Archive for July, 2012

Patient Testimonial

Monday, July 30th, 2012

After extensive research I chose Dr. Pousti to perform a “Mommy Makeover” (Breast life w/ implants and tummy tuck) on me.  It was the BEST decision ever!!!  After having full term twins my body had paid the price with a fully stretched out tummy and saggy breasts.  I am now 11 months post surgery and loving my new body.  My results exceeded my hopes and expectations.  Now after 7 years I can wear a bikini with full confidence again, which honestly I never thought would happen.  I have gotten countless compliments and feel wonderful!  Dr. Pousti and his staff were phenomenal!!  They took excellent care of me during the surgery, I was extremely nervous going into the surgery and the OR nurses made me feel at ease which really meant a lot to me.  After the surgery Dr. Pousti called our house to check up on me and his staff made many follow up calls in the weeks following the surgery to check up on me.  I always felt all my questions were answered in my follow up visits and my scars are all healing very well.  Dr. Pousti was a life saver for me and I would recommend him time and time again!!!

Abdominoplasty and Breast Augmentation Combination Procedure

Friday, July 20th, 2012

This 34 year old patient from Temecula, California had been interested in cosmetic surgery for several years after having children. The patient was left with loose skin in her breasts and abdomen and wanted her pre-baby body back. She began doing research online for surgeons with mommy makeover experience and was very impressed with Dr. Pousti’s work.

Cosmetic Surgery San Diego

During her visits with Dr. Pousti the patient expressed that no matter how much diet or exercise she did she could not get her pre-baby body back. Dr. Pousti explained to the patient that during weight loss/gain and pregnancy the abdominal muscles can separate causing damage and creating a bulge and that an abdominoplasty could be performed to correct it.

Abdominoplasty Surgery

Prior to surgery measurements of the patients breasts and abdomen and taken and markings are done. Markings are used in the operating room as guidelines for incision locations and help promote symmetry.

tummy tuck

During the tummy tuck portion of the surgery an incision is made along the lower portion of the abdomen, generally lower than the patient’s bikini line, and the skin is carefully separated from the muscle. Once the abdominal muscles are exposed markings of the muscle repair are drawn. Dr. Pousti uses layers of internal sutures to bring in the patient’s abdominal muscles back to the center eliminating the bulge and giving the patient a smaller waistline. The excess skin is then removed work is started on the breast augmentation.

Abdominoplasty San Diego

During the breast enhancement portion of the mommy makeover a small incision is made along the areola. Dr. Pousti then creates the breast pockets using his fingers to avoid possible nerve damage. A sizer implant is then set into the pocket and filled with air until the desired size is achieved. The patient is placed in an upright position and her look is compared to the goal pictures that she brought in prior to the surgery. Adjustments are made if needed and the sterile breast implants are prepped.

Mommy Makeover

The patient is extremely happy with the initial results of her abdominoplasty and breast augmentation combination surgery.

Mommy Makeover

Thursday, July 19th, 2012

This 43 year old patient from Bakersfield, California had been interested in cosmetic surgery for several years. The patient lost weight after multiple pregnancies and was left with damaged abdominal muscles and excess skin. She began her research online for an experienced plastic surgeon to perform her abdominoplasty and cam across Dr. Pousti’s website. The patient was very impressed with the results he was able to achieve for his patients and decided the travel to Southern California to meet with him was well worth it.

Abdominoplasty

During her visits the patient and Dr. Pousti discussed possible options and reviewed her expected goals. It was decided after further discussion that a tummy tuck procedure would be the best option for the patient. to remove excess tissue. Dr. Pousti met with the patient several times prior to surgery to take measurements and perform markings. Markings are performed the night prior to surgery, the morning of surgery, and are checked again in the operating room. Measurements and markings are key to achieving as much symmetry as possible.

Tummy Tuck

Pregnancy and childbirth usually cause the abdominal muscles to separate resulting in a distinct bulge in the abdomen. During a tummy tuck procedure, the abdominal muscles are repaired using internal sutures. Dr. Pousti tightens the muscles with two layers of permanent internal sutures, creating an internal corset.

Muscle laxity after pregnancy or weight-loss

Muscle Repair

After the muscle repair, the excess abdominal skin is removed and the belly button is brought through a new location on the abdomen.

Tummy Tuck

Liposuction was also performed to help contour the flanks and abdomens. The muscle repair, removal of excess skin, and liposuction all help to achieve a firm and flat abdomen.

Immediately After Abdominoplasty

Abdominoplasty

Mommy Makeover Patient Testimonial

Tuesday, July 17th, 2012

Hi Dr. Pousti, I want to thank you for the most fantastic and amazing extended tummy tuck procedure you did for me on the ‘08 Christmas eve. It’s six months now and my mid section looks like a 18-year old. Actually better than a 18-year old! I am happy every day about myself, how I look and feel, and so is my “nice boyfriend” (we are engaged now). I had been interviewing plastic surgeons for 3 years, met half a dozen of them. The moment I met you, I knew I’ve found the right doctor. You immediately understood what I was looking for and gave me all the answers right on the mark. You were totally alert, laser sharp focused. Thank you for visiting me home during the Christmas holidays. It was most heart warming. You are truly a gifted doctor with superb surgical skills combined with artistic talents. Not only you tightened my tummy (super tight with a perfect new belly buttom), but sculptured a smooth curvy waistline by getting rid of extra skin and fat on my sides and back, and most surprisingly, lift my butt in the process!!! Speaking of far exceeding expectations… I also want to extend a thank note to your staffs – they are the most friendly and helpful bunch. For those of you who are still looking for a good, solid plastic surgeon, look no further – Dr. Pousti is IT! C R San Diego

Mommy Makeover

Tuesday, July 17th, 2012

This 40 year old mom of 3 from San Diego had been interested in breast and abdominal surgery for around 5 years. She did not like the ‘bulge’ present in her abdomen after having children and felt her breasts had lost excess volume. She spent a lot of time on the internet doing research and came across Dr. Pousti’s website. She was impressed with the amount of information his site provided as well as his experience with the ‘mommy makeover‘ procedure.

mommy makeover

Dr. Pousti examined the patient and determined she would greatly benefit from a standard tummy tuck along with a breast augmentation surgery. The patient and Dr. Pousti discussed the pros and cons of saline vs. silicone gel implants and the patient decided to proceed with her breast enhancement procedure using saline implants.

tummy tuck

The night prior to surgery, Dr. Pousti met with the patient to take measurements and perform markings of the breast and abdomen. The markings are key to achieving symmetry and are used as a guideline during the surgery.

abdominoplasty

Markings are reinforced the morning of surgery and adjustments are made as needed. The markings on the abdomen represent incision lines and the amount of skin that is removed.

Mommy Makeover San Diego

The abdominoplasty procedure is performed to remove excess skin and repair the abdominal muscles that have separated after childbirth. Dr. Pousti makes markings internally on the muscles and shows the two areas that will be sutured together, creating an internal corset and much more desirable waistline.

breast surgery san diego

The abdominal muscles are sutured together twice to reinforce the tightening of the lax/loose muscles.

Once the abdominal wall repair is completed, Dr. Pousti is able to remove the excess skin. The belly button is brought through a new location during this process.

abdominal repair surgery

Prior to final implant placement, Dr. Pousti uses sizer implants in the operating room to determine implant sizing. The sizer implant is placed into the breast pocket and filled with air until the patient’s goal breast size has been achieved. Dr. Pousti sits the patient upright to check for symmetry and to make adjustments if needed. Dr. Pousti used 325cc saline filled implants to achieve the patient’s goals.

San Diego Abdominoplasty

After Mommy Makeover

mommy makeover before and after pictures

The patient is extremely happy with the results of her breast augmentation/abdominoplasty mommy makeover procedure.

Mommy Makeover

Tuesday, July 17th, 2012

This 33 year old patient from Murrieta, California was interested cosmetic surgery after several pregnancies left her unhappy with her body. She felt that the weight gain/loss associated with her pregnancies caused her to have excess lax skin in her abdomen and much smaller breasts. After looking online, she found double board certified plastic surgeon Dr. Pousti and was impressed with his years of experience with cosmetic procedures and his photo gallery containing hundreds of “before” and “after” photos.

Mommy Makeover

After examining the patient, Dr. Pousti recommended the mommy makeover procedure. A mommy makeover usually consists of a combination of procedures and is tailored differently to fit each patients needs. An abdominoplasty / breast augmentation combination procedure was suggested to achieve the best possible results. For patient’s with little body fat and breast tissue, Dr. Pousti usually recommends the use of silicone gel implants to prevent implant rippling.

Tummy Tuck

The patient and Dr. Pousti meet several times prior to surgery to discuss the procedure in detail and make sure that all the patient’s questions are answered. On the final visit prior to the body contouring procedure measurements of the breast and abdomen are taken. Measurements are important to ensure that the markings are accurate and symmetrical.

Breast Enhancement

Markings are done with the patient standing up and lying down to determine how much skin in the abdomen can be removed safely without causing complications.

Abdominoplasty

The morning of surgery, Dr. Pousti re-measures and reinforces the markings to double check all measurements and make any necessary changes.

Tummy Tuck

In the operating room, sizer implants are first used to determine implant size (cc’s) for a breast augmentation. 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

During the tummy tuck portion of the surgery, the abdominal muscles are repaired using internal sutures. During pregnancy the muscles can separate causing the abdomen to have a ‘bulge’. The vertical markings drawn on abdomen illustrate where Dr. Pousti will repair the damaged muscle and create a smaller waistline. Once the internal repair is completed, Dr. Pousti is able to remove the excess abdominal skin. The belly button is brought through a new location on abdomen once all the excess skin has been removed. Usually with a tummy tuck, a majority of the stretch marks associated with weight gain / pregnancy can be eliminated.

Tummy Tuck

Before / After Mommy Makeover

Mommy Makeover

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

Patient Testimonial

Monday, July 16th, 2012

Dr. Pousti performed an extended tummy tuck on me 8 weeks ago. Let me tell you it was one of the best decisions I have made, besides having him do my breasts a few years back! (: Dr. Pousti has a great bedside manner and helps you feel comfortable before and after surgery. The whole staff of the Pousti office are awesome as well.

I had excessive hanging skin due to major weight loss from Gastric By-pass several years ago as well as two pregnancies. I was extremely worried about the outcome of the procedure since I have read so many stories of bad jobs. What put my mind to at ease was the fact that Dr. Pousti was so confident in his skills. He even let me meet about 5 patients that he performed the same procedure on. They were all at different, some 2 weeks post op others as far as a year post op. I consider this practice of letting me meet current patients of his one of the deciding factors in my decision. It was very comforting to meet a handful of his patients that had already traveled the road I was about to.

The morning of surgery I was really nervous, but Dr. Pousti & his staff were so calm, cool & supportive of me. They understood why I was nervous and still reassured me that everything was going to be all right. With this procedure you need to be very patient for the healing process. It gets hard sometimes, you go through ups & downs but at the end of the day when I look at my before pictures, all the pain & emotional roller coaster I was on seems to disappear and I remember why I elected to get this procedure done.

At 8weeks post-op I feel almost back to normal. Dresses & yoga pants are still my clothes of choice right now due to jeans rubbing on my incision (doesn’t feel very comfortable). My tummy is the flattest it has EVER been in my 30 years of life, even though I am still a little swollen. Dr. Pousti is a magic worker! I never thought I could look the way I do! He knows what he is doing and is very proud of his work.

Patient Testimonial

Monday, July 16th, 2012

After several referrals I decided to have Dr. Pousti perform the tummy tuck procedure. Even after just one visit I was made to feel comfortable and confident that he was the right man for the job. He was very informative and realistic and I truly felt like my safety was priority number one. Dr. Pousti’s staff is incredibly friendly, knowledgeable and would call several times a week after my surgery to ensure I was doing ok. That was a big deal to me. Every office visit I was seen promptly and was kept up to date on my recovery process. I would definitely recommend Dr. Pousti for anyone who is thinking about having cosmetic surgery just as several of my friends recommend him to me and we all look fabulous! I can’t thank you enough Dr Pousti! Keep making everyone look fabulous!!

Mommy Makeover Patient Testimonial

Thursday, July 12th, 2012

HAPPY AND THRILLED I am 38 years old, and I have three children. After the birth of my youngest child, I felt it was time mommy got some much deserved TLC. I wanted a tummy tuck and a breast augmentation. I first learned about Dr.Pousti through my friend. She told me she had done extensive research into the procedure and the doctors, and she chose Dr. Pousti. Her results were amazing. She raved about the care and attention she received. That\’s when I decided to call and make an appointment. I took my aunt that day for support and to get her opinion. When we left the office, I turned to my aunt and asked her what she thought. She did not have a single negative comment. In fact, she really liked Dr. Pousti. It was great. I called back two days later and scheduled my surgery. My overall experience from the first appointment to my five-week post-op has given me the results I hoped for. I feel blessed to have found Dr. Pousti. He and his team are wonderful. He is a very positive and caring person. At one point, I called the office to ask for advice and within 15 minute, he had returned my call. When I asked him to call me back to check in on me, he did! I cannot tell you how much that meant to me. If anyone were to ever ask me to recommend a plastic surgeon, hands down Dr. Pousti is the DOCTOR/MAN. Dr. Pousti and his staff ROCK. The care I received after surgery was great. I pray that Dr. Pousti and his staff continue to make a difference in people’s lives.

Mommy Makeover After Weight Loss

Tuesday, July 10th, 2012

This 38 year old patient from Lake Elsinore, California had been interested in several cosmetic procedures for years and decided to begin her research. She was referred to Dr. Pousti by a close friend of hers and was very impressed with the results he was able to achieve for his patients. The patient decided to schedule a consultation to meet with him to discuss possible options.

Mommy Makeover

During her visits with Dr. Pousti the patient explained that she had lost over 100lbs after pregnancy which cause her too loose a lot of breast volume and left her with loose skin around her abdomen. The mommy makeover procedure was discussed and the patient, as well as Dr. Pousti, agreed that would be her best option.

Mommy Makeover

The night prior to surgery, Dr. Pousti met with the patient to take measurements and perform markings of the breast and abdomen. Markings are key to achieving as much symmetry as possible as well as the patient’s goals. They also are used as guidelines for incision locations. These measurements and markings are done with the patient both standing up and lying down to verify accuracy. The patient also brought in goal pictures representing her ideal size and shape breasts she wanted to achieve with her mastopexy with breast implant procedure. These pictures are hung on the wall in the operating room and referred to throughout the entire surgery.

Weight Loss

The morning of surgery, Dr. Pousti checks all measurements prior to the start of surgery to make any adjustments needed. During this time, implant sizing was also discussed again. Dr. Pousti keeps all size and type of implants in stock in the surgery center, so a patient is able to change her mind at any time up until the start of surgery. The “x” on the breast indicates the proper location of the nipple/areola complex.

Breast Lift

Mastopexy procedure includes reshaping and rearranging the breast tissue along with tightening the skin to achieve fuller and “perkier” breasts. The nipple/areola complex is also moved to a more pleasing location on the breast mound. Dr. Pousti temporarily stapled the breast to insert implant sizers and determine the proper size implants needed to achieve the patient’s goals. For silicone gel implants, Dr. Pousti uses the Keller Funnel method which uses a sterile funnel to easily distribute the implant with no outside contact, reducing the risk of contamination. Dr. Pousti used 371cc silicone gel implants to achieve natural looking breasts with some fulness on top.

Breast Lift with Implants

An abdominoplasty procedure also consists of tightening and repairing the abdominal muscles. Abdominal muscles can separate after pregnancy or after weight gain. Unfortunately after child birth or weight loss the muscles are still separated and can only be repaired surgically.

Tummy Tuck

The two purple lines represent the two muscles and the space in between the muscles shows the separation. These muscles when separated can create a bulge in the abdomen that cannot be repaired with exercise. The two muscles are brought together and are sutured together with permanent internal sutures, creating an internal corset. This step in the abdominoplasty creates a desirable waistline and repairs the bulge.

Abdominoplasty

After the abdominal muscles are repaired, Dr. Pousti is able to remove the excess skin from the abdomen. Throughout this process, the belly button is also brought through a new hole in the abdomen.

Tummy Tuck

Liposuction was also performed to remove stubborn fat. Although the patient had lost 100lbs, she still had areas of stored fat that concerned her. Liposuction sculpts and contours the body especially when paired with a tummy tuck, breast lift, or breast augmentation.

Liposuction

Immediately After Surgery

Mommy Makeover