Archive for July, 2011

Mommy Makeover

Wednesday, July 27th, 2011

After breast feeding 2 children, this 24 year old mom from San Diego, CA was interested in achieving more of a “perkier” look with the help of  breast surgery.


The patient expressed to Dr. Pousti that she was very uncomfortable with the position of her nipple/areola (the saggy breasts) and wanted more upper fullness.


In order to move the nipple/areola higher on her chest wall and give the patient the ‘perky’ look she desired, Dr. Pousti recommended a mastopexy, also known as a breast lift, as well as breast implants for the fullness on top. Measurements of the patient’s breasts are taken several times prior to surgery  so that Dr. Pousti can discuss the procedure in detail with the patient.  Markings are performed the night prior to surgery and the specific procedure of breast enhancement and lifting surgery is discussed again with the patient.  As you can see below, the red “x” indicate where the new nipple/areola complex will be.


Before any incisions are made a ‘Taylor-Tacking‘ technique is used (see below). Taylor tacking helps Dr. Pousti visualize the potential results before making incisions and this assists him in making sure that not too large of an implants is placed (for this specific patient) which would cause too much tension the incision line.


Temporary sizers are set in place to determine the size of the breast implant that will be used. The patient is then placed in an upright position on the operating room table to ensure as much symmetry as possible and that her breast size will be satisfactory (as Dr. Pousti will compare her to the “goal photos” the patient had previously brought in). Adjustments are made in regards to size and pocket dissection at this time if needed.


To achieve what the patient was looking for, Dr. Pousti place 492cc Silicone Gel Implants in each breast.


Immediately Before Surgery


Immediately after Breast Lift with Implants


The patient is extremely happy with the results of her breast augmentation/mastopexy surgery.

Patient Testimonial:

Dear Dr. Pousti and Staff,

As I lay here in bed writing you, I am constantly wiping the tears of joy flowing down my cheeks. Today marks day 5 post op and I couldnt be happier. My heart is filled with such gratitude. I am so very thankful. There are no words to describe the abundance of joy and happiness I am feeling. I will forever be thankful for all you have done for me. This whole experience has been extraordinary. As I mentioned before I am only 5 days post-op so I am still recovering and medicated so forgive me if I repeat myself. Everything so far has been fantastic. From the first consultation appointment,  to the second consultation appointment, to phone conversations, to pre-op appointments, to the surgery center ( I loved my nurse Kelso) to the Operating Room, to my first post-op appointment, I can truly say has been flawless. Daisy (one of the office girls) has called to check on me everyday since my surgery. My next post op appointment is in 2 days and I cant wait! I am so excited to see the new me again. I got a sneak peek at my first post op when I had my drains removed and can’t wait to see Dr. Poustis amazing work. He truly is an artist. After breastfeeding 2 kids and loosing over 100 pounds my breasts were empty sacks of skin. My nipples pointed down, not out, and my areola were extremely large. I felt like we were climbing an up hill battle to achieve the results I wanted. On top of that, I wasnt quite sure my wishes were realistic. After meeting with Dr. Pousti a few times and going over all my options, he assured me he was confident he could get the job done. And let me tell you, he far surpassed my expectations. He is not just a surgeon he is a true artist. He produces extraordinary results. He and his staff are a well oiled machine. Everything runs smoothly. The Pousti team is no nonsense, organized, caring and above all passionate about their work. They are an incredible group of people who have contagious positive energy. They change peoples lives daily. I am honored to have been welcomed into the “Pousti Family.” I will continue to email you updates and photos of my recovery and beyond.

With Gratitude and Love,


Mommy Makeover Testimonial

Monday, July 25th, 2011

Talk about full circle…

I began my plastic surgery adventure by reading many of the testimonials on Dr. Pousti’s website.  Now here I am, six months later, lucky enough to share my thoughts and opinions on such an amazing doctor.

At the beginning of my search, I was still undecided whether I just wanted a breast lift or a tummy tuck in conjunction with the lift.  The several doctors I interviewed prior to Dr. Pousti pressured me to do both procedures.  I knew I had found the right doctor when the exact opposite happened when I spoke with Dr. Pousti.  He urged me to consider the benefits of both procedures but did not pressure me in any way.  In other words, he wanted what was best for ME – not best for his bank account!

In the end, I chose to do both procedures and on March 1, 2011, I had my mommy-makeover (a tummy tuck and a breast lift).  And while surgery is never easy, his office and the surgery center he uses, gave us all the information we needed to ensure post-op success.  Everything from setting us up with a nurse to come home with us, to providing the appropriate medicine to make me comfortable, to calling every day to check on us – all things to make my surgery as easy as possible.

Due to no fault of Dr. Pousti, I encountered a minor set-back when I developed an infection in my abdominal incision site.  Here’s where Dr. Pousti and his staff distinguished themselves as exceptional care-givers.  The follow up care and concern for my well-being gave me peace of mind that everything was going to be ok… and it was!  I had a beautiful result and will never regret having the work done.

Had my surgical procedure gone perfectly, this would have been a great experience.  Based on their care and response to my complications, I now feel like this chapter in my life was extraordinary.  I continue to be a loyal patient using other services his office offers, knowing that whatever I need to do, it will be handled with the utmost expertise and great care.

If you are considering *any* type of cosmetic surgery, look no further…



Mommy Makeover

Friday, July 22nd, 2011

This 47-year old patient from Rancho Santa Fe, California (San Diego County) was interested in breast augmentation and breast lift surgery.

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before side by side

The patient researched for a Board Certified Plastic Surgeon who is experience in mommy makeovers and found Dr. Pousti on the Internet after reading excellent reviews. The patient met with Dr. Pousti in his La Jolla office to discuss her surgery.

The patient expressed in detail she was unhappy with asymmetry of her breasts, she felt  that her left breast was smaller than her right breast. The patient also wanted a lift to create fullness and to only fill the volume, which was lost from pregnancy and breast-feeding.

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Measurements and marking were made in detail. The “x” marks where the areola will be lifted to.

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(Intra-Operative) Side view before surgery

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(Intra-Operative) Breast implant sizers were used to achieve the desired look and size, and then the silicone-gel breast implants are placed.

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Understanding her concerns for symmetry, in order to achieve her desired look, smooth, round, moderated plus profile silicone-gel implants were used, 525cc in the left breast and 500cc in the right breast for symmetry correction.

Mommy Makeover

Friday, July 22nd, 2011

This 26-year old mommy of 2 from San Diego, California was very unhappy with her post-baby body and was interested in tummy tuck (abdominoplasty) and breast augmentation surgery for a while now.

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before side by side

The patient was able to lose the baby weight with diet and exercise. However, after having children, with abdominal muscle separation and loss of skin elasticity from pregnancy, her abdomen area was unable to “bounce back” into shape. She could not get rid of the “bulge” in that area.

markings tt

Markings were carefully measured in detail the night before surgery.

The patient was also unhappy with the size and shape of her breasts, during her consultation, the patient explained in detail that she wanted to only fill in the volume that was lost in her breasts from pregnancy and breast-feeding.

markings breast

In order to achieve her desired look, Dr. Pousti suggested breast lift surgery, because the patient wasn’t interested in significantly increasing in size, without a breast lift, cleavage would not be achievable.

The patient is 5-months post-op with saline breast implants, filled to 390cc in both breasts made by Mentor Corporation. The patient is extremely pleased with the results of her surgery.

Mommy Makeover

Friday, July 22nd, 2011

This 26-year old patient from San Diego, California was interested in breast augmentation, breast lift and tummy tuck surgery (abdominoplasty) other wise known  as a “Mommy Makeover”.The patient was referred to Dr. Pousti by a previous patient who had cosmetic surgery and was very pleased with their results.

After having children and nursing them, this patient was unhappy with her post-baby body. The patient described in detail that although she worked out daily, her skin was resistant to bounce back after the pregnancy due to the loss of skin elasticity.   Also she mentioned she was unhappy with the volume loss in her breasts from breast-feeding and the abdominal muscle separation that she was unable to fix with crunches.

Before Her Mommy MakeoverBefore Her Mommy Makeover

As you can see, this patient is in great shape but just needed to get her pre-baby body back.  Dr. Pousti discussed breast augmentation along with a breast lifting procedure (to give her the “perky” breasts she wanted) along with a tummy tuck procedure (to get rid of the excess / damaged skin in addition to tightening the abdominal muscles).  The patient was very comfortable with Dr. Pousti’s ability and proceeded with surgery.

The night prior to surgery, Dr. Pousti and the patient met to discuss the procedures in detail and to perform “markings”.  These markings allow Dr. Pousti to discuss where the incisions will be with the patient.

Dr. Pousti taking time to take measurements prior to surgery.

Dr. Pousti taking time to take measurements prior to surgery.

Dr. Pousti marking the patient for her Mommy MakeoverDr. Pousti marking the patient for her Mommy Makeover

The patient is now 1-month post-op surgery fully healed with saline breast implants filled to 390cc in both breasts, made by Mentor Corporation. The patient is extremely pleased with her results and amazed at how quickly she healed.

Mommy Makeover-Labia Minor Reduction

Tuesday, July 12th, 2011

Pregnancies take a whole toll on your body, this 26 year old patient from San Diego, California was very unhappy with the appearance of her labia minora. While doing some research online, the patient came across Board Certified Plastic and Reconstructive surgeon Dr. Pousti. The patient was extremely impressed with Dr. Pousti’s experience and work.

Markings of the labia minora reduction surgery are performed prior to the procedure for symmetry.


The patient is extremely happy with her results.

Mommy Makover (Breast and Abdomen)

Tuesday, July 12th, 2011

Mother of 2, this 33 year old from National City, California was very unhappy with the appearance of her body after childbirth. The patient was interested in getting her pre-baby body back so she did some research online and came across the ‘mommy makeover‘ procedure. Most mommy makeovers consist of a combination of a breast procedure and  abdominal procedure. In this patient’s case she was interested in breast augmentation with a lift, abdominoplasty and liposuction as well.



Being referred to Dr. Pousti by a very close friend, the patient then decided to proceed with a consultation. The patient was very pleased with the fact that he was a Double Board Certified Plastic Surgeon. Dr. Pousti was the right person for her to proceed with her breast and abdominal procedures.


Prior to the surgery measurements are made and markings of the exact incision lines are made as well.  These markings along with the entire procedure are reviewed with the patient in full detail.


Liposuction Markings


During the patient’s breast examination it was determined that in order to give the patient her desired look, a mastopexy had to be performed followed by a breast augmentation. The ‘x’ marks the new location for the nipple/areola complex.


Before the final incision are made, the doctor uses a tailor-tacking technique to ensure symmetry and prevent multiple incisions. During the tailor tacking a sizer is set in place to determine the size of implant needed to meet the patient’s size goals.


A 492cc Silicone Gel Implant was used in the patients left breast and a 457cc Silicone Gel Implant was used in the patient’s right breast to ensure symmetry.

Immediately After Surgery


The patient is post op breast augmentation/mastopexy with Silicone Gel Implants, Abdominoplasty and liposuction of the flank and back area and is very happy with her new body.

Mommy Makeover-Breast Augmentation, Extended Tummy Tuckand Liposuction

Tuesday, July 12th, 2011

This 35 year old mother of 7 from Beaumont, California was was very unhappy with her abdomen and breasts after her pregnancies. While talking to a previous patient and friend of her’s she was referred to Dr. Pousti and  heard about the “mommy makeover” procedure. The patient knew this was the perfect procedure for her because she was interested in breast augmentation with a lift, abdominoplasty, and liposuction.


The patient decided to proceed with Dr. Pousti for her breast and abdominal procedures because she was so impressed with his work.


The morning before surgery Dr. Pousti makes markings to show and explain to the patient what exactly he will be doing during the procedure.


Extended Tummy Tuck


A sizer is set in place to determine the size of the implant needed to meet the patient’s size goal.


400 ml saline implants were used in both breasts to ensure symmetry.


Immediately After Surgery


The patient is post op breast augmentation/mastopexy with Saline Implants, Abdominoplasty and liposuction of the flank and back area and is very happy with her new body.

Patient is Angelic Jimenez. 7.7.11