Archive for April, 2012

Breast Revision and Tummy Tuck Surgery

Tuesday, April 24th, 2012

This 38 year old from Iowa was considering a breast revision and tummy tuck surgery for several years. She felt after multiple pregnancies and the weight gain/loss associated with childbirth that her abdomen has excessive loose skin and her breasts had lost a lot of volume. She wanted to correct her breast shape, size, and placement to achieve better symmetry and aesthetic results. She was not comfortable returning to her previous surgeon and began researching for a qualified plastic surgeon. She realized that many of the pictures she viewed were Dr. Pousti’s patients and was extrememly satisfied with the results he was able to achieve for his patients. She felt his credentials and patient testimonials separated him from all the other plastic surgeons.

Mommy Makeover

She decided to email Dr. Pousti for an online consultation. After several emails and telephone calls the patient felt the trip to California was well worth it to have her surgeries performed. Upon examination Dr. Pousti determined the patient was a great candidate for a mommy makeover. Mommy makeovers generally consist of several procedures to help contour the body post pregnancy. In order to achieve the patient’s goals an abdominoplast and revisionary breast surgery were recommended.

Mommy Makeover

On the final meeting prior to the procedure measurements of the breast and abdomen are taken for markings. Markings are performed and used in the operating room as guidelines for incision locations.

Abdominoplasty

To achieve better symmetry, Dr. Pousti and the patient agreed on proceeding with a limited benelli lift on the left breast. The patient’s previous breast implants were removed and capsulorrhaphy, also known as pocket repair, is performed.

Before Breast Revision

Implant Exchange

During her visits with Dr. Pousti the patient expressed that she did not like how her implants fell to the side. Dr. Pousti used internal sutures to close off the bottom and sides of each breast pocket to prevent the implant from falling below the intended breast pocket.

Breast Revision

To achieve the patient’s goals, Dr. Pousti used 555cc silicone gel implants to achieve the patient’s goals.

After Breast Revision

Capsulorrhaphy

Internal muscle repair is also performed along with the abdominoplasty. The two purple lines represent the abdominal muscle separation present. Dr. Pousti used permanent sutures to bring the muscles together, creating an internal corset. Once the muscle repair is completed, the excess skin from the abdomen is removed and final suturing is completed.

Tummy Tuck

After Mommy Makeover

Mommy Makeover

The patient is now 1 week post-op and extremely satisfied with her results.

Mommy Makeover

Mommy Makeover Patient Testimonial

Tuesday, April 24th, 2012

I am a 41 year old and have been fighting my weight gains and losses ever since I was 23 years old. In high school I thought I looked okay. It wasn’t until I married and had 2 children that my weight problem got serious. Every year the pounds just kept adding up until I was at 265 pounds and didn’t know how I got there. I tried many different weightless programs, and always seemed to put the weight back on just as fast as I lost it.

After 2 years of hard work at the gym and watching what I ate, I managed to loose 80 pounds, which left me with what I called my “skin tutu” around my middle and my breast hung down to my waist, which my kids referred to as my “cuddle buddies” because they laid on the bed next to me.

The more I lost the worst I looked! I wanted to love the body I worked so hard to get, but that isn’t what happened. The skin would just hang worse every pound I lost I wanted to love my body.

I started looking on the Internet at “mommy makeovers” before and after pictures, and at people like me who lost a lot of weight, and wanted the skin removed. I would say for every 10 women that I found, that I looked like in there before pictures, and loved their after pictures, 8 out of those 10 women were done by Dr. Pousti.

I looked at before and after pictures for at least a year prior to my surgery, wondering if I should do this or not. I was scared of what was involved and how I would look after. I didn’t want to look like one of those women who have surgeries and look worse afterwards.

Well, with the love and support of my fiancé, my children, my parents and my friends, I decided to make an appointment for a consultation with Dr. Pousti.

The day of my consultation, my fiancé and my mother came with me to my appointment. We went to Dr Pousti’s office in Murrieta, Ca. The moment I walked in, it felt so right. The women who work there were not just stunningly beautiful on the outside, but on the inside. They made me feel so comfortable and at ease! Dr. Pousti came in and looked at me and said he thought I would have amazing results. He suggested having an extended tummy tuck and a breast reduction, with some liposuction.

I weighted in at 207 and knew I had more weight to lose. I wanted to have this surgery in January when my business is slower. Dr Pousti suggested that an ideal weight he would like me to be for surgery was 180 pounds. Well, I was within a few pounds of my goal when surgery day arrived.

About 1 month prior to my scheduled surgery, my fiancé found out he had Thyroid Cancer. I wasn’t sure if I should cancel my surgery with Dr. Pousti. When I came in to see Dr. Pousti he could see I was nervous about my fiancé’s news. Dr Pousti asked who the surgeon was and he personally called every ENT Dr. That he knew to see if anyone had heard of this surgeon, and what his experience was. He called me personally the next day to tell me of his findings. Dr Pousti didn’t have to make those calls, but he did, and that meant the world to me. He doesn’t just care about me, but also about the man I love. My fiancé had his surgery and it was a success!

The day before my surgery my fiancé, and my mother came with me to Dr Pousti’s office in La Mesa ca. He did all his markings of what was going to remove, where he would cut and where he would lipo. He marked my breast so I would have my best results.

We stayed at my aunt’s house ,which was close to the surgery center, and is where I stayed for the first week after surgery. My mom was my nurse for the first week! I can’t thank her enough for helping me. I stayed at my aunts because Dr. Pousti wanted me to stay close by so he could check on me post surgery.

The day finally arrived, and we arrived at the surgery center. Dr Pousti uses the same surgery center, with the same anesthesiologist and the same nurses and assistants. I was so scared and everyone calmed me and made me feel comfortable and so special. They were very professional, and they had a way of making you feel like you were their only patient! Dr Pousti came in and checked his marking and did some minor adjustments,and then they took me back to the operating room. I woke up 8 hours later 6 hour surgery 2 hours of recovery, and I felt like I just got there.

The feeling I had was the feeling of tightness! I’m not going to lie week 1 was the hardest week but it was worth it! He installs a pain pump that numbs the incision area. I had 4 drains 2 from my breast and 2 from my pelvic area. They sent me home the same day of surgery. I really don’t remember too much as I was still really groggy.

I stayed at my aunts house and slept in a recliner for the first week. Dr Pousti and his wife  were so kind to check on me the first night after surgery! They even brought me flowers! Never have I heard of a Dr. doing this before. The compassion and love he has for his patients is very apparent! He has always made me feel like I was his only patient, and his # 1 priority, even though I know he has many more patients.

The nurse or office staff called me everyday to check on me! Everyday was easier than the day before. I got around with my trusty walker, my BFF after surgery!

Dr Pousti told me that after surgery you go through an emotional state, but what found was not what I expected at all! I was expecting tears of pain and thought of regret, but that isn’t what I had at all! I never once thought why did I do this? The emotions I felt were eye opening to my life! The tears I shed were tears of love and joy and how lucky I am to have parents who took care of me for 6 weeks, a fiancé who supported me, no matter what I wanted to do, and my daughters, who stood by my side the whole time. Then the flowers, the cards, and the text messages came from friends, and clients thinking about me. The love I felt was overwhelming! Every tear I shed, were tears of joy of my life, my new body, and my new life to come!

This whole experience was the best thing I could have ever done! The most important thing is I truly feel like I was led to Dr. Pousti, and the results I got are amazing! He is a true artist of the body! He knows what will look the best and what is needed and not needed. He doesn’t just make you feel like he’s just your surgeon, but your friend, with your best interests in mind! The surgery is going to change my life for the better, and can’t thank him enough!

Abdominoplasty Surgery Video

Tuesday, April 24th, 2012

Mommy Makeover And Breast Revision Surgery

Monday, April 9th, 2012

This 37 year old patient from Chula Vista, California had been interested in plastic surgery after several pregnancies. She had a breast augmentation performed by a previous surgery and was not happy her results. The patient didn’t feel comfortable returning to her surgeon for her second breast surgery and wanted to find a more qualified plastic surgeon that had experience with revisionary breast surgery. She was referred to Dr. Pousti by a family member who also had surgery performed by him and was very impressed.

Mommy Makeover

Upon examination she expressed her concerns regarding her breasts and also stated that she was interested in body contouring after multiple pregnancies left her with loose skin. Dr. Pousti examined the patient and determined she was a great candidate for a mommy makeover procedure. A mommy makeover usually consists of several combined procedures to restore the body after significant weight loss or childbirth. He recommended an extended tummy tuck, liposuction of the flanks and abdomen, and breast revision surgery consisting of an implant exchange. Dr. Pousti and the patient meet several times prior to surgery to discuss the surgical plan, recovery, and implant size.

Abdominoplasty

Extended Tummy Tuck

Dr. Pousti and the patient met the night prior to surgery to take measurements and perform markings. Markings of the abdomen, flanks, back, and breast were all meticulously taken to achieve as much symmetry as possible.

Mommy Makeover

Dr. Pousti had the patient bring in her favorite bikini bottoms to keep the incision below the bikini line. Markings were performed with the patient lying down as well as standing up to achieve as much accuracy as possible.

San Diego Plastic Surgeon

The morning of surgery, Dr. Pousti and the patient met in the pre-operative area in the surgery center to recheck markings. These markings are used as guidelines for incisions in the operating room.

Mommy Makeover

The patient brought in goal pictures to illustrate exactly what she wanted to achieve with her breast revision surgery. These pictures are hung on the wall in the operating room for Dr. Pousti to refer to during surgery.

Mommy Makeover

Dr. Pousti used the same incision from the patient’s previous breast augmentation to avoid additional scarring. The patient’s previous breast implants are removed and the sizer implants are then placed to determine implant sizing.

Breast Enhancement

These sizer implants are placed into the breast pocket and filled with air until the patient’s goal size has been achieved based on her goal pictures. The patient wanted to achieve larger, rounder, and fuller breasts.

Patient after Sizer Implants Have Been Placed

Extra Large Breast Augmentation

To treat the patient’s “muffin top”, an extended tummy tuck was performed. The excess fatty tissue from her sides was removed and liposuction was performed on the flanks to aide in additional body contouring.

Mommy Makeover

During the tummy tuck, the patient’s abdominal muscles are also repaired. After pregnancy, the abdominal muscles can separate causing a significant bulge. To treat this, Dr. Pousti repairs the muscles by using permanent sutures creating an internal corset. The excess skin from the abdomen is then removed and final suturing is done to complete the abdominoplasty. Dr. Pousti used smooth round moderate plus profile saline implants filled to 840cc to achieve an extra large breast augmentation.

Mommy Makeover

The patient is now 1 week post-op and very happy with her mommy makeover results.

Mommy Makeover Testimonial

Friday, April 6th, 2012

I am a 41 year old and have been fighting my weight gains and losses ever since I was 23 years old. In high school I thought I looked okay. It wasn’t until I married and had 2 children that my weight problem got serious. Every year the pounds just kept adding up until I was at 265 pounds and didn’t know how I got there. I tried many different weightless programs, and always seemed to put the weight back on just as fast as I lost it.

After 2 years of hard work at the gym and watching what I ate, I managed to loose 80 pounds, which left me with what I called my “skin tutu” around my middle and my breast hung down to my waist, which my kids referred to as my “cuddle buddies” because they laid on the bed next to me.

The more I lost the worst I looked! I wanted to love the body I worked so hard to get, but that isn’t what happened. The skin would just hang worse every pound I lost I wanted to love my body.

I started looking on the Internet at “mommy makeovers” before and after pictures, and at people like me who lost a lot of weight, and wanted the skin removed. I would say for every 10 women that I found, that I looked like in there before pictures, and loved their after pictures, 8 out of those 10 women were done by Dr. Pousti.

I looked at before and after pictures for at least a year prior to my surgery, wondering if I should do this or not. I was scared of what was involved and how I would look after. I didn’t want to look like one of those women who have surgeries and look worse afterwards.

Well, with the love and support of my fiancé, my children, my parents and my friends, I decided to make an appointment for a consultation with Dr. Pousti.

The day of my consultation, my fiancé and my mother came with me to my appointment. We went to Dr Pousti’s office in Murrieta, Ca. The moment I walked in, it felt so right. The women who work there were not just stunningly beautiful on the outside, but on the inside. They made me feel so comfortable and at ease! Dr. Pousti came in and looked at me and said he thought I would have amazing results. He suggested having an extended tummy tuck and a breast reduction, with some liposuction.

I weighted in at 207 and knew I had more weight to lose. I wanted to have this surgery in January when my business is slower. Dr Pousti suggested that an ideal weight he would like me to be for surgery was 180 pounds. Well, I was within a few pounds of my goal when surgery day arrived.

About 1 month prior to my scheduled surgery, my fiancé found out he had Thyroid Cancer. I wasn’t sure if I should cancel my surgery with Dr. Pousti. When I came in to see Dr. Pousti he could see I was nervous about my fiancé’s news. Dr Pousti asked who the surgeon was and he personally called every ENT Dr. That he knew to see if anyone had heard of this surgeon, and what his experience was. He called me personally the next day to tell me of his findings. Dr Pousti didn’t have to make those calls, but he did, and that meant the world to me. He doesn’t just care about me, but also about the man I love. My fiancé had his surgery and it was a success!

The day before my surgery my fiancé, and my mother came with me to Dr Pousti’s office in La Mesa ca. He did all his markings of what was going to remove, where he would cut and where he would lipo. He marked my breast so I would have my best results.

We stayed at my aunt’s house ,which was close to the surgery center, and is where I stayed for the first week after surgery. My mom was my nurse for the first week! I can’t thank her enough for helping me. I stayed at my aunts because Dr. Pousti wanted me to stay close by so he could check on me post surgery.

The day finally arrived, and we arrived at the surgery center. Dr Pousti uses the same surgery center, with the same anesthesiologist and the same nurses and assistants. I was so scared and everyone calmed me and made me feel comfortable and so special. They were very professional, and they had a way of making you feel like you were their only patient! Dr Pousti came in and checked his marking and did some minor adjustments,and then they took me back to the operating room. I woke up 8 hours later 6 hour surgery 2 hours of recovery, and I felt like I just got there.

The feeling I had was the feeling of tightness! I’m not going to lie week 1 was the hardest week but it was worth it! He installs a pain pump that numbs the incision area. I had 4 drains 2 from my breast and 2 from my pelvic area. They sent me home the same day of surgery. I really don’t remember too much as I was still really groggy.

I stayed at my aunts house and slept in a recliner for the first week. Dr Pousti and his wife  were so kind to check on me the first night after surgery! They even brought me flowers! Never have I heard of a Dr. doing this before. The compassion and love he has for his patients is very apparent! He has always made me feel like I was his only patient, and his # 1 priority, even though I know he has many more patients.

The nurse or office staff called me everyday to check on me! Everyday was easier than the day before. I got around with my trusty walker, my BFF after surgery!

Dr Pousti told me that after surgery you go through an emotional state, but what found was not what I expected at all! I was expecting tears of pain and thought of regret, but that isn’t what I had at all! I never once thought why did I do this? The emotions I felt were eye opening to my life! The tears I shed were tears of love and joy and how lucky I am to have parents who took care of me for 6 weeks, a fiancé who supported me, no matter what I wanted to do, and my daughters, who stood by my side the whole time. Then the flowers, the cards, and the text messages came from friends, and clients thinking about me. The love I felt was overwhelming! Every tear I shed, were tears of joy of my life, my new body, and my new life to come!

This whole experience was the best thing I could have ever done! The most important thing is I truly feel like I was led to Dr. Pousti, and the results I got are amazing! He is a true artist of the body! He knows what will look the best and what is needed and not needed. He doesn’t just make you feel like he’s just your surgeon, but your friend, with your best interests in mind! The surgery is going to change my life for the better, and can’t thank him enough!

Mommy Makeover

Friday, April 6th, 2012

This 43 year old from Moreno Valley, California was interested in a mommy makeover for several years after 4 pregnancies left her unsatisfied with her body. She felt her abdominal muscles had completely separated and her breasts had become much “saggier” after her multiple pregnancies. She began researching the internet for a plastic surgeon with both outstanding experience and credentials, who would be able to achieve her goals and give her a boost of confidence. After further researching mommy makeovers, she found double board certified surgeon, Dr. Tom Pousti and was extremely impressed with the aesthetic results he was able to achieve for other women.

Mommy Makeover

She met with Dr. Pousti for a consultation and upon examination he determined she was a great candidate for a mommy makeover. A mommy makeover generally consists of several combined procedures. Dr. Pousti recommended an extended tummy tuck, a breast lift, breast augmentation, and liposuction to contour the patient’s body and achieve her goals.

abdominoplasty

The patient was able to meet with several of Dr. Pousti’s previous patient’s who had similar procedures performed. She was able to see their results first hand and discuss the entire procedure in detail with them. She felt extremely comfortable after meeting with Dr. Pousti and decided to proceed with surgery.

Mommy Makeover

Dr. Pousti and the patient met the night prior to surgery to take measurements and perform markings. Markings of the breast, abdomen, flanks, and lower back were meticulously drawn. These markings are used as a guideline during the surgery to achieve as much symmetry as possible.

Mommy Makeover

The patient was encouraged to bring in several goal pictures for Dr. Pousti to refer to during surgery.  Prior to the start of surgery, all markings were reinforced and minor changes were made as needed. Markings of the breast helped to assure incisions were made in the correct locations and the nipple/areola complex was positioned correctly.

Before Breast Lift With Implants

Breast Lift with implants

In the operating room, Dr. Pousti used a tailor tacking technique during the breast lift with augmentation. This method allowed Dr. Pousti to preview the potential results of the breasts prior to final suturing. Once the breast tissue was rearranged and reshaped to perform the breast lift, the skin was temporarily fastened together and a sizer implant was used to determine implant sizing and the new nipple/areola location. The patient is sat upright to check for symmetry and the sizer implant was compared to the patient’s goal pictures.

Tailor Tacking

Once correct implant sizing was achieved, the nipple/areola complex location was determined and placed in the correct position on the breast mound. The sizer implant was them removed, and the patient’s sterile breast implant was prepared. Dr. Pousti used 700cc silicone gel breast implants to achieve the patient’s goals.

Mastopexy

After several pregnancies, the patient’s abdominal muscles had become separated and her skin became stretched resulting in loose adipose tissue, affecting her both physically and emotionally. Once the abdominal muscles separate, a bulge is created, that cannot be restored with diet and exercise.

Before Extended Abdominoplasty

Mommy Makeover

Dr. Pousti began by using a scalpel to create an incision on the lower abdomen to create access to the abdominal muscles. Once this was done, he sutured the abdominal muscles together, creating an internal corset.  Dr. Pousti then performed liposuction to help contour the patient’s waistline and abdomen. The extra skin was then removed and sutured together. During the process, the belly button location is altered to a more pleasing location on the stomach.  The patient’s extra skin on her lower back was also removed resulting in a flatter and smoother surface and waistline.

Immediately After Breast and Abdominal Surgery in Operating Room

Mommy Makeover

The patient is now 1 month post-op and extremely satisfied with her results.

Tummy Tuck, Breast Lift, and Breast Augmentation

Friday, April 6th, 2012

This 31 year old from San Diego, California was interested in a mommy makeover after childbirth left her unsatisfied with her body. She was referred to Dr. Pousti by a friend of hers, who was also a previous patient of Dr. Pousti’s. After reviewing Dr. Pousti’s website and reading several mommy makeover testimonials, she decided to schedule a consultation with him.

Mommy Makeover

Mommy Makeover procedures usually consist of combined procedures that contour and sculpt the body. Upon examination, it was decided that the patient would be a good candidate for a breast augmentation, breast lift, abdominoplasty, and flank and back liposuction to meet her goals.  During her consultation, she was able to meet with Dr. Pousti’s previous patients to ask them questions about their journey and experience with him and his staff. The patient felt extremely comfortable and confident with Dr. Pousti because of his experience with mommy makeover procedures.

Tummy Tuck

Markings of the breast, abdomen, and flanks were taken to help him achieve as much symmetry as possible.

Breast Lift

Dr. Pousti tailors every mommy makeover surgery to meet that patient’s specific goals.

Mastopexy

Dr. Pousti also discusses the risks and complications associated with surgery and reviews the entire procedure in detail.

Abdominoplasty

The purple “x” on each breast indicates where the nipple/areola complex will be once the breast lift is complete. During the breast lift procedure the nipple/areola is relocated, the breast tissue is re-arranged and the skin underneath the breast is tightened to give the patient a nice ‘perky’ look.

Mommy Makeover

The morning of surgery, Dr. Pousti re-checks all of the markings and minor adjustments are made as needed.

Mommy Makeover

The patient had expressed to Dr. Pousti that she wanted to achieve fullness on top with an emphasis on outer breast fullness from her mastopexy with breast implants. She also wanted to remove the extra skin from her abdomen and have liposuction performed on her flanks and back.

Before Mommy Makeover

Mommy Makeover

After Mommy Makeover

Mommy Makeover

450cc silicone gel implants were then placed below the muscle to achieve more fullness and cleavage along with the mastopexy. During the tummy tuck, Dr. Pousti also repairs the separated abdominal muscles. He sutures the abdominal muscle together, creating an internal corset, and repairing the muscle laxity. The patient is still very fresh from surgery, but is already extremely satisfied with her mommy makeover results!