Archive for February, 2010

Mommy Makeover

Monday, February 22nd, 2010

This 37-year old mommy from Temecula, California (Riverside County) was very unhappy with her post-baby body after pregnancy and breastfeeding 3 children. She inquired about a “Mommy Makeover” because she wanted to improve her figure. It was difficult to achieve the look she wanted through diet and exercise alone and decided to find a board certified plastic surgeon to help her fulfill her goals.

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After extensive research on the internet, the patient found Double Board Certified Plastic Surgeon Dr. Tom Pousti and was very impressed with his experience in helping mommy’s from all over the world. She decided to meet with him for a consultation in his Murrieta office.

During her consultation, the patient felt very comfortable with Dr. Pousti and his staff. She felt that he fully understood her wants and needs and decided to proceed with surgery.

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The night before surgery, markings are performed and the procedure is explained in detail to the patient.

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In order to achieve her mommy makeover a tummy tuck (abdominoplasty) was performed to repair her rectus muscles and the loose, excess skin was removed. To provide the best results possible, Dr. Pousti also included liposuction of the flanks and abdomen area to improve her contours. Drains are required to avoid fluid accumulation and are worn for at least 2 weeks to prevent seroma. A pain pump is also provided to assist in recovery and healing.

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The patient is instructed to pick out pictures of what she would like to look like. Dr. Pousti places theses photos on the wall to refer to during the surgery.

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The patient wanted a full and natural look. To achieve cleavage and perkiness, a breast lift (mastopexy) with breast implants was performed for fullness and cleavage. Temporary sizers were used to see what size breast implant would be used.

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339cc silicone-gel breast implants were placed submuscularly to achieve the natural look.

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This photo was taken immediately after surgery. Results are dramatic.

Mommy makeover

Tuesday, February 16th, 2010

This 35-year old mommy from San Diego, California was unhappy with her post-pregnancy body and wanted to find a board certified plastic surgeon who had experience in tummy tuck. (abdominoplasty) and breast augmentation surgery.

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After extensive research, the patient knew she would benefit from a mommy makeover. After nursing and pregnancy, she wanted to fulfill some fullness in her saggy breasts and remove the loose, excess skin in her abdominal region. To guarantee the best results possible the patient tried her best to reach her goal weight through diet and exercise.

During her consultation with Double Board Certified Plastic Surgeon, Dr. Pousti, the patient was confident that he was the best surgeon to achieve her goals. Dr. Pousti recommended that the patient would benefit from an extended tummy tuck to also improve the ”love handle look”.

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The night before surgery, the patient is asked to come in for “markings”. Precise measurements are drawn out and details of the procedures are discussed.

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Incisions after 3-weeks.

The patient is 7-months post-op of an extended tummy tuck (abdominoplasty) surgery and breast augmentation with saline-filled implants and is extremely happy with her new and improved mommy look.



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After 7-months

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After 6-weeks

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After 2-months

Mommy Makeover

Tuesday, February 9th, 2010

This 42-year old San Diego mommy was interested in a full makeover. She wanted to gain her pre-baby body back and decided to find a board certified plastic surgeon to help her achieve a flatter and tighter tummy and fuller and perkier breasts. Due to pregnancy and nursing, she suffered from abdominal diastasis and loose, excess skin in her abdominal region. During her consultation, Dr. Pousti decided that she would benefit significantly from breast augmentation, breast lifting and tummy tuck surgery.



This is the patient before Mommy Make Over Surgery.
Notice the abdominal area…

The patient felt very confident with Dr. Pousti and decided that he was the best surgeon for her. She liked that he had 3 locations in the San Diego area and that he had lots of experience in performing mommy makeovers.

The night before surgery, markings are performed to ensure accurate and precise measurements. During the markings, Dr. Pousti explains the procedure in detail and addresses any concerns or issues the patient may have before the procedure takes place. Incision lines are placed in discrete areas, usually underneath the underwear line or bikini.

A breast lift (mastopexy) was performed using a “lollipop” incision. The “x” markings, represent where the nipple-areola complex will be placed. Additional liposuction of the flanks was performed to provide more body contouring to improve the waistline.

For intra-operative photos, please click here.

At this time, the patient is only 2-weeks out of surgery. Swelling and bruising is to be expected, but will subside over time. The patient is extremely happy with her results and loves the obvious drastic changes in her breasts and abdominal muscles.

Here, the patient  is now 6-weeks out from surgery and very pleased.

Testimonial:

I’m a 42 yr old Mom of two gigantic children. One was born in 1993 and weighed 9 lb 5 0z and was 2 weeks early (he’s 14 yrs old and 6′2 175 lbs now), and the other was born just April of 2007 and weighed in at 9 lb 10 oz and was almost 2 wks early as well. Whew!!! They were both Cesarean section thank goodness but that left the scar and the extreme saggy floppy belley. I’d gained 60-70 lbs with each one and had lost all the weight each time but even with diligent exercise the flabbiness was much worse even after this last pregnancy. I’d also found out that I had a pretty significant “abdominal diastasis” (Separating of the abdomen muscles) which didn’t improve with many months of physical therapy and was causing me severe back and hip pain. My breasts were also extremely saggy from the normal path of pregnancy. I was beginning to feel like I didn’t even want to go out anymore and sweat pants and large shirts was all I wore. Finally after saving money and deciding that getting a tummy tuck and breast augmentation with a lift was the only way to improve my self-esteem, I went on a search for the perfect plastic surgeon. One thing you need to know is that I am also a Registered Nurse and worked in the Critical Care field of Nursing for 14 years. I’ve seen a lot of things “gone bad” and although I was looking for an extremely skillful physician I was also very mindful of his priority with regard to patient safety. I interviewed up to 5 physician’s and after careful contemplation and comparence of skill vs. surgery center/ safety issues etc…. I chose Dr. Pousti. He allowed me to speak to some of his patients via phone prior to my surgery to give me their opinion of the entire experience and all of them had nothing but good things to say. I’d also seen many patients in the office post-op and they had wonderful results. The hideaway (post-op care center) also talked “non-stop” about how “Dr. Pousti was their favorite, and that his patients did the best post operatively”. They take care of other plastic surgeon’s patients as well. I had another plastic surgeon’s wife in the next room to me during my stay there.

So, to sum things up……… I would say that Dr. Pousti is an extremely talented and gifted surgeon who is “meticulous” in every aspect of the surgical process. He made me feel VERY safe and in competent hands even though my surgery was to be 5 hours long. Post-operatively the pain has been minimal and the incisions are beautiful. He is an artist and a GENIUS!!!! I’m only 2 weeks out of surgery and still have a large amount of swelling but can already see SUCH a difference and am beginning to fall “in love” with my body and am excited to soon be able to show it off and finally be PROUD of the way I look. I will be forever grateful for Dr. Pousti giving me my “fun-loving” self and life back.

I also have to give a shout out to some of my favorite staff of Dr. Pousti’s office who have been so patient, kind, and caring with all of my questions and concerns. Daisy and Kara thank you SO much for not acting “rushed” and taking the time to answer all of my questions with patience and sincerity even though I know how busy you are (Margie, you too). You guys are great!!!!

Mommy Makeover

Tuesday, February 9th, 2010

This 33-year old mommy of three from Fallbrook, California (North County San Diego) was unhappy with her post-pregnancy belly and wanted tummy tuck surgery (abdominoplasty). She wanted to find the best plastic surgeon in the San Diego area to perform her surgery and found Dr. Pousti’s website online. She liked that he was Double Board Certified in General Surgery and Plastic and Reconstructive surgery. She was also very pleased to find out that he had 3 locations to accommodate his patients around the San Diego area. After meeting with Dr. Pousti in his Temecula office, she decided that he was the best plastic surgeon for her.

During her consultation, she was able to meet many other mommy’s who had their makeover done by Dr. Pousti. She was very confident in her decision to proceed with her Mommy Makeover surgery with Dr. Pousti as her surgeon.

Before Mommy Makeover

Before Mommy Makeover

Before surgery, Dr. Pousti explains the procedure in detail and makes sure that the patient has a full understanding of what is to be expected. The patient let him know that she wanted a flat and tight tummy. He could tell that she was very unhappy with the loose excess skin around her abdominal area. He assured her that he would repair the rectus muscles and remove as much of the bad quality skin to achieve what she wanted.

The patient is already 6 months post-op tummy tuck (abdominoplasty) surgery and extremely happy with her new mommy look!


Mommy Makeover

Monday, February 8th, 2010

This 40-year old patient from Imperial Beach, California was interested in a full Mommy Make-Over. She was searching for a board certified plastic surgeon to perform a tummy tuck as well as breast enhancement. Once she decided that she was done having children, she wanted to improve her overall look by increasing the fullness and perkiness of her breasts.

After consulting and meeting with Dr. Pousti in his La Jolla office, she decided that he was the best plastic surgeon for her. During her consultation, Dr. Pousti was able to discuss her options between silicone gel implants versus saline breast implants. He was also able to answer all of her questions regarding the procedures in detail to help the patient feel more comfortable.

This patient is post-op breast augmentation surgery with saline breast implants and abdominoplasty surgery. She is very pleased with her new and improved look and feels very confident in her new skin.

Testimonial:
Since the birth of my first child, I’d thought about having breast augmentation and a tummy tuck. And when my second child was born…I was really ready to proceed.
Breast feeding certainly took its toll. And both births were via C-section, so no amount of exercise was giving me the flat tummy I really wanted.

I had a consultation with Dr. Pousti, and he and his staff made me feel very comfortable at and ease. They pateintly answered all of my questions (some of them repeated several times :) , allowed me to meet with others who recently underwent surgery, and guided me on what types of surgical procedures would benefit me most. Dr, Pousti even told me not to do some procedures in which I expressed interest. Not all plastic surgeons would turn down work. But Dr. Pousti is less interested in turning a quick dollar and much more interested in the happiness and satisfaction of his patients. I’ve found this above all to be an invaluable characteristic of him.

I decided to have both a tummy tuck and breast augmentation.
The surgery and post-operational procedures went as expected, and I must admit the abdominal drains were an annoyance, but well worth it. I’m now 9 months out from my surgery, and I look and feel great! My breasts are much fuller and look very natural, and my tummy is flatter than it’s ever been. Even my C-section scar is now below the bikini line. And my husband is always telling me how great I look – and I always remind him of that when I shop for all my new clothes!!! :)

I’ve already been a repeat customer of Dr. Pousti for botox injections. And expect to be a lifetime customer.
I’m considering some modest liposuction to get an even more knockout shape.

Thank you Dr. Pousti!!

Mommy Makeover

Tuesday, February 2nd, 2010

This 36-year old patient from San Diego California wanted her pre-baby body back. After pregnancy and breast feeding her children she was very unhappy with her ”pooch” and ”saggy” breasts and decided to look into a “Mommy Make-over”. In order to improve the abdominal wall, which has been stretched from pregnancy, and to gain some fullness and perkiness for her breasts, she knew she would benefit from a breast augmentation with silicone gel breast implants, breast lifting (mastopexy) as well as tummy tuck (abdominoplasty) surgeries.

Through diet and exercise, she was able to reach her goal weight and went in for a consultaion with Double Board Certified Plastic Surgeon Dr. Pousti. During her consultation, she was very impressed with the amount of experience he had performing Mommy Makeovers and liked that she was able to meet some of his patients who had the procedure done as well. She felt very comfortable and decided to proceed with surgery knowing that Dr. pousti would be the best plastic surgeon for her. She had been on many other consultations but felt a positive connection with Dr. Pousti and his staff.

The patient is asked to come in the night before the surgery to meet with Dr. Pousti for markings. This allows him to answer all the patients questions and explain the procedure in detail.


Here, Dr. Pousti is discussing the breast augmentation / breast lifting procedures as he is making his measurements which will be reviewed the morning of surgery as well.

The tummy tuck procedure is being discussed with the patient.


After all of the markings are performed, Dr. Pousti makes sure that the patient has a full understanding of what is planned for surgery to make sure the patient is comfortable.

In the inter-operative area, Dr. Pousti performs the breast augmentation / breast lifting surgery with silicone gel breast implants to achieve the goals of the patient. The tummy tuck and liposculpture of the abdomen is performed.

Temporary sizers are used to determine what size implants are needed to achieve the look that the patient wants. He refers to the pictures that the patient brought in when determining the size.


Internal sutures are used and will dissolve over time. As the sutures dissolve, the ”puckered” look of the incisions will smoothen out and heal into a very fine line, which will fade with time.

Dr. Pousti is working on the separated muscles

The patient is now 6 weeks post-op surgery and is extremely happy with her Mommy Makeover.


I want a Mommy Makeover

Monday, February 1st, 2010

This 48-year old patient from Jamul, California was very insecure with her post-pregnancy body. She was very interested in breast augmentation, liposuction and tummy tuck surgery (abdominoplasty) for several years and wanted to improve her overall look. After giving birth and nursing 2 children, she was hoping to bounce back to her pre-baby body. Through diet and exercise she was able to lose weight, but was unhappy with her loose and excess skin and wanted to tighten her abdominal muscles. She was referred to Dr. Pousti by some friends who are previous patients of Dr. Pousti. After meeting with him, she was confident that he was the best surgeon for her and liked that he was Double Board Certified.

During her examination, the patient pointed out that she had some asymmetry in her breasts. Dr. Pousti assured her that he would do his very best to correct the asymmetry and get them as symmetrical as possible.

Prior to surgery, the patient meets with Dr. Pousti to discuss the procedures and perform “markings”. The morning of, markings are reviewed.

In order to achieve her desired look, Dr. Pousti performed an extended tummy tuck, liposuction of the outer thighs and back area and breast augmentation. To improve the symmetry of her breasts, Dr. Pousti used 500cc moderate plus profile silicone-gel breast implants on the left side and 550cc on the right breast. The patient is very excited about her new and improve mommy look. She feels like a whole different person and is more confident!

Mommy Makeover

Monday, February 1st, 2010

This 38-year old patient from San Diego, California knew she would benefit from a “mommy makeover”. After childbearing and nursing her children, she wanted to lose the post-pregnancy weight and regain her pre-baby body. Although the patient maintained a good diet and exercised daily, she was unhappy with her “stretched” abdomen area and her “saggy” breasts. She was interested in breast augmentation, breast lift (mastopexy) and tummy tuck surgery (abdominoplasty) surgery.

This patient wanted to achieve more fullness and perkiness of her breasts using extra large implants to give her VERY LARGE breasts.

The patient liked that Dr. Pousti was Double Board Certified and trusted that he would do his best to achieve her goals. After discussing her options, Dr. Pousti explained to the patient it was best to perform her breast surgery in 2 stages to avoid any complications since she wanted to use large implants. The use of larger implants increases the risk of superficial openings due to pressure along the incision lines.

The patient is 4-months post-op tummy tuck and breast lifting (mastopexy)surgery and very happy with the outcome so far. Notice the quality of the abdominal skin, the toned abdominal muscles and the position of the breasts after lifting the nipple-areola complex. The patient is excited for her breast augmentation and will proceed with the next stage of surgery soon.

Mommy Makeover

Monday, February 1st, 2010

This 31-year old mother from Murrieta, California was interested in a mommy makeover. After giving birth and nursing two children, she was unhappy with the appearance of her post baby body. After reaching her goal weight, the patient decided to look into breast implants /breast lifting (mastopexy) and tummy tuck.

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before

It was very important for the patient to find a Board Certified Plastic and Reconstructive Surgeon to perform her mommy makeover. She found Dr. Pousti on the Internet and liked that his website was very informative and had many before and after photos to review. During her consultation with Dr. Pousti, she was able to meet many of his patients that had the procedure done. She was very impressed with his experience and decided to proceed with surgery.

markings

The night before surgery, Dr. Pousti meets with the patient to explain the proedure in detail and performs markings in the office. Patients are instructed to bring in bikini bottoms or underwear so that Dr. Pousti can hide the incision underneath.

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In the operating room: Markings are reviewed again before the surgery to ensure precise measurements.

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390cc saline-filled implants were placed under the muscle in both breasts.

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after

Tummy Tuck scar post-op surgery

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Liposuction was performed along with tummy tuck surgery to achieve the desired waistline.

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The patient is now 14-months post-op surgery and is extremely thrilled about her results.



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After 14 months

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After 2 months

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