Archive for August, 2010

Tummy Tuck Surgery

Tuesday, August 31st, 2010

This 24-year old stay-at-home mother from El Cajon, California had breast augmentation surgery performed by Dr. Pousti.

100_8062 before

The patient expressed that she did not have any specific problems other then she wanted larger breasts. In order to achieve her desired look, Dr. Pousti used saline breast implants filled to 625cc on both breasts, made by Mentor Corporation.

The patient is now 2-years post op breast surgery and is very pleased with her results. After she has healed and recovered from her breast implant surgery, the patient decided to have tummy tuck surgery (abdominoplasty). The patient was so impressed with Dr. Pousti’s work on her breasts, and wanted him to perform her tummy tuck surgery.

1.21 front

The patient had 1-pregnancy, even with dieting and exercising the patient could not get rid of her stretch markings and her extra abdominal skin from losing elasticity from the pregnancy.

1.28 markings r 1

1.28 markings with dr 2

1.28 markings front

The night before surgery the patient met with Dr. Pousti to perform markings. The patient brought in her favorite bikini to show Dr. wear to hide her incision. Liposuction would also be performed to have better contouring of the sides and hips. The patient is extremely happy with her new mommy makeover.

Mommy Makeover Surgery with Extended Tummy Tuck

Monday, August 23rd, 2010

This 52-year old Mom of 3, was interested in tummy tuck surgery (abdominoplasty) for many years, and now that her kids are all grown up, the patient decided that she would go forward with surgery.

kodak 246 before front

kodak 247 before left

Her friend who had surgery performed by Dr. Pousti referred her to Dr. Pousti. During her consultation, the patient described to Dr. Pousti, that even with diet and exercise she was unable to get rid of her excess adipose tissue (fat tissue) around her abdomen and sides. In order to achieve her desired look with long term results, Dr. Pousti explained the ‘extended’ tummy tuck surgery to the patient and she decided to proceed with surgery after reviewing the risks and benefits.

kodak 084 markings dr

Dr. Pousti takes his time to perform markings the night before surgery.

Typically, when the patient is scheduled for markings the night before surgery, Dr. Pousti reminds the patient to bring in their favorite swimsuit bottom for him to use as a guide to where he would hid the tummy tuck incision.

(Markings in red is the outline of her swimsuit bottom)

kodak 089 before markings front

The surgery is again explained to the patient and with markings the patient can see the planned procedure in detail.

The patient is now 2-years post-op surgery and is extremely happy with her new body.

Mommy Makeover

Monday, August 23rd, 2010

This 36-year old mommy of 2was unhappy with her abdominal area, and her breasts. She researched for a Board Certified mommy makeover surgeon and she found Dr. Pousti on the Internet.

DSC05138 font

DSC05115 left

She was interested in tummy tuck surgery with breast lift (mastopexy) and breast augmentation surgery. The patient met with Dr. Pousti and she described in detail what she would like to achieve with surgery. She wanted to remove the extra skin and adipose (fat) tissue around her abdominal area and back therefore wanting to proceed with extended tummy tuck surgery.

DSC05539 markings breast

DSC05559 markings front office

For multiple procedures, Dr. Pousti likes to meet with the patient to discuss the surgery in detail again the night before surgery.

DSC03881 done back

Completed back lipectomy.

DSC03892 OR lift with sizers

After performing breast lifting surgery, temporary in-sizers were used and filled. Dr. Pousti sits the patient in the upright position to ensure size and symmetry is achieved.

DSC03897 after surgery complete

Along with breast lifting surgery, 450cc silicone gel breast implants were used in both breasts with submuscular placement.

Mommy Makeover

Monday, August 23rd, 2010

This 39-year patient was interested in a mommy makeover. The mommy of 3, researched for a Board Certified Plastic Surgeon and found Dr. Pousti on the Internet, who is experienced in tummy tuck (abdominoplasty), breast augmentation with breast lift surgery (mastopexy). She read many excellent reviews on the internet.

3.8 front

3.8 left

The patient explained to Dr. Pousti that she was unhappy with the appearance of her abdomen and breasts after pregnancy and breast-feeding. During her consultation with Dr. Pousti, the patient was able to meet and speak with with his previous mommy makeover patients who were willing to share their experience. The patient was impressed and decided to proceed with surgery immediately.

O.R. 3.29 markings dr front office

O.R. 3.29 office markings dr

O.R. 3.29 markings front

The night before her surgery, the patient met with Dr. Pousti to map out her surgery in detail. He takes his time to explain to the patient the planned procedure while making the measurements and drawings on the patient. Dr. Pousti would performed an extended tummy tuck with liposuction of the flanks, back and outer thighs as well as breast lifting and augmentation..

O.R. 4.1 OR markings before surgery

The morning of surgery, markings were re-enforced. The patient has slight breast asymmetry, in order to achieve as much symmetry as possible, Dr. Pousti performed a limited breast lift on the left and a full breast lift with vertical incision on the right breast. Saline breast implants were used and filled to 390cc in the right breast and 420cc in the left breast with submuscular placement.

The patient is now 6-weeks post-op surgery and is very happy with her new mommy look.

Breast Augmentation & Nipple Reduction Surgery

Monday, August 23rd, 2010

This 28-year old patient from Murrieta, California was unhappy with the volume lost in her breasts and large nipples from pregnancy and breast-feeding. She came to meet with Dr. Pousti at his Murrieta office, and was interested in breast augmentation and nipple reduction surgery.

12.16 front

12.16 breast right side

12.16 nipple before left

The patient researched for an experienced Board Certified Plastic Surgeon in breast augmentation surgery and found Dr. Pousti on the Internet, after reading hundreds of outstanding reviews. The patient wanted to be as natural as possible while achieving fullness in her breasts.

12.28 before

In the operating room before nipple reduction.

12.28 nipple done.

Immediately after breast surgery and nipple reduction.

400cc silicone-gel breast implants were used in both breasts with submuscular placement. She is extremely happy with the result and is now 3-months post-op surgery.

Mommy Makeover

Monday, August 23rd, 2010

This 29-year old patient from Spring Valley, California was unhappy with her post-pregnancy breasts and wanted a mommy makeover.

100_5473 front

100_5474 left

After pregnancy and breast-feeding, the patient was interested in breast lift (mastopexy) and breast augmentation surgery. She was unhappy with the shape and size of her breasts after having children. Her friends, who are patients, referred her to Dr. Pousti.

OR Camera 116 done

OR Camera 118 done side

Saline implants filled to 525cc in both breasts with submuscular placement. She is very happy with her new mommy look.

Mommy Makeover

Monday, August 23rd, 2010

This 27-year old Mom from Romoland, California (Riverside County) needed a mommy makeover after having children. She was unhappy with her post baby breasts and tummy. She dieted and exercised for several years and was still unhappy with her results. She needed help getting back into the shape she desired and was interested in tummy tuck and breast lift (mastopexy) and breast augmentation surgery.

100_3706 front

100_3708 left

She still had excess skin and adipose (fat) tissue around her abdomen area that she couldn’t get rid of. She also wanted her breasts lifted for a “perkier” look and to add volume with saline breast implants.

100_3718 before surgery
Before surgery

The patient was also concerned with her breast asymmetry- her right breast was a little larger and droopier than her left breast.

OR Camera 020 front
Immediately after surgery
OR Camera 022 done side
Side view of cleavage and fullness obtained with breast lift with implants

In order to achieve the desired breast volume, saline breast implants were used and filled to 520cc in the right breast an d 525cc in the left breast for symmetry. Submuscular placement was used and implants were made by Mentor Corporation.