Archive for December, 2010

Extended Tummy Tuck Surgery

Wednesday, December 22nd, 2010

This 40 year old patient from Yuma, Arizona was interested in a mommy makeover after having 3 children. She decided to do some research online and found Dr. Pousti a board certified plastic surgeon. After seeing Dr. Pousti’s experience with mommy makeovers she decided to travel to San Diego to have him perform her procedure.

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The mommy makeover usually consists of a breast procedure and tummy tuck. In this patient’s case she was interested in breast reduction, abdominoplasty and liposuction.

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In order to achieve the best results measurements and markings are done prior to surgery. Dr. Pousti also explains the abdominoplasty surgery as well as the breast surgery in detail so that the patient has ample time to get all her questions answered.

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During pregnancy, the abdominal muscles can be damaged, during the tummy tuck Dr. Pousti removes the excess skin and performs muscle repair.

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This patient was a good candidate for an extended tummy tuck. During the extended tummy tuck the incision is brought back around the back to raise the buttocks and remove excess skin. She also had liposuction of her back and flank areas.

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During the tummy tuck Dr. Pousti uses internal sutures to perform the muscle repair.

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During the breast reduction procedure Dr. Pousti will be moving the nipple areola complex up to a more symmetric location on the chest wall. The ‘x’ indicates where the complex will be moved to.

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After one breast is completed Dr. Pousti places the patient in a sitting position to make sure no adjustments are needed.

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Immediately After

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The patient is extremely happy with her new results.

Breast Lifting Surgery

Wednesday, December 15th, 2010

This 34 year old female from San Diego, California was unhappy with the amount of breast volume she lost after  3 pregnancies and was interested  in breast enhancement surgery. To give this patient the best result Dr. Pousti performed a breast lift as well.

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During the mastopexy the nipple areola complex are raised to a more symmetrical location on the breast. Before this is performed markings and measurements are taken to make sure that symmetry is achieved.

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After the breast tissues is re-arranged and the areola is in the correct location sizers are set in place to determine the breast implant size needed to give the patient her desired look.

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When the sizer is in place the patient is placed in an upright position so that her breast can be examined to see if any adjustments are needed.

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To give this patient her desired size a 575cc saline implant overfilled to 625cc was used in the patient’s left breast and a 575cc saline implant was overfilled to 625cc and placed in her right breast.

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Immediately After Surgery

The patient is very happy with her initial results.

Mommy Makeover

Monday, December 13th, 2010

This 35 year old mom from San Diego, California was interested in the mommy makeover procedure. The mommy makeover consists of abdominoplasty, liposuction and breast surgery. Upon examination Dr. Pousti explained to the patient that she was an excellent candidate for a  ‘2-stage’ breast procedure. During a 2-stage breast surgery the mastopexy is performed during the first surgery, then once the patient has healed from the breast lift the breast augmentation is performed.

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Measurements and markings are performed prior to surgery and the breast lifting procedure is discussed with the patient in detail.

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The mastopexy involves rearranging the breast tissue, shifting the nipple position and increasing the breast firmness by tightening the skin. The red ‘x’ indicate the new location or the nipple/areola.

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After the first portion of the ‘mommy makeover‘ procedure was performed Dr. Pousti moved on to the liposuction of the patient’s back and flanks. Dr. Pousti uses the traditional tumescent liposuction and incisions are generally only about  a quarter of an inch in length and are easily hidden.

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950mL of fat was removed during the liposuction portion of the procedure.

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During the measurements and markings of the abdominoplasty surgery Dr. Pousti explained to the patient that during the tummy tuck not only is the excess skin removed but he does muscle repair as well.

DSC07814In the picture below you can see the bottom portion of the muscle repair has already been performed and above the belly button the muscles are still damaged. Muscle damage can be caused by pregnancy or weight gain/loss.

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Following muscle repair, the patient’s excess skin is removed.

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Immediately After breast lift, abdominoplasty and liposuction of the back and flanks

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3 months after the patient’s initial surgery she met with Dr. Pousti in the operating room again for the 2nd stage of her procedure, the breast augmentation.

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In order to give this patient her desired look Dr. Pousti used saline implants. The implants were placed under the muscle and through the same incision made during the breast lift.

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Immediately after Breast Augmentaiton

The patient is extremely happy with her new body.

Extended Tummy Tuck Surgery

Monday, December 6th, 2010

This 40 year old patient from Yuma, Arizona was interested in plastic surgery after 3 pregnancies. She was interested in getting her pre-pregnancy body back and after doing research found information on mommy makeovers.  After seeing Dr. Pousti’s experience with mommy makeovers she decided to travel to San Diego to have him perform her procedure.

DSC05347

DSC05349

The mommy makeover usually consists of a breast procedure and tummy tuck. In this patient’s case she was interested in breast reduction, abdominoplasty and liposuction.

DSC03908

In order to achieve the best results measurements and markings are done prior to surgery. Dr. Pousti also explains the abdominoplasty surgery as well as the breast surgery in detail so that the patient has ample time to get all her questions answered.

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During pregnancy, the abdominal muscles can be damaged, during the tummy tuck Dr. Pousti removes the excess skin and performs muscle repair.

DSC03912

This patient was a good candidate for an extended tummy tuck. During the extended tummy tuck the incision is brought back around the back to raise the buttocks and remove excess skin. She also had liposuction of her back and flank areas.

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During the tummy tuck Dr. Pousti uses internal sutures to perform the muscle repair.

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During the breast reduction procedure Dr. Pousti will be moving the nipple areola complex up to a more symmetric location on the chest wall. The ‘x’ indicates where the complex will be moved to.

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After one breast is completed Dr. Pousti places the patient in a sitting position to make sure no adjustments are needed.

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Immediately After

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The patient is extremely happy with her new results.