Archive for June, 2012

Tummy Tuck and Breast Augmentation After Pregnancy

Tuesday, June 26th, 2012

This 33 year old patient from Murrieta, California had been interested in the mommy makeover procedure for several years. The patient lost a significant amount of weight post pregnancy and was left with loose skin. She began her research  online and was very impressed with the results Dr. Pousti was able to achieve for his patients.

Mommy Makeover

Mommy makeover usually consists of a combination of procedures tailored to each patients to fulfill their needs. An abdominoplasty / breast augmentation combination procedure was suggested to achieve the best possible results.

Tummy Tuck

During the visits prior to surgery the procedures are discussed in detail and the patient is asked to bring in pictures that illustrate her desired look. These pictures are used as a reference in the operating room during the surgery.

Breast Enhancement

Measurements of the patient’s chest and abdomen are taken and markings are made. Markings are a very important part of the procedure because they are used as guidelines and they promote symmetry.


Markings are always re-checked in the operating room and adjustments are made if needed.

Tummy Tuck

For the breast augmentation portion of the surgery, a small incision is made along the areola and sizers are set in place. The sizer implant is placed into the breast pocket and filled with air until the patient’s goal size has been achieved. Once the implant size is determined, Dr. Pousti sits the patient upright to check again for symmetry. The sizers are then removed and the silicone gel implants are inserted into the breast pocket using the Keller Funnel method. This technique uses a sterile funnel to easily squeeze the implants into the breast pocket, reducing the risk of contamination. Dr. Pousti used 275cc silicone gel implants to achieve the patient’s goals.

Breast Enhancement

The abdominoplasty procedure is started once the breasts are complete. An incision is made along the lower portion of the abdomen, this incision is made low enough so that it can be easily hidden by the patient’s underwear or bathing suit when healing. The markings on the abdomen indicate where muscle repair will take place. Muscle repair is very common with tummy tuck procedures because they are typically damaged during pregnancy. The two sides of the abdomen are brought into the center and sutured creating a ‘girdle’. Excess skin skin is then removed and a new belly button location is made.

Tummy Tuck

Before / After Mommy Makeover

Mommy Makeover

The patient is very pleased with the results of her mommy makeover procedure.

Abdominoplasty Surgery

Monday, June 25th, 2012

Mommy Makeover

Monday, June 25th, 2012

This 37-year old patient from Temecula, California (Riverside County) was interested in a “Mommy Makeover“. After having 3 children by Cesarean the patient was unhappy with her post-baby body.

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The patient researched for an experienced mommy makeover surgeon. After reading many outstanding reviews of Dr. Pousti on the Internet, the patient decided to meet with Dr. Pousti in his Murrieta office.

During her consultation, the patient expressed, she was unhappy with her loose, excess skin of her lower abdomen as a result from her pregnancies. Even with diet and exercise, the patient was unable to loose the extra adipose tissue (fat) and skin. After discussing the risks and benefits of surgery, the patient decided to proceed.

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Markings made in detail the night before surgery.

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Dr. Pousti performed a tummy tuck (abdominoplasty). Separated abdominal wall muscles were repaired and excess skin removed. Along with liposuction of the abdomen and flanks.

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Dr. Pousti places the patient’s pictures as well as the pictures that the patient has chosen on the wall for reference.

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A breast lift (mastopexy) with breast implants were performed for fullness and cleavage. Temporary sizers were used to see what size breast implant would achieve the desired size of the patient.

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The sizers are removed and 339cc silicone-gel breast implants were used in both breasts with submuscular placement.

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Immediately after surgery.

The patient is about 10-weeks post-op tummy tuck surgery with 339 silicone gel breast implants were used in both breasts along with breast lifting. She is extremely pleased with her new mommy look.

Mommy Makeover Patient Testimonial

Monday, June 25th, 2012

Before working in the Intensive Care Unit, I worked at a plastic surgery recovery house in La Mesa and La Jolla, California. There I took care of all types of patients recovering from their desired surgeries, including an abundance of mommy patients who had tummy tucks and breast augmentations.  At the time I was on the nursing staff recovering patients coming from multiple plastic surgeons operating in the San Diego area.  However, I found myself always so excited whenever I heard I was getting a patient coming from Dr. Pousti!  What made his patients stand out the most from all others were indeed the quality of the work and the lack of complications his patients experienced.  This made life much easier for the nursing staff.  Thus, I knew when I was ready to get my “mommy makeover” the only person I would trust my body, my life with, was Dr. Pousti.

Besides taking care of patients, I am a twenty seven year old mother of two beautiful babies.  Although having my children young, and living a healthy lifestyle, I managed to gain an extremely large amount of weight with my pregnancies.  After both deliveries, I eventually lost all the weight I gained while pregnant.  Unfortunately, the loose skin was there to stay.  For years I felt like a mother kangaroo with a big empty sack with no baby in it.  I had even have had my own patients in the past ask me when I was expecting… two years after having my last baby!  It didn’t matter how thin I got, the loose skin was still there.  After giving time and exercise a fair shot, it was clear to me that it was time to take care of business, and finally my turn to become one of Dr. Pousti’s patients.

Meeting with Dr. Pousti and his staff for the first time was such a wonderful experience.  They were proficient, personal and understanding of my concerns and thoughts.  His staff consists of friendly experienced personnel, and Dr. Pousti‘s bedside manner was pronounced. Together we discussed the results that I was looking for and in solution the finest way we could attain them.  We decided that I would achieve the best results getting an extended tummy tuck in which the incision would go all the way around from front to back. Also, I wanted a breast augmentation to fill the loose skin in my breast area, and decided to go with silicone implants.

My surgery went smoothly with absolutely no complications as expected.  The first week of recovery was the most challenging as I adjusted to my new body.  Nevertheless, I had minimal discomfort.  By the third week post-op I was off my pain medication, standing up straight and driving my daughter to dance class.  At six weeks post-op I started running again, and never have I ever felt so grand in my life!

I can’t express my gratitude enough.  Dr. Pousti and his staff took exceptional care of me, as I am sure he does with all his other patients.  I give my utmost recommendation to any vigorous woman who is considering getting an extravagant “mommy makeover”.  I am extremely satisfied with my results, and I thank Dr. Pousti for working his magic on me.


A Very Satisfied Patient

Abdominoplasty Surgery Testimonial

Thursday, June 21st, 2012

I have had the best experience with Dr. Pousti & his staff. They made me feel so at home & comfortable. They know what they are doing, The operating room staff was awesome, efficient & knew what they were doing. My goals were to have a waistline, my scar from my previous tt fixed, extended tt & lipo. 2 weeks out & I just can\’t get over how feminine I already look. I love it & just cry tears of happiness, even with being only 2 weeks out! I wish I had known of Dr. Pousti before my first tt!! Pros for me; a fantastic doctor that knew what to do for my problems, a relaxing atmosphere & a beautiful result. Why this rating? How did you choose this provider? I found Dr Pousti by reading different forums & knew he could fix what an inexperienced plastic surgeon had messed up. Once I had my consult with him, it was like finding a rare red diamond!!! ( there are 20 red diamonds in the world) I am so happy to have found him! He has been so great, he has plenty of time for me & I can\’t wait for my breast revision next!! His staff are such beautiful people. They are generous with their smiles & laughter. They make you feel like you are part of their family. They have as much time to answer questions as you have questions to ask. I actually give him 10 stars!!!!!!

Mommy Makeover Patient Testimonial

Monday, June 11th, 2012

Hi I am a Black American with a medium to brown skin tone. I underwent a Tummy Tuck consultation and ultimately surgery performed by Dr. Tom Pousti over 2 years ago. I originally started out at 146 pounds at 5 feet 2inches upon post surgery and was roughly 132 pounds 4-6 weeks after surgery. I am now a size 2 at 118 pounds feeling and resonating a much healthier and beautiful me thanks Dr. Pousti wonderful artistry on my abdomen area. I had given birth to 4 children and my belly hung over my panties often. I had a constant lower back pain from my loose muscles pulled and out of shape toward the front. I was a size 8 dress and did not look bad but I did not look as active and young as I felt. Upon Healing (1 year) I started to gain a small amount of weight. I realized in order to remain healthy and in terms with my goal. I had to keep a mind set to remain in optimum fitness and weight maintainability. I started the old college try of walking in the neighborhood about a mile, getting a gym membership. 6 months later I was better in weight but not healthy.
I changed my diet slightly opting to have more vegetables and fruits (small meals throughout the day) from the grocer. Minimizing the fast food, (fixing my lunch) less sugar, sweets and so on. The first sign was a more healthy skin appearance, less lines due to the exercise and body started improving its shape. I started walking faster then running 25 mins a day. I then incorporated small amounts 2 times a week of cardio type exercise and yoga. Then without fail and quickly loss to my goal of 118. In my youth I had been 110 pounds. I realized I was not in love with skinny just healthy looks and overall well-being. This journey is life long to all is life style change. Many of the things like fast food I still have but in moderation, nor do I miss the sweets. I’m very active and less fatigued. I drink more water and hardly touch sodas diet or otherwise. I realize that no surgery, pill or diet maintains itself without my commitment and how I see myself. I absolutely love my tummy and shape. My on going journey is tone and muscle building. All of this started by Dr. Tom Pousti’s encouragement to maintain the really great work. Having an abdominoplasty (tummy tuck) has seriously changed my life, my career and self confidence. My personal authority spills over. Many people are amazed and comment I look in my early to mid 30s. Take the time to do this for yourself while you can enjoy it and feel younger, sexier and healthier.