This patient had her first breast augmentation surgery 1-2 years ago in Florida. After some time, she noticed the mal-position of her breast implants. She became very concerned about her developing symmastia. 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.

Dr. Pousti has many patient’s who he has helped with reconstruction after symmastia developement. Markings were done with very accurate measurements to achieve the goals of the patient. This patient wanted small implants because of her petite frame.

Pictures were taken with different bras and the markings showing to assist Dr. Pousti with his surgical plan for this patient.

In the operating room, Dr. Pousti and his staff take great care to create a natural look for this patient.

In the O.R., one side is corrected.

In the O.R., both sides corrected.

Tape is placed for support.

When the patient wakes up from surgery, she will have a supportive bra as well as the tape that is placed in the operating room to protect her breasts.

The patient is just weeks out from symmastia repair and extremely happy with her results.

Testimonial:

I had suffered from symmastia after I had my first breast augmentation done by a plastic surgeon in Florida. I was happy to learn that Dr. Pousti had experience with symmastia correction and was 100% certain that he was the one I wanted to fix my problem. Dr. Pousti has been great from the moment my husband and I met him. He has been very kind and he informed us in great detail about he procedure. Now, 5 weeks after my operation, I would not be any happier with the results. Not only is the symmastia corrected, but Dr. Pousti was also able to consider my wishes regarding the size and look of my breasts. Dr. Pousti is a great surgeon and I am convinced that everyone who suffers from symmastia cannot find a more qualified and experienced surgeon int he U.S. to correct this problem. I am very thankful to Dr. Pousti and his outstanding staff!!

This patient had her first breast augmentation surgery October of 2005. She noticed “bottoming out” of both of her breast implants. The shape and position were not what she was looking for and she was very upset about the outcome. She did some research on the internet to find a board certified plastic surgeon in Southern California to help her correct her problem and she found Dr. Pousti.

She met with Dr. Pousti multiple times and decided to proceed with revisionary breast surgery to correct the “bottoming out” of her current implants and to correct the “puffiness” of her areola.

Markings were performed the night before surgery. Dr. Pousti explained the procedure and how her results would be achieved.

In the operating room, Dr. Pousti takes time to achieve the patient’s goals.

Before the surgery begins.

After Dr. Pousti has finished.

The patient is just 2 months out from her revisionary breast augmentation surgery and extremely happy with her results.

Before her revisionary breast augmentation surgery.

The bra worn immediately after surgery.

The “thong bra” worn for 4-6 weeks after surgery for support and to assist with recovery.

She is now one month post-op revisionary breast augmentation surgery (with silicone gel implants) and correction of mal-position of her implants. She is extremely happy with her early results.

This 25 year old patient from Oceanside, California had her first breast augmentation surgery October of 2005 by a different plastic surgeon who had placed the breast implants subglandularly (above the muscle). Over time, she noticed that her implants did not feel or look natural. They were hardening and starting to become painful. Unfortunately, she had developed severe capsular contracture, and decided to search for a board certified plastic surgeon in Southern California who would be able to perform her breast augmentation correction and achieve the results that she was looking for and improve her look.

She met with Dr. Pousti multiple times and decided to proceed with revisionary breast surgery. After examining the patient, Dr. Pousti discussed that a breast lift (mastopexy) would be necessary to achieve symmetry between the two breasts. It was also decided that silicone gel implants would give this patient the best results.

She had severe rippling and palpability of the implants. You can see that the implant is VERY CLOSE to the surface of the skin in this photo.

Markings were performed the night before surgery. Dr. Pousti explained the procedure and how her results would be achieved. The markings are very important in the planning of the actual surgery.

In the operating room, Dr. Pousti takes time to achieve the patient’s goals.

One side has been worked on.

After Dr. Pousti has finished both breasts.

Immediately after surgery with steri-strips.

The patient is just 3 weeks out from her revisionary breast augmentation surgery and extremely happy with her new and improved look.

Dear Dr. Pousti and Staff-

I just wanted to take a moment to thank you all for the compassion and quality service that I received while under your care. I could not have achieved the amazing look and feel of my ‘new breasts’ with any other office. I am extremely pleased with the results. Thanks a ton!

To Anyone Considering Revisionary Breast Surgery:

I had breast augmentation preformed about two years ago by a surgeon in North Carolina. Within a year of the surgery I began to have complications. I noticed a small bump forming beneath the skin on my right breast. Within a year the bump had grown and caused the breast to become misshapen and uncomfortable. It was even noticeable when I had a lined bra and clothing on. I later came to find out that the ‘bump’ was actually the implant pushing its way through my skin. I knew that I needed to have the problem corrected right away!
I was apprehensive about finding a surgeon that specialized in revisionary breast surgery. However, I had received many recommendations for Dr. Pousti and decided to schedule an appointment. From the moment that I met with Dr. Pousti I felt at ease with my decision to have my surgery performed by him. Dr. Pousti reassured me that he would to the best possible job to fix my problem. Within the month I scheduled the surgery.
After everything was over and done with I couldn’t have been happier! My breasts looked awesome! The bump was gone and I could not believe how natural they looked and felt. I could hardly wait to show off my new ‘look’ to my husband.
Dr. Pousti and his staff did an excellent job and I would recommend them in a heartbeat. I appreciated their compassion and outstanding service. Dr. Pousti is knowledgeable and very skilled in his profession yet he is humble and truly cares about each individual that he works with. I am VERY pleased with my results!

UPDATED TESTIMONIAL AFTER ONE YEAR:

I had breast augmentation through a different surgeon in the past. The surgery by this surgeon resulted in complications and I sought out Dr. Pousti; whom came highly recommended. Each visit to the office was highly professional and my surgery went smoothly. I am currently one year post-op and I couldn’t be happier with the results. My breast look and feel so natural, and I have been complication free. I was truly blessed to have had my re-constructive surgery performed by such as skilled and caring surgeon and staff.

Re-constructive breast augmentation can be very stressful….Is this going to be easy or difficult? What will the results be? How can I trust my surgeon? I found a sense of peace and highly desirable results through using Dr. Pousti as my plastic surgeon. Best wishes to all who are seeking out such a surgery..

This 28 year old patient from Bellflower, California (Los Angeles Area) had her first breast augmentation surgery 9 years ago by a surgeon in Tijuana, Mexico. After having 3 previous breast augmentation surgeries, she has developed symmastia. In order to correct the “uni-boob” look, she decided to search for a board certified plastic surgeon in Southern California who would be able to perform her breast augmentation correction and improve her look.

After consulting with Dr. Pousti multiple times, she decided to proceed with revisionary breast surgery. It was decided that silicone gel implants would give this patient the best results.

In the operating room, Dr. Pousti takes time to achieve the patient’s goals.

The patient is 2 months out from her revisionary breast augmentation surgery with silicone gel implants and extremely happy with her results.

Tengo 29 anos y mi primer cirujia fue hace 10 en Mexico D,F. Al principio por supuesto que me gustaron, yo no tenia nada era talla 32A y despues con la operacion quede talla 34C, pero a medida que pasaba el tiempo empece a notar que mi piel estaba separada del pecho. Mis protesis se podian tocar una con la otra cuando yo juntaba los senos. Ningun bra me hormaba, no podia usar nada escotado porque se me veia como si fuera un solo seno. Ya se habia vuelto un problema de autoestima para mi. Me veia al espejo y no me gustaba lo que miraba y era horrible cuando iba a la playa. Busque cirujanos plasticos en Mexico y me querian operar. Lo hicieron 3 veces, siempre fueron diferentes sirujanos y nunca quede bien. Tuvieron que pasar 10 anos para encontrar al adecuado que yo diria que en lugar de adecuado es EL MEJOR! Lo encontre en internet porque era el unico que en su pagina mostraba la “Symmastia” que asi se llamaba mi problema. Se llamaba porque gracias al Dr. Pousti ya no tengo Symmastia. Ahora soy tan feliz de verme al espejo me gusta lo que veo. Me dejo como nunca imagine. Quiero darles las gracias a todo su equipo en especial a Vanessa y Daisy por su apoyo. Por supuesto a usted el mejor doctor, Dr. Pousti por cambiar mi vida Gracias!

I am 29 years old and my first surgery was performed in Mexico City 10 years ago. At first, I loved my breasts. I started with a 32A and ended up with a 34C, but I noticed with time that my breasts started touching each other. I had a “uni-boob”. I couldn’t fit in any bra, low cut shirt and especially getting into a bathing suit top. Every time I would look in the mirror I did not like what I was seeing. This was now a problem with my body image and my self-esteem. At this point, I started looking for plastic surgeons in Mexico City. In total, I had three surgeries by three different plastic surgeons. Never once did they fix my problem. I waited and waited to see if my breast would change with time but they didn’t. Ten years had to pass to find the right surgeon to do my surgery and correct my breasts. I found Dr. Pousti on the internet. He was the only doctor to have pictures of my problem, “Symmastia”. This was the name of my problem. It Was the name, thanks to Dr. Pousti I don’t have this problem anymore! Now, I’m so happy looking at my self in front of the mirror, I love what I see. Never did I imagine my problem was going to be fixed. I want to thank his office staff and especially Vanessa and Daisy for their support and of course the greatest doctor, Dr. Pousti. Thank you for changing my life!

Before her revisionary breast augmentation surgery.

The bra worn immediately after surgery.

The “thong bra” worn for 4-6 weeks after surgery for support and to assist with recovery.

She is now one month post-op revisionary breast augmentation surgery (with silicone gel implants) and correction of mal-position of her implants. She is extremely happy with her early results.

The patient wanted cleavage but with her breasts pointing in the right direction. She wanted to come to an expert in symmastia repair so she found Dr. Pousti online and believed that he would e the best surgeon to improve her results.

She came into the office the night before surgery for “markings” and to go over the specifics of her surgery. Dr. Pousti explained to the patient that having to fix the work of another surgeon is very dificult to do but he has a lot of experience in revisionary surgery.

Dr. Pousti takes 30-45 minutes to perform the “markings”. These markings assist him when he is in the operating room to achieve the best results possible.

In the Operating Room, before surgery.

In the Operating Room, after surgery.

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 patient’s results. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement.
• 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.

In the Operating room, before the symmastia repair.

In the Operating Room, after the symmastia repair.

Before surgery with Dr. Pousti

In the Operating Room immediately after surgery.

She is a few days out of her revisionary surgery: breast implant removal, re-augmentation with silicone gel breast implants and symmastia repair — but EXTREMELY HAPPY!

This special bra is used to stabilize the area.

Testimonial:

Dr. Pousti is a miracle worker! I had developed symmastia by a previous doctor in Orange County. After about a month I was extremely unhappy with my results, my breasts starting shifting towards the middle and I had no gap in between my breasts. It looked like I had one breast and my nipples were facing outward. One breast was noticeably lower than the other and I was in constant pain and discomfort. They gradually kept on getting worse and worse. I dealt with symmastia for almost two years. I had seen numerous plastic surgeons in my area but no one felt confident enough to successfully fix my breasts. I did some research online and found Dr. Pousti. When I came in for my consultation I felt at ease and I knew right away that he was the doctor that could fix my symmastia. It was such a relief! He gained my trust right away. The day before my surgery I came into the office to have my pre-op. I was so nervous but Dr. Pousti reassured me and I knew I would have gorgeous breasts. I was a little nervous the day of surgery until the nurse at the Alvarado Surgical Center told me that her daughter had the same procedure performed by Dr. Pousti and that she was happy with her results years later. When I got my bandages off I was in shock. I started tearing up, my results are beyond amazing. I have my self esteem back and couldn’t be happier. I knew my breasts would look good, but not this good! Dr. Pousti and his staff treat you as if you are family. His staff is so friendly and helpful and you can tell that they really enjoy their job. Not only is Dr. Pousti a wonderful plastic surgeon, he is also an artist. Thank you so much for the wonderful experience and for changing my life!

In the operating room, Dr. Pousti takes his time to achieve the best results he can for the patient. 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 patient’s results. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement.
• 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.

Tape is used to stabilize the area after surgery and to allow for correct healing.

The patient is post-op breast augmentation surgery with silicone gel implants with correction of her symmastia and the implant mal-position — she is very happy with her results.

Testimonial:
I developed symmastia by a surgeon in Upland California over 2 years ago. I always knew there was a problem with my breasts. This surgeon kept telling me that everything was fine and they looked great. I started to become self conscious about my breasts and it effected my self esteem. After 2 years of being unhappy, I finally started going to other surgeons to find out their opinions. Surgeon after surgeon told me I had symmastia and not one of them had the confidence in repairing it. I finally came upon Dr. Pousti. From the moment I met him, I felt comfortable. Dr. Pousti exuded confidence and assured me that he could make my breasts look beautiful!! I was nervous the day of surgery but Dr. Pousti and his surgical team made me feel relaxed and comfortable. I was so excited the day my bandages were removed. I could not believe the difference!! I was truly shocked at the results. Dr. Pousti and his staff treat you as if you were family. They are always so helpful and kind. Dr. Pousti is an amazing surgeon!! Thank you so much Dr. Pousti and team for a wonderful experience. You have truly changed my life!!