This 23-year old San Diego patient was very unhappy with the results of her previous breast surgeries (performed by a different surgeon). She had immediate problems after her first operation and a second revisionary surgery did not fix the situation.

This patient decided to search the internet for an “expert” to help her achieve her goals. She had symmastia (the implants wer touching down the middle of her chest) — sometimes called “uni-boob”. She also had “bottoming out” of the implants. 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 was excited to find Dr. Pousti and meet with him to discuss her options. She immediately decided that he was the best surgeon for her and decided to proceed with surgery.

The night before her surgery, “markings” were done. Dr. Pousti took his time and drew out exactly what would be performed in the operating room the next day to correct her symmastia and the bottoming out of her implants. The patient and the doctor discussed the differences between silicone gel breast implants and saline filled breast implants and they decided to proceed with using silicone gel implants.

In the operating room, Dr. Pousti and his staff took time to improve her look and get the results that this patient had been wanting.

After the surgery, the patient had to wear a protective and supportive garment to support the work that had been performed to separate the implants. All sutures are internal — no exteral sutures (or scarring) are used for the symmastia repair.

This patient is only 2 months out from surgery and is pleased with her new and improved look.

Testimonial:

I had my first breast augmentation surgery a little over 2 years ago from another doctor. I knew something was wrong as soon as the bandages were removed. I will never forget that day, I cried the second I saw my new breasts- that didn’t look like breasts at all. My doctor (at the time) told me that it was because my scar tissue had become too tight and it was pushing my breasts towards each other. He suggested a second surgery in which he would fix the problem. Needless to say the second surgery did absolutely nothing to fix the problem; it was nothing but an unnecessary surgery. I knew that something was out of wack, and began to do my own research. I found out about symmastia and knew that it was what I had. I gave my doctor the benefit of the doubt and went back to him one more time. He basically told me that this is just how my body is, and I was going to have to deal. He told me he would perform the same surgery again (if it didn’t help the first time why would it help the second time!!!)

That’s when I began my search for a doctor to fix me! I got extremely lucky and came across Dr. Pousti’s web page while doing further research about symmastia. He is the only doctor in the area I found that specializes in the procedure (and I only saw a few others in the whole country). I made an appointment right away.

I came in for my consult and was blown away by the difference in treatment I received from the very start. The waiting room has a spa feel to it. The girls that work in the office are all amazing and take wonderful care of us patients. Dr. Pousti sat and talked with me longer than my other doctor saw me the whole time I was his patient. He made me feel comfortable, and although it was hard to trust another doctor, Dr. Pousti gained my trust right away. I was told from the beginning that if he felt he couldn’t fix me that he would tell me. Luckily he said I had a great chance of being fixed. Although it wasn’t 100% there is no one else I would have trusted to do a better job.

The day of my surgery is still a blur. One thing I do remember is the beautiful flowers I received from Dr. Pousti and his staff. They brightened my day. I don’t remember much of the first week because of the painkillers, but I’m not going to lie- the road to recovery for this procedure is harder than a breast augmentation alone. You’re not supposed to do much of anything for awhile after. Although I wasn’t in a ton of pain, I began to get antsy because it’s hard not being able to lift your arms or pick things up. Although not having to vacuum for an extended period of time has been great, my boyfriend misses having me there to help him clean.

The difference this surgery has made on my body is amazing. After my first breast augmentation I gained some weight because I was so depressed. I looked even worse because of the way my breasts were placed- almost like a tree trunk. Now, although I still have a little bit of extra weight on me I look curvy- and feel amazing. Thank you so much Dr. Pousti for making me feel like the woman I wanted to feel like over two years ago when I first decided to have this done. The results are amazing, and I would recommend you to all of my friends, family, anyone. And thanks to the girls in the office for making this whole process much more enjoyable than surgery normally would be. I plan on coming back to Dr. Pousti if I ever need anything else done.