Revisionary Breast Surgery

This 29 year old patient from Arizona found Dr. Pousti on the internet and came in for a consultation regarding revisionary breast surgery. She had a prior breast augmentation surgery but the results were not what she had expected. She had “bottoming out” of the implants and “lateral displacement” of the implants. In order to improve the size, shape, and the placement of her breasts, Dr. pousti recommended using silicone-gel implants to give her the fuller and larger look she wanted to achieve. 

This patient came in for her pre-operative appointment and markings the day prior to surgery.

Dr. Pousti takes his time and marks the areas with different colors to show what needs to be corrected.

You can see that before her revisionary surgery, her implants did not sit in the correct position on her chest.

Here is a picture taken in the operating room showing one side being corrected while the other side has not yet been corrected. You can already see the difference between the sides.

In the operating room after both sides have been corrected with internal sutures and silicone gel implants.

She had 752cc silicone gel implants made by Allergan Corporation placed. She is only 10 days post-op surgery but very pleased with her results.

Testimonial:

Dr. Pousti did an amazing job. Having to go through 2 prior breast surgeries, I was so pleased with Dr. Pousti’s work. Since my last reconstructive surgery was 10 years ago, turning 30, and nursing 3 babies, I needed my breast fixed very badly. I had total confidence in Dr. Pousti, because he said, “If I didn’t think I could do this surgery, and make you happy, I would turn you away”. His staff was always so nice and checked on me numerous times after my surgery. At my 3 week appointment when I saw my before pictures, I was completely amazed at the difference. I had cleavage, and my nipples were back to where they were supposed to be. I would recommend Dr. Pousti to any of my friends and family!

Thank you Dr. Pousti and Staff

H.L.

This 38 year old patient from Guanajuanto, Mexico found Dr. Pousti on the internet and knew that he was the Dr. to help her achieve her goals. She had multiple breast operations and currently had significant implant mal-position (significant asymmetry, symmastia and highly unsatisfactory cosmetic results). Symmastia – commonly referred to as “breadloafing” or “uni-boob”, occurs when two implants touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest. Symmastia results from overly aggressive attempts to alter chestwall anatomy trying to increase cleavage in patients. This outcome is made worse by use of larger implants in thin patients, and is a problem for implants over or under the muscle, though submuscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound.

She and her husband took the time to travel to Dr. Pousti’s La Jolla Plastic Surgery office for their consultation.

After meeting with Dr. Pousti, they both felt very comfortable with their decision to proceed with revisionary breast sugery.

Markings were performed the night prior to surgery and the procedure was discussed in detail with the patient and her husband. The “red” area denotes the separation that will be corrected.

In the operating room, Dr. Pousti took care to achieve the best result for the patient.

Tape and a special bra were used to stabilize the cleavage area and support the internal sutures.

This patient wanted to achieve the largest size possible without compromising the symmastia repair. 600cc high profile Silicone Gel implants were used on this patient to achieve her results. She is only a month out from surgery and extremely happy with her results.

This nurse from Temecula, California (Riverside County) came in to see Dr. Pousti after she had breast surgery by another surgeon but with very poor results. She was impressed with Dr. Pousti’s training and experience. She wanted her breasts revised with better size and symmetry.

She and Dr. Pousti discussed that there would have to be a breast lift performed on the right side to achieve as much symmetry as possible.

Markings were performed the morning of surgery and discussed with the patient and her husband.

In the operating room, Dr. Pousti took care to achieve the best result for the patient with as much symmetry between the two breasts.

This 28 year old patient from Denver, Colorado was interested in enhancing having revisionary breast surgery. She was not happy with her current silicone gel implants. She didn’t have enough fullness and didn’t like the shape of the breasts. She found Dr. Pousti’s website on the internet and flew out to meet with Dr. Pousti from Denver. She flew out 2 times prior to surgery and she and Dr. Pousti discussed her options in detail. After meeting with Dr. Pousti, she decided to proceed with bilateral revisionary breast augmentation with silicone gel implants.

Before Surgery ——- Only 1 week after surgery

She wanted better proportions and is extremely happy with her results.

In the operating room, Dr. Pousti took care to achieve the fullness that the patient wanted. “Markings” were done to show where the fullness would have to be increased.

In the operating room before surgery.

In the operating room after removal of her saline implants and replacement with larger silicone gel implants.

As you can see here, with her previous implants, she did not have fullness or cleavage present.

Immediately after surgery, you can see a significant difference in the shape, size and fullness of the breasts.

This patient flew back to Denver, Colorado one week after surgery so these photos are very fresh but we will continue to follow up with the patient via e-mail.

Testimonial:

I have a petite frame overall, but my upper body and chest particularly was way smaller than my lower body which is on the curvier side. My goal for breast augmentation to begin with was to have my upper body match my hips, thighs, and behind. My first breast augmentation was conducted in my home state where my first surgeon here was able to stretch my skin to hold 325cc implants. I went from a 32-A to a 32-D. I was not informed at this time about how my frame would do best with the types of implant profiles (high, moderate and low.) My first Doc used high profile implants so not only were my breasts too far apart for my body frame, they were also hard as rocks and hardly softened over a year after surgery. I also did not feel that my bigger cup size achieved my goal. I still wanted bigger breasts to balance my lower body and some natural cleavage. I knew my skin could stretch and I could go double the size.

After visiting with a couple of different surgeons in CO who all told me there was no way that my breasts could ever be closer together than they already were, nor could my frame handle bigger implants, I knew that there had to be a way. So I searched online for XL implants and found lovely Dr. Potusi’s office. I flew out from Denver to meet Dr. Poutsi and his staff one month after an e-mail consult. After this in depth consultation with Dr. Poutsi and his beautiful staff of ladies, I was confident he was the surgeon for me. So two months later I was scheduled and proceeded with my removal of implants and in with the new. Dr. Poutsi listened to my goals and members of his staff discussed thoroughly with me the outcome I desired.

As far as surgery, I was very pleased with the staff at Alvarado hospital. All made me very comfortable and eased my nervousness. To say the least, my surgery and experience was a blissful breeze. My results are so wonderful just after two weeks I can only imagine in the weeks to come how gorgeous they will be. My new breasts are moderate profile 700cc which give me the fullness up top which balances out my whole body. GOAL ACHEIVED! New bra size is now 30G. I would highly recommend Dr. Poutsi to anyone considering breast augmentation XL or smaller. You truly are going to the best. If you are from out of state like myself, BELIVE ME, it is well worth the flight and nights in San Diego to recover before you?re back on your way home feeling very content with your NEW BOD! !

This 39 year old patient from Spring, Texas found Dr. Pousti online and started her consultation process via e-mail. She was unhappy with her current saline implants and wanted to have a larger, fuller look as well as better placement of the implants. She saw that Dr. Pousti took care of many patients in need of revisionary breast surgery and felt very comfortable with Dr. Pousti’s expertise.

She had mal-position of her breast implants. She wanted them higher on her chest wall and she wanted the shape and size to be improved. She was also interested in exchanging her saline breast implants for silicone gel breast implants. Another concern of hers was that her right areola was significantly larger than the left so she wanted to get the right areola reduced.

Before Surgery — Expected Results

In the operating room, the patient is “marked” in the areas that need special attention.

In the operating room, immediately after surgery, you can see that the patient has much better placement of the implants, more fullness and more symmetrical areola.

This patient will wear this special bra to help support the breasts and allow for full recovery.

She is only 1 week post-op removal of saline breast implants, replacement with silicone gel breast implants, right areola reduction and internal suturing for better implant placement. She is very happy with her results and will continue to follow up with Dr. Pousti via e-mail.

This 32-year old patient from Chicago, Illinois was interested in breast revision / breast reconstruction surgery. The patient previously had breast augmentation surgery in 2003 in Ft. Lauderdale, Florida and revisionary breast surgery in 2004 in Beverly Hills, California but was still unhappy with the shape and placement of the breast implants on her chest.

Patient didn’t like the placement of the breast implants on her chest. 

The patient was unhappy with the cosmetic results of her surgery and after waiting several years, the patient decided to try to find the best plastic surgeon for revisionary breast surgery have breast revision surgery once more.  The patient researched for the most experienced Board Certified Plastic and Reconstructive surgeon and found Dr. Pousti on the Internet.  After numerous contacts via e-mail and phone conversations with Dr. Pousti, the patient decided to fly into San Diego, California to meet Dr. Pousti in person. The patient was able to speak and meet with current patients of Dr. Pousti, who had revisionary surgery so that the patient could feel comfortable with her choice of surgeons.   The patient decided to proceed with surgery, the pre-op was done the same day and the patient flew back in to San Diego  3-weeks later to have her breast augmentation revision performed.

In order to achieve her desired look, previous breast implants were removed, capsulorrhaphy of both breasts and internal suturing of the pockets was performed and  500cc silicone-gel moderate plus profile breast implants were used.

In the operating room, Dr. Pousti is looking at correcting the breast implant pocket with internal sutures. 

The patient will wear a special bra and strong tape to help keep the support in the area of the internal sutures.

Supportive tape 

The patient is now 4-days post-op surgery and looking forward her new and improved look. She is now back in Chicago resting and will be keeping in touch via e-mail and phone.

Before revision breast surgery is performed. 

In the operating room, immediately after breast augmentation revision for this patient. 

The patient is now 3 weeks post-op revision breast surgery and very happy with her results.  She sent this photo.

3 weeks after surgery 

PATIENT TESTIMONIAL:

I had previous revision surgery with a different Doctor and, still, I was unsatisfied. I had done online research for months until I finally found and decided to see Dr. Pousti.

I loved his before and after photos of his patients who has suffered from similar breast complications, and that was what sealed the deal for me, along with instant great rapport with both Dr. Pousti and his staff1

I highly recommend Dr. Pousti for difficult case involving unsatisfactory breast augmentation with previous Doctors.

L.C. -Chicago, IL

This patient from Oregon was looking into revisionary breast surgery. She was not happy with the shape of her breasts and how her breasts looked in a bathing suit.  Her current breast implants were placed “sub-glandular” (above the muscle).  When she met with Dr. Pousti, they discussed placing the implants “sub-muscular” (under the muscle) and to use silicone gel breast implants to get the best natural result.

Before surgery 

Dr. Pousti discussed the options of removing her current implants and moving the new silicone gel breast implants to below the muscle to achieve the most natural look.  The patient agreed and they proceeded with revisionary breast augmentation surgery.

Before Revision 

After Breast Revision surgery with Dr. Pousti 

Before surgery 

After Breast Revision Surgery 

The patient is very happy with her new and improved look. She is now very confident in a bathing suit.