Revisionary Breast Surgery

Before surgery -notice that the left breast implant is lower and displaced outwardly.

Only 1 month out from surgery with much improvment of size and placement of breast implants.

Markings were performed the morning of surgery. The blue marks indicate where the patient wanted fullness. The red markings under teh left breast indicate the pocket that needed to be lifted.

In the operating room, Dr. Pousti takes care to achieve the patient’s results.

A supportive bra is worn for support of the area.. this bra is worn for a month to help the internal sutures that were placed to raise the left breast pocket.

This patient is only 2 weeks out from revisionary breast augmentation surgery.

Testimonial:
 

I LOVE my new breasts!!! Dr. Pousti is the BEST Plastic Surgeon EVER!! I had my saline breast implants placed 4-5 years ago and with time, my left breast implant became displaced. You could see the difference in the breast implants when I wore tank tops or anything tight. I finally decided to get them fixed when I saw myself in a bikini and saw the difference between the 2 breasts. Since I was going to have the revisionary surgery to fix the pocket, I decided to exchange my saline implants to silicone gel implants and increase the size of my implants alittle. The staff was wonderful and took great care of me! Since Dr. Pousti has an office in La Jolla, it is very convenient for me to have my check-up’s. I feel like the best plastic surgeon took care of me and I look WONDERFUL!! It’s only been 2 weeks and I hear it’s only going to get better.

She drove down to meet with Dr. Pousti and LOVED her consultation and decided to have the surgery right away. She would have her current implants removed, silicone gel implants put in and the symmastia corrected. Since she was coming from Los Angeles, the office staff worked with her schedule so that she could minimize the amount of time she was on the road.

Before Surgery

The night before surgery, Dr. Pousti performed “markings” on this patient.

She knew that revisionary surgery is always more difficult that doing the surgery the first time but she was ready for her new body.

The Surgical Procedure

For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the best result for the patient. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement. All sutures are internal – there are no new scars placed on the breasts.

* An incision is made (usually along the breast crease) to expose the underlying tissue, muscle, and implant.

* The tissue that encapsulates the implant is cut and rolled back to fit into the pocket.

* Tissue is sutured together to hold implant in place.

* The muscle is then sutured internally back in place, connecting the sternum.

* The incision is then sutured close.

After the surgery, she had to wear a suppportive bra to help with the healing of the mid-line (where the internal sutures were placed).

She is now 3 months post-op revisionary breast surgery and symmastia repair and very happy with her 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 would have her current implants removed, silicone gel implants put in and the symmastia and malpostion of the implants corrected.

Before Surgery – she was unhappy with the asymmetry that is visable when wearing tank tops (as above).

Before surgery
Notice the symmastia (breasts touching in the center), the asymmetry between the two breasts, the mal-position of the right nipple-areola complex, the displacement of the right breast implant inferiorly.

Only weeks post-op revisionary breast surgery
There is A LOT of swelling and bruising present. It will take a few weeks for this to decrease. You can see that there is already a dramatic change in the appearance of the breasts.

She knew that revisionary surgery is always more difficult that doing the surgery the first time but she was ready for her new body.

The Surgical Procedure

For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the best result for the patient. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement. All sutures are internal – there are no new scars placed on the breasts.

* An incision is made (usually along the breast crease) to expose the underlying tissue, muscle, and implant.

* The tissue that encapsulates the implant is cut and rolled back to fit into the pocket.

* Tissue is sutured together to hold implant in place.

* The muscle is then sutured internally back in place, connecting the sternum.

* The incision is then sutured close.

After the surgery, she had to wear a suppportive bandage to help with the healing of the mid-line (where the internal sutures were placed).

After the bandages are taken off, a supportive bra is placed for the next month.

She is only 7 days post-op revisionary breast surgery and symmastia repair and very happy with her 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 would have her current implants removed, silicone gel implants put in and the symmastia and malpostion of the implants corrected.

Before Surgery – she was unhappy with the size of her breasts as well as the “lifted skin” inbetween her breasts. Because of the implant mal-position, the left nipple-areola complex is pointing “outward”.

In the Operating room, the areas of concern were “marked” in different colors. These “markings” assist the surgeon during the operation.

The Surgical Procedure

For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the best result for the patient. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement. All sutures are internal – there are no new scars placed on the breasts.

* An incision is made (usually along the breast crease) to expose the underlying tissue, muscle, and implant.

* The tissue that encapsulates the implant is cut and rolled back to fit into the pocket.

* Tissue is sutured together to hold implant in place.

* The muscle is then sutured internally back in place, connecting the sternum.

* The incision is then sutured close.

This patient knew that revisionary surgery is always more difficult that doing the surgery the first time but she was confident in Dr. Pousti’s abilities.

Immediately in the operating room, you could see the improvement in breast size, symmetry, and symmastia repair. The patient left to return to Spain but will keep in touch via email.

Before

1-2 weeks after surgery, picture sent via email by patient.