Archive for August, 2012

Mommy Makeover Breast Procedure

Tuesday, August 21st, 2012

This 48 year old patient from Riverside, California had been interested in cosmetic surgery after breast feeding her 4 children. She felt that her breasts were not as perky as they were and lacked volume. The patient was referred to Dr. Pousti by a close friend of hers and was impressed with his experience with breast and mommy makeover procedures.

breast surgery

During their visit the patient expressed that she was interested in a fuller look because pregnancy and breast feeding had taken a lot of volume from her breasts. The patient and Dr. Pousti discussed all possible surgery options and he explained to her that a limited breast lift with augmentation would give her the best results.

breast augmentation

Measurements of the patients chest are taken to promote symmetry while performing markings. Markings are used in the operating room as guidelines for the mastopexy incision locations. During the mastopexy portion of the breast procedure a doughnut incision is made along the areola shifting the nipple position and increasing the breast firmness by tightening the skin.

mommy makeover

A sizer implant is then placed in the patient’s breast pocket to determine the size of the implant needed to meet her goals. In this patient’s case a 421cc saline implant was placed in her right breast and a 457cc saline implant was used in her left breast. Two different sized implants were needed due to the mild asymmetry the patient had present.

Benelli Lift

She is extremely happy with the results of her breast augmentation and mastopexy surgery with saline implants.

breast surgery before and after

Abdominoplasty Procedure

Wednesday, August 1st, 2012

Mommy Makeover

Wednesday, August 1st, 2012

This 34 year old patient from Temecula, California was interested in a mommy makeover to enhance and refine her body frame after having children. She was unhappy with her breast size and shape and was interested in a breast augmentation and a tummy tuck to remove the excess skin in her abdomen. She found Dr. Pousti online while searching for a board certified plastic surgeon. She was impressed with the content on his website and his many years of experience with plastic surgery.

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 are taken and markings are performed. Markings are used in the operating room as guidelines for incision locations and to 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 Testimonial

Wednesday, August 1st, 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!