Revisionary Breast Surgery

This patient traveled to have Dr. Pousti perform her surgery. She searched the internet and found that he was very experienced with revisionary breast surgery and symmastia repair. She wanted to fix the mal-position of her breast implants.

Markings were performed before surgery.

Dr. Pousti does his best to plan his surgery and improve the patient’s implant mal-position as much as possible. He will perform an internal suturing technique to improve the position of the implants without any additional scarring on the breasts.

The patient wears a supportive bra and tape after surgery to support the areas that were repaired.

The patient is only a few weeks out from surgery with a beautiful result and very happy with the size and shape of her breasts. Notice that the nipple-areola complex are no longer pointing outward but rather straight ahead.

Testimonial:
I had developed symmastia from a breast augmentation done by a surgeon in orange county, about 3 months after my surgery I noticed that my breast were too close together giving the look as if I had one breast they were really elevated, I literally had no cleavage, many people also noticed the problem. I became very upset and self conscious about my breasts. 10 months after my surgery, I knew I had to find the appropriate surgeon who has had experience with symmastia. I noticed that many doctors out there do not have experience with this problem, luckily I found Dr. Pousti on the internet and saw that he did have the experience and was amazed by the after photos of the of the patients suffering with the problem. I immediately made an appointment to meet with the Dr. as soon as I walked into the office the staff were very nice and made me feel comfortable. I felt like he was the right surgeon I had confidence in him, he and his staff explained everything to me step by step. I knew this was the doctor that would help me, it has been 2 months since my surgery & already I see that my breast are separated there is still some swelling but I am glad with the results, wow what a difference! I recommend Dr. Pousti to everyone who has this problem and to those who want to get a breast augmentation. I wish so much that I had found Dr. Pousti before my first surgery was done. I am thankful to him & Daisy and his whole amazing staff=)

After meeting with the patient multiple times and getting medical clearance from her primary doctor, Dr. Pousti decided to proceed with surgery. Dr. Pousti placed 800cc saline breast implants and overfilled them to achieve the results this patient wanted.

The patient is only 2 days out from surgery and very happy with her results.

Testimonial:
I want to start off by saying Dr. Pousti and staff was very good too. I’m very glad I chose his office. I came all the way from West Virginia because I found Dr. Pousti online and liked the information I received. I looked into bigger implants because I had 800cc before but didn’t give the size I wanted. Having this surgery was not bad at all. I feel really good. I’m happy with everything at this stage.

Dr. Pousti met with the patient several times to discuss the procedures that would need to be performed to achieve her results. She and Dr. Pousti decided to proceed with her surgery.

She did her research online to find the best plastic surgeon for symmastia repair and that is how she found Dr. Pousti in La Jolla, California. She contacted the office via e-mail and Dr. Pousti called her to discuss her options with her. She felt very comfortable with his expertise on the subject. She also was comforted by the many before and after photos on his website.

This patient met with Dr. Pousti the night before surgery and that is when the markings were performed. As Dr. Pousti performed the markings, he discussed the procedure in detail with the patient. She currently had 550 cc silicone gel breast implants and wanted her current implants replaced with larger 600cc high profile silicone gel breast implants. She had performed her homework and knew exactly what she was looking for.

In the operating room, Dr. Pousti removes the breast implants and corrects the pockets to prevent any further medial displacement of the new breast implants. Internal suturing technique is used to correct the pockets without any additional visible scarring on the patient’s breasts.

She will meet with Dr. Pousti a few times prior to flying back home. She is very pleased with her results so far.

Before

In the Operating Room

The patient is keeping in touch via e-mail since she lives out of state and happy with the results of her symmastia correction.

After thorough discuss regarding what would be performed, this patient and her mother decided that Dr. Pousti was going to be her Plastic Surgeon and that they wanted to fly out to California for surgery. This patient met with Dr. Pousti 2 days prior to surgery to discuss the details of surgery, especially the internal suturing technique. She felt very confident with Dr. Pousti’s experience.

Markings were performed – the red marks on the breast indicate where the pockets need to be corrected internally. Dr. Pousti takes great care to achieve symmetry for this patient.

This patient is only a few days out from surgery but already sees the remarkable difference. She is asked to keep the tape and the supportive bra on for as long as possible to help with the stabilization of the corrected area.

She is very happy with the symmastia correction . Dr. Pousti used the patient’s current implants (he did not exchange them).

She is only 3 days out from surgery.

Here she is a month out of surgery. She is still healing and the implants will continue to settle. Notice the separation of the 2 breasts as well as the correction of the “bottoming out” of the breast implants.

Testimonial:

I am forever grateful to Dr. Pousti and his staff. After having several breast augmentations and revisions, I ended up with a problem that is very hard to fix. I had symmastia, which is when the 2 implants are positioned so closely together that they somewhat connect. In addition, from my skin becoming super-thin, I had visible crinkles all down the centerline of both my breasts. I live in New York, and I went on half a dozen consultations with different doctors hoping someone could help me. Not one doctor that I saw here in New York thought they could do anything to help my unfortunate situation. I was completely discouraged. I couldn’t wear bathing suits, V-neck shirts, or anything that showed my cleavage. I was devastated. Finally, I started researching online. The more I searched, the more Dr. Pousti’s name began to appear regarding symmastia correction. With him being all the way in San Diego, I wasn’t sure if I should take the trip or not…but I’m so glad I did! I flew to California for a consultation with Dr. Pousti, and it was so refreshing! His staff was so sympathetic and helpful, and he really took his time to get to know my history, my current issues, and my concerns. He showed me books of pictures of previous patients with similar conditions that he was able to help immensely. He even let me speak to 2 post-op patients in his office that day. He told me he was confident that he could correct my symmastia, and get rid of the visible crinkles on my breasts using Alloderm. I went home from San Diego feeling hopeful for the first time in so long! A week later, I scheduled my surgery for the following month.
That next month, I flew to San Diego for the actual surgery. I went in for my pre-op appointment the day before, and Dr. Pousti went over everything with me again. We looked at some pictures I brought him of what I do and don’t like. He even did some drawings on me to get started. I left there feeling very excited! The day of my surgery was almost like a spa day! I went to the hospital early that morning, where they put me in a robe, under a hot blanket, in a reclining chair while I waited. For such a big day, they kept me extremely calm and relaxed. Finally, Dr. Pousti came in and spoke to me again. He re-did all his drawings and told me everything was going to come out great. After surgery, I woke up in a recovery room. I have to say I had very little discomfort or nausea (which is a common problem of mine). For the next few days Dr. Pousti and his staff kept in close contact with me at the hotel I was staying at. They were always there to answer any of my questions, and to check up on me several times a day.
After staying in California for a week after surgery, I saw Dr. Pousti for my final visit. I had to wear some bandages and a V-bra, and he said everything was healing wonderfully. I went home and followed his strict instructions…no stretching my arms too far, keeping the tape dry, wearing the V-bra, etc. Throughout the next 8 weeks I sent Dr. Pousti some pictures of myself as I was healing. He, or someone from his staff, always got back to me right away, and they were all very happy with my results. After 8 weeks, I took off all the bandages, tape, and V-bra. I sent Dr. Pousti my photos with a few questions. He got back to me and sat on the phone with me for over a half hour going through each and every question I had. My results are truly amazing! I honestly never thought I’d be able to correct the symmastia, or get rid of the crinkles. I am proud to say that both are now completely corrected thanks to Dr. Pousti! He gave me hope when no one else even wanted to try to correct my situation. The best thing I ever did was take that trip to San Diego. He truly is one of a kind, from his skill to the way he is with his patients. Never in all the visits I’ve made to different plastic surgeons, did I ever meet a doctor who made me feel so confident and understood. I only wish I’d found him sooner!
I’d just like to say thank you so much to Dr. Pousti and his staff for giving me my confidence back, and for taking a chance on my situation. It paid off more than I ever imagined! I am forever grateful.

She found Dr. Pousti on the internet when she searched for “Best Plastic Surgeon in Southern California”. She wanted a surgeon who had performed larger breast implants and liked the results she saw on Dr. Pousti’s website.

She met with Dr. Pousti and discussed her goals. In order to achieve the look that she wanted, Dr. Pousti used 800cc saline breast implants made by Allergan Corporation filled to 1290cc on the left breast implant and 1340 on the right breast implant.

She is only 2 days post op surgery and is happy with her results.

After 10 years of having her first breast augmentation surgery, the patient decided to go through with the breast implant revision / exchange surgery. She wanted to achieve a much larger augmentation result as well. In order to achieve her desired look, Dr. Pousti used 800cc saline breast implants and overfilled them to 1026cc.

This patient is only 1-day post-op surgery and is very happy with results so far. The patient is back in Philadelphia recovering and will be keeping in touch via e-mail, phone, and will send pictures.

Dr. Pousti achieved her goal look by using 800cc, overfilled to 850cc for less chance of rippling, saline-filled breast implants on both breasts made by Allergan Corporation.

The patient is now 3-months post-op surgery and is very happy with her results.

Testimonial:
I had my first breast augmentation/lift in May 2008. I had 600cc silicone high profile under the muscle implants. I got to size 32DD but I felt I wasn’t big enough. Those first implants were too evenly proportionate with my height and weight, and instantly I knew I wanted to go bigger. Plus my breasts weren’t as round as I wanted; they were more “cylinder shaped” with little inner and outer cleavage.

Almost a year later I had my second breast augmentation and an areola reduction, this time with dr. pousti. I got 800cc saline moderate profile under the muscle implants…..but the catch was that these implants were overfilled to 1130cc’s. I went almost twice as big with my second surgery. I am now a 32DDDD, or in short, a 32G. I asked for more inner and outer cleavage, which I got. I am much rounder and fuller than I was after my first augmentation. Recovery was much shorter the second time around. After about a week I was able to shower and dress myself with no assistance (it was about 2 weeks with my first surgery). I only took prescription percoset the day I had my surgery; the following days I only took ibuprofen. My back really hurt the first month due to the extra weight in my chest, so I would take half a percoset for that.

I originally wanted to stick with silicone in case there was a future leak, but I was told that oversized implants are only available in saline. I was nervous at first about the overfilling of the implants with saline and all the complications that might happen and having it potentially pop and leak and then ill have one boob and one leaky, wilty boob….but dr. pousti and his staff reassured me that would not happen.

Massaging was difficult at first. I am not sure if it is because they were overfilled or because they were filled with saline, which is harder than silicone, or for both reasons. The first couple weeks were tough and they were hard. I thought they’d never soften. But after a while they did, and now they are as soft as my silicones were. I still massage them every day to keep the pocket loose. If I don’t, they look and feel “constricted”.

I do see myself going bigger in the future. Dr. Pousti went as big as he could. My one dissatisfaction is that my areolas are still a little bigger than what I wanted. I hope in a few years ill be able to go larger again with 800cc’s, or that the market will make larger, custom implants.

The procedure of revision breast surgery (internal suturing to help with pocket correction and symmastia repair) were discussed with the patient.

In order to achieve her desired look, Dr. Pousti removed her old implants; corrected the medial mal-position (symmastia) and used 350cc silicone-gel breast implants on bilaterally, made by Mentor Corporation.

In the operating room, Dr. Pousti takes measurements.

With the patient’s implants removed.

This patient will wear the protective tape and supportive bra for quite a while until the repair is strong.

The patient is now 6-weeks post-op surgery and is looking forward to her new and improved look

Testimonial:
I lived with symmastia for 9 years and lots of discomfort and some pain through out the years. i had my first breast augmentation done in mexico. Through out the years I have been very unhappy with the look of my breast. I was embarrassed to wear a bikini or any low cut shirts. When I was doing some research on symmastia I came across with Dr. Pousti web site I became very excited to be able to find a Dr. that provide before and after pictures of symmastia I had always thought it was just me with this problem. when I went through the pictures I just wanted to cry of excitement because there is a Dr. that is able to fix that kind of problems. when I first talk to Dr. Pousti’s staff over the phone they were very friendly. Since I live in Arizona they worked with me through the phone and emails. They where able to work out a date that was fitting for me for my consultation and pre-op appointment thats when I first meet Dr. Pousti and his staff. Daisy, Vanessa and staff really made me feel welcome and like we knew each other for many years it was great. When I meet Dr. Pousti he took a look at me and told me that he was able to fix my symmastia and would be very happy with the results.he reasured me that he was able to fix it that there wouldn’t be a problem and that not to worry. That was the greatest feeling ever I felt lost of comfort and I was very sure that I had picked the correct Dr. for my problem.After my surgery Dr. Pousti and Staff was in contact with me to check how things was going.It made and makes me feel like I wasn’t just A dollar bill to them they really do care.It’s been one month since my surgey and everything is going great I am extremely satisfy with the results. I can’t believe how much of a difference there is from before and after i honestly can’t stay away from the mirrors it is just so amazing Dr. Pousti went all out he did a wonderful job I have been recommend him to everyone he is the right Dr. to go to I just wish that I knew about him alot sooner. I will always continue to recommend Dr. pousti to all my friends that are considering on getting any work done. He is a great Dr.. Thank you very much Dr. Pousti you are a wonderful doctor and you have a great staff!