation she immediately knew he was the right surgeon for her breast procedures and scheduled shortly for her surgery.

Prior to surgery, Dr. Pousti and the patient met in the per-operative room in the surgery center to perform markings. The markings are used as a guideline during surgery.

Measurements of Patient’s Breast Prior to Markings

These measurements are used to promote breast symmetry and help with markings.

Markings of Breasts Prior to Surgery

Markings are used in the operating room as a guideline for incisions and other adjustments that must be made during the surgery. The ‘red arrows’ indicated where more fullness is desired by the patient.

During revisionary breast surgeries Dr. Pousti generally uses the same incision location from the previous surgery to prevent additional scars. Once the incision is made, a breast implant sizer is set in place. This sizer is used to determine the size of the implant needed to meet the patients size goals and give her the best result.

The patient is placed in an upright position several times over the duration of the breast surgery to promote symmetry and to get a better idea of what the final results may look like.

In this patient’s case 50cc Silicone Gel Implants were used to give the patient her desired look. The patient is extremely happy with the results of her revisionary breast lift with removal and replacement of breast implants.

This 43 year old mother of 3 from San Diego, California had breast augmentation performed 9 years ago by a previous surgeon and developed painful encapsulation in both breasts. She did not feel comfortable returning to her surgeon and decided to do more research to find a surgeon that had revisionary breast surgery experience. She found Dr. Pousti online while searching for a board certified plastic surgeon and was very impressed with the results he was able to achieve with his previous revision patients.

Upon examination it was confirmed that the patient did have capsular contracture present in both breasts. Capsular contraction is a formation of scar tissue that hardens and tightens around the implant. This can cause a ball-like appearance as well as asymmetry and in many cases is very painful if not taken care of. Dr. Pousti and the patient met several times to discuss possible options. They came to the conclusion that in order to achieve her best results the patient needed removal of her previous breast implants, scar tissue removal and breast re-augmentation. Dr. Pousti also recommended a mastopexy on the patient’s left breast in order to correct breast asymmetry.

Patient’s Previous Breast Implants and Scar Tissue After Removal

After the patient’s previous breast implants and scar tissue are removed the breast lift is performed on the left breast. Breast lifting surgery generally includes relocation of the nipple/areola complex, re-arrangement of the breast tissue and tightening of the skin envelope in order to achieve a firm and perky appearance.

Sizer implants were then placed in the breast pocket. When the sizers are in the patient is placed in an upright position and her ‘look’ is compared to the pictures she brought in of her expected results. Adjustments are made at this time if needed and sterile implants are chosen.

421cc silicone implants were placed under the muscle in both breasts to the patient’s size goals. She is extremely pleased with the results of her revisionary breast surgery which included removal of bilateral breast implants, capsulectomy, mastopexy, and breast re-augmentation with Silicone Gel Implants.

Dr. Pousti’s completeness of consultation, executive confidence and clear caring and kindness for my well being, left no doubt in my mind that he was going to be my doctor. 10 years had passed since he did my first breast augmentation but, after a child and the obvious there was no hesitation who i was going to call again for my ” mommy makeover”. Dr. Pousti and his beautiful team far exceeded my expectations , no scarring and the before and after care is phenomenal. You will get the results you are looking for Thank you Dr. Pousti for another fabulous job ! As I always say you r #1 for a reason !

Dr. Pousti has given me the best gift I’ve ever received – my confidence back. Four years ago when I was only 18, I had breast augmentation performed by another local plastic surgeon, Dr. Kincaid. Being so young and eager, I blew off the obvious warning signs that he was not a good surgeon and chose him anyway. Though I stated time and time again that I wanted a natural, realistic looking chest for my size, I ended up with breasts that were anything but natural looking. I knew right away that he had left me with symmastia, and despite trying everything I could think of to get them to separate, they would not move. This was devastating to me as it meant I had spent all that money to end up worse off than I was before. Instead of gaining confidence, I gained embarrassment and physical pain. I couldn’t wear anything low-cut and hated trying to find bathing suits that would cover up the center of my chest. I spent the next four years hiding behind bulky clothes so that no one would know the awful thing I was hiding. I even tried my best to keep them from my longtime boyfriend, who I had started dating before I ever had implants.

By the time I turned 22 I knew I had to do something about them. I started researching different techniques to fix symmastia online and found that most of the before and after photos I was seeing on various websites were all attributed to Dr. Pousti. When I saw the great reviews people had left for him, I knew I wanted a consultation.

The difference between Dr. Pousti’s office and the office of my prior surgeon is like day and night. The girls at the front desk are all very nice and helpful, and Dr. Pousti is always on time for appointments. From our first meeting I knew that I wanted him to be the one to fix my symmastia. I think I visited his office three times in five days early on because I had so many questions and concerns regarding my procedure. Even though I had emailed him my questions, he invited me in to his office versus emailing me back to make sure I got a clear answer I could be satisfied with. Dr. Pousti’s confidence in his ability to fix my symmastia gave me confidence too. He was even able to schedule my surgery with very short notice, since it would be the only time my work and school schedule would allow for two weeks off until the following year. It’s amazing to me how he went out of his way time and time again to help me during the whole process.

The day of my surgery I was surprising calm. Aside from a little nervousness about how much pain I would be in after surgery, I wasn’t nervous at all about the procedure going well – I just knew it would. Most people thought I’d be a nervous wreck, seeing as how my last surgery ended up so horribly, but my faith in Dr. Pousti’s ability was quite strong. He just has this way about him that’s very reassuring and calming.

The surgical facility was also excellent. The nurses there were very kind and understanding, and did their best to make me feel comfortable. Right before I went under, I had both a nurse and Dr. Pousti holding my hands as the anesthesia went in, telling me not to worry. When I woke up, aside from the pain and grogginess that is to be expected, I felt great.

Interestingly, my pain after my symmastia revision surgery was far less than the pain I experienced after my initial augmentation. The day of my surgery I went home and was climbing stairs and watching TV, and the day after I went out to eat. In fact, the hardest part of my initial recovery was resisting the temptation to take off my tape/bandages to see what my new breasts looked like, but I figured if I could wait four years, I could wait a few more weeks.

When I was finally able to view the results of my surgery, I was absolutely amazed. Before where my breasts had touched and puffed up now laid a smooth, flat area of skin. The size of the space was perfect, and even though I was still somewhat swollen, I knew Dr. Pousti had listened to my wishes that I not have too much fullness on top. Seeing my results literally brought tears of happiness to my eyes, they were that great.

Now, about three months post-op, my breasts are softer, rounder, and more natural looking than ever. I have been wearing my “thong” bra religiously, and have resisted the urge to wear a normal bra or exercise. I was having a little trouble massaging the implants as often as Dr. Pousti told me to at first, so to ensure they stayed soft he put me on an anti-inflammatory medicine that has been helping tremendously. Also, the space between my implants is still flat and smooth, with no tenting or rippling to speak of.

I can now wear any type of top or bathing suit I like, and my breasts look great. I recently went bra shopping and for the first time, it was a pleasant experience. My life is becoming more in line with how normal 22 year olds live – I’m going out more and have more confidence, and I am no longer put in awkward situations where my old breasts would have held me back. This operation was truly life changing, and I cannot say enough about the amazing job Dr. Pousti and his staff have done for me.

If there’s one thought I want to leave people with, it’s that selecting the right surgeon is the most important decision you’ll ever make. Dr. Pousti is so talented at what he does, and shows genuine concern and compassion for his patients like I have not seen with any other doctor. His ability to fix what most other surgeons told me was difficult if not impossible to do shows what a true professional he really is. I only wish I had met him four years ago, but I’m more grateful than anyone can know to have him as my surgeon for my revision. Thank you Dr. Pousti and your wonderful staff for changing my life for the better.

This 25 year old patient from Hermosa Beach, California had her first breast surgery performed in 2004 by a previous surgeon and was unhappy with the results. She decided to have revisionary breast surgery performed by the same patient and ended up having a total of 4 surgeries. After her last surgery she decided that she was still unhappy with the size and shape of her breasts and wanted to do more research to find a different surgeon that had more experience with breast revision procedures. She had found Dr. Pousti’s website while searching the internet for board certified plastic surgeons in California.

The patient was extremely impressed with the volume of information and pictures Dr. Pousti’s website provided and decided to set up a consultation to meet with him in San Diego. After her initial consultation she immediately knew he was the right surgeon for her breast procedures and scheduled shortly for her surgery.

Prior to the revisionary breast surgery Dr. Pousti and the patient meet several times to discuss the expectations and options available to achieve her best results. On the final meeting prior to surgery measurements of the chest are taken.

Measurements of Patient’s Breast Prior to Markings

These measurements are used to promote breast symmetry and help with markings. Markings are used in the operating room as a guideline for incisions and other adjustments that must be made during the surgery. The ‘red arrows’ indicated where more fullness is desired by the patient.

During revisionary breast surgeries Dr. Pousti generally uses the same incision location from the previous surgery to prevent additional scars. Once the incision is made, a breast implant sizer is set in place. This sizer is used to determine the size of the implant needed to meet the patients size goals and give her the best result.

The patient is placed in an upright position several times over the duration of the breast surgery to promote symmetry and to get a better idea of what the final results may look like.

In this patient’s case 50cc Silicone Gel Implants were used to give the patient her desired look. The patient is extremely happy with the results of her revisionary breast lift with removal and replacement of breast implants.

Dear Dr. Pousti,

I wanted to express my sincere gratitude for the exceptional care and treatment provided by you and your team in connection with my Breast Augmentation – Remove and Replace procedure in February of this year.
Having spent greater than eights years working with renowned physicians surgeons throughout the United States as a medial malpractice defense attorney; it is my humble opinion that the skill level and degree of artistic perfection exhibited by you intra-operatively places you undoubtedly within the top tier of plastic surgeons. The trust and confidence that I intuitively felt pre-operatively were most certainly confirmed post-operatively by your polished work product, which incorporated, distinguished surgical and post-surgical techniques designed to maximize the aesthetic value of the breast augmentation. Likewise, the quality of care and concern exhibited by your team throughout this process further supports the conclusion that I am most pleased by the treatment referenced herein.
Based on the above, the decision to proceed under your care and guidance seems most obvious. Accordingly, please feel free to forward this correspondence, or to otherwise provide my contact information, to any prospective patients.

Advice to future breast augmentation patients………..from an extremely satisfied patient of Dr. Pousti’s!!!
I am not going to brag about Dr. Pousti and what an accomplished, skilled surgeon he is. I’m sure you have thoroughly toured his website, read the testimonials and have familiarized yourself with his bio and his credentials. Or maybe you are lucky enough to have met him and had a consultation already. Either way, you are already aware of his passion for what he does, and how committed he is in helping his patients achieve their desired plastic surgery goals.
I am however going to tell you what sets Dr. Pousti aside from any other plastic surgeon…….he listens and he is honest. He is extremely receptive to everything that you tell him and he is very straight forward and honest. If he doesn’t believe that something is a good idea, or it cannot be successfully surgically achieved…….he will tell you straight up. He’s not going to sugar coat anything or tell you what you might want to hear. He is going to give you his professional and surgical recommendation that will leave you with a clear insight of exactly what your surgical experience is going to entail. Some situations are easy, some are more complex than others…….some patients need a revision surgery, a two-step surgery…….ect. Whatever the case you will feel completely confident that Dr. Pousti sincerely has your best interest in mind.
Here is where my advice comes into play!
Dr. Pousti like any other human being can only listen to exactly what you tell him. So make sure you think about your body and what you really want. Rather than focusing on the amount of cc’s you think you need to achieve your desired bra size, or putting too much emphasis on the photos you see on his website or in magazines………..go out and buy the bras that you want to wear after your surgery. Or buy the bathing suits that you want to wear, or a shirt you want to fill out. I wear a 36DD bra in the Victoria’s Secret bras that I buy, but I have a few bras from Macy’s and Nordstrom’s that are a 36D. EVERY bra is different!!!! And keep in mind when looking at pictures of women with implants to gain better size perspective, the EXACT same size implants on two different women will look completely different.
I think most women have this misconception in their head that if they get a breast augmentation their breasts will come out looking like a playboy centerfold’s breasts……..I know I did! Oh how I wish that were the case!!! But the reality of it is that there are many factors on your body that will determine the end result of your breast augmentation. The amount of breast tissue that you have to start with, the natural shape of your breast (round, tear drop, ect) weather you decide to have your implants placed on top or below the muscle, weather you chose silicone or saline, what style implant you chose (moderate, high profile, ect) and whether or not you need a lift. I know a lot of this can be a little overwhelming, and that is what Dr. Posuti is going to help you with. He will make his recommendation based on what he thinks is going to achieve the most successful results for you and your body.
If you go into your surgery with realistic expectations, then you will come out with realistic results!!! Good luck ladies!!!!