Upon examination, Dr. Pousti determined the patient had breast asymmetry and was a great candidate for breast enhancement surgery. The patient was uncomfortable with her breast asymmetry and was extrememly pleased when Dr. Pousti let her know that different size implants are used to correct the breast size difference and the left breast pocket can be lowered to achieve better symmetry. The surgical plan was reviewed with the patient and she felt extrememly comfortable proceeding with her breast enlargement surgery.

A small incision on the areola was used to insert the saline implant. Prior to final implant placement, an implant sizer is used in the operating room. This deflated implant is placed into the breast pocket and filled with air until the patient’s goal size based on their goal pictures has been achieved. Once sizing is determined, the patient is sat upright to check for symmetry, the sizer implant is then removed, and the saline implant can then be prepped for placement in the breast pocket underneath the muscle.

To achieve the patient’s goals, a moderate plus profile saline implant filled to 445cc was used on the right breast and a moderate plus profile saline implant filled to 475cc was used on the left breast.

After Breast Augmentation

I share the same discontent with a certain part of my body as do literally hundreds of thousands of women across the globe. I was not happy with my breast size. My decision to have breast augmentation surgery was not taken lightly, nor was it a fleeting thought . It is something I’ve contemplated for years, dating as far back as my teenage years, when I was just 16 years old.

A couple of months ago, I finally decided to move forward with this transformation in my life and make things happen.I did a lot of informative research about breast augmentation, the actual surgical procedure itself, possible side effects and, of course, I inquired on countless qualified surgeons throughout San Diego county. I hand picked a few and set out to visit each one of them for a complimentary consultation. With every consult I attended, I gained knowledgeable insight. I was informed, educated and introduced to each doctor’s own way of practicing medicine. I paid special attention to the staff and the overall feeling I got from the atmosphere of each office. I can honestly say, each doctor I visited seemed more than capable of performing my surgery and I felt very confident in each one of them. I was initially scheduled to have my surgery with a prominent, highly recommended physician (not Dr. Pousti) on April 27, 2012, when I decided to get one last opinion. I found Dr. Tom Pousti’s name on the internet and was quite impressed with his patient “before and after” photos. So, I made the appointment. When I visited Dr. Pousti for my initial evaluation, I was more than prepared with my mental list of questions and concerns and knew that Dr. Pousti, if he were to be my surgeon, would have to offer me something I had not yet been introduced to by the other doctors. Dr. Pousti had to win me over as a patient. By gosh, I was pleasantly surprised! My expectations were met and the information I received actually exceeded what I felt was necessary to get me to sign on that dotted line. I felt extremely comfortable and at ease with every part of my consultation. Dr. Pousti’s staff were very friendly and very knowledgeable about all aspects of breast augmentation. When I aked questions, they actually listened to what I was saying and addressed all of my concerns. As for Dr. Pousti, he is quite a character! He has a great sense of humor and is very friendly. He makes his patients feel like they have known him for years. By the end of my appointment with Dr. Pousti, I decided I was cancelling my surgery with the other physican and scheduling my procedure with Dr. Pousti.

As I mentioned earlier, I did extensive research on my soon to be “enhancements” and, therefore, was very critical about receiving exactly what I wanted in terms of shape and size. I was very surprised when Dr. Pousti and the nurses were as determined to understand what I wanted as much as I was determined to convey my desires to them, even up to the last cc. There were only two pictures (that I downloaded and printed from Dr. Pousti’s website) that I felt displayed my desired results. I must mention that the difference between those two pictures was very, very small (about 70cc difference in implant sizes), This allowed Dr. Pousti a very small margin for error.

On the day of my procedure, I arrived at the surgery center both excited and anxious. This would be my first surgical experience, other than having my wisdom teeth removed, so everything was very new to me. The nurses and Dr’s that work with Dr. Pousti are just awesome!! They were very friendly and professional. One of the nurses talked to me about my desired results while we were waiting for Dr. Pousti to arrive. She said “I am your voice in the surgery room so I want to make sure that I understand exactly what you want. Dr. Pousti, of course, will be the one to make the final decision, but I will be there to make sure all of us are on the same page”. After I spoke to her, Dr. Pousti showed up, and, putting any doubts or final concerns I might have to rest, Dr. Pousti discussed my desired results with me one last time. After that conversation, I knew I had made the right decision…there was no turning back now. The only thing that was on my mind was how excited I was and that I was looking forward to seeing my surgery results.

My surgery went well, no problems with the anesthesia or with the surgery itself. I was actually told I was the “model patient”. When I woke up in the recovery room, I looked down at my chest and was so happy, they were just what I wanted! I couldn’t be happier. My post operative experience has been uneventful. That is a good thing! I have had no problems whatsoever. I’m at the beginning of my third week post-op. I stopped taking pain medications on the 3rd day after surgery, and was driving myself around on the 4th day(and I even drive a stick shift!). I know the speed in which I recovered is not common. Each person heals individually and it all depends on one’s own body. For some people, the healing process takes a couple of weeks. For those fortunate ones, such as myself, recovery can happen in just a few days.

I want to share some post-operative information in regards to sleeping positions. For the first week after surgery, you will only be able to sleep on your back. During your second to third week post-op, you should be able to sleep on your side. You won’t be able to sleep on your stomach for about 2-3 months after the surgery. I found a little trick to help with the “laying or sleeping on my stomach dilemma”. At night before I’m falling asleep, I put one pillow under my head(as usual) and I place one pillow under my stomach. In doing this, your breast barely touches the bed and it takes pressure off of your back . Also, the first few days following your surgery, the sling you are required to wear is pretty tight and very warm. I consulted with one of Dr. Pousti’s nurses after surgery and asked if I can use some sort of cold pack to reduce the “heat” and “swelling” of my breasts. I had read on the internet that some women recommend using cold packs to relieve their symptoms after surgery. Dr. Pousti’s nurse informed me that using cold packs can lead to complications, therefore, Dr. Pousti does not recommend cold therapy after surgery.

Dr. Pousti please don’t kill me… but…I used a wet towel ( I wet it in a slightly in cold water) and was applying it to my chest the first and second day post-op. I found it helped cool me down and it relieved some of the tightness in my skin. I’m not recommending going against doctor’s orders, so please ask your doctor before applying an sort of ice therapy to the surgical area.

Overall, I’m extremely happy with my results. It has been so much fun acquiring new pieces to my wardrobe. I had no idea I would be able to shop and buy myself new clothes just one week after my surgery. As for my old clothes, they look so much better in the “new me”. Now, I find myself paying special attention to my posture. When standing, I proudly display my new acquisitions. And, for the most part, people notice.

My only complaint is within myself. I’m very active and am used to working out pretty hard 6 times a week. Unfortunately, one of Dr. Pousti’s post-operative instructions is to restrict your work-out regimen. Obviously, doing any exercises that involve the chest muscles have to be omitted for a few weeks after surgery. Dr. Pousti does not want his “masterpiece” compromised by any unnecessary activities. So, for now, I have to hold myself back and forgo push-ups, crunches, etc., until I am fully recovered. I think adjusting my workout routine to consist of primarily leg exercises for the next few weeks is a small price to pay considering all I have gained.

My stats: I’m 5’6, 124lb, before surgery cup size A.
Post surgery: Silicon Implants, 300cc, under the muscle, desired result achieved: full B-small C cup

Best wishes,

The patient scheduled a consultation and met with Dr. Pousti as well as some of his previous patients who had breast augmentation performed with him to ask them questions and see their results first hand. Dr. Pousti examined the patient and recommended silicone gel implants due to the low percentage of body fat and breast coverage the patient had. Silicone gel implants are usually used for patient’s with less breast tissue to help prevent rippling.  Dr. Pousti and the patient met prior to surgery to perform markings and discuss implant sizing. Dr. Pousti encouraged the patient to bring in goal pictures illustrating exactly what size and shape she wanted to achieve with her surgery.

A small peri-areolar incision was made to begin the breast augmentation surgery. Dr. Pousti used an implant sizer in the operating room to determine final implant sizing. The sizer implant was placed into the breast pocket and filled with air until the patient’s desired breast size was achieved. Once sizing is determined, the patient is sat upright to check for symmetry and to compare her breast size to her goal pictures. The sizer implants are then removed and the patient’s silicone gel implants are prepped for placement using the Keller Funnel method. This technique allows for decreased risk of contamination using a no contact method when delivering the implants into the breast pocket.

Before Breast Augmentation (Side View)

The patient wanted to achieve natural looking breasts with outer fullness and some fullness on top.

After Breast Augmentation (Side View)

To achieve the patient’s goals, Dr. Pousti used 492cc silicone gel implants.

As far as the whole surgery and recovery portion of the process, I couldn’t be more pleased with it. I never felt nervous or anxious (this was my first surgery). I think this is because the doctor is so calm yet confident, you really don’t feel any need to worry. On the drive home from the surgery Dr. Pousti even called me to make sure I was doing OK. After the first day, and the days to follow, I was on constant contact with his office, they were calling all the time to make sure I was doing OK. I was very impressed as to how well they treat their patients even after the surgery.

I would recommend anyone and everyone who is interested in plastic surgery to go to Dr. Pousti. In a world of cookie cutter doctors and feeling like a number and not a valued patient, I feel as though Dr. Pousti and his staff take it in the opposite direction. I felt very much like a valued patient where my needs and wants were listened too and taken care of. And on top of that the results were beyond my expectations!!

The patient met with Dr. Pousti in his office for a consultation and he determined she was a great candidate for breast augmentation surgery with silicone gel implants. Silicone implants are suggested for patient’s with less body fat and breast tissue because it decreases the chances of implant rippling. During her consultation, she was able to meet with some of Dr. Pousti’s previous patient to view their results and discuss the entire process from a patient’s aspect.

The patient and Dr. Pousti meet several times prior to surgery to discuss options and the procedure in detail.  During these visits the patient expressed that she wanted to achieve natural looking breasts with some fullness on top and some cleavage.

Once the patient is in the operating room a small peri areolar incision is made and sizers are set in place. Dr. Pousti uses implant sizers in the operating room to determine the size of the implant needed to achieve the patient’s desired look. Once sizing is determined, the sizer implant is removed and the silicone implant is prepped for placement using the sterile Keller Funnel method. The Keller Funnel method allows Dr. Pousti to administer the implant with a no touch method reducing the risk of contamination. Dr. Pousti places the patient in the upright position several times throughout the surgery to check for symmetry and fullness. Adjustments can be made where needed prior to final suturing.

457cc silicone gel implants were used in both breasts to give the patient the fullness and cleavage she was interested in.

The patient is post op breast augmentation with silicone implants and is very happy with her results.

I share the same discontent with a certain part of my body as do literally hundreds of thousands of women across the globe. I was not happy with my breast size. My decision to have breast augmentation surgery was not taken lightly, nor was it a fleeting thought . It is something I’ve contemplated for years, dating as far back as my teenage years, when I was just 16 years old.

A couple of months ago, I finally decided to move forward with this transformation in my life and make things happen.I did a lot of informative research about breast augmentation, the actual surgical procedure itself, possible side effects and, of course, I inquired on countless qualified surgeons throughout San Diego county. I hand picked a few and set out to visit each one of them for a complimentary consultation. With every consult I attended, I gained knowledgeable insight. I was informed, educated and introduced to each doctor’s own way of practicing medicine. I paid special attention to the staff and the overall feeling I got from the atmosphere of each office. I can honestly say, each doctor I visited seemed more than capable of performing my surgery and I felt very confident in each one of them. I was initially scheduled to have my surgery with a prominent, highly recommended physician (not Dr. Pousti) on April 27, 2012, when I decided to get one last opinion. I found Dr. Tom Pousti’s name on the internet and was quite impressed with his patient “before and after” photos. So, I made the appointment. When I visited Dr. Pousti for my initial evaluation, I was more than prepared with my mental list of questions and concerns and knew that Dr. Pousti, if he were to be my surgeon, would have to offer me something I had not yet been introduced to by the other doctors. Dr. Pousti had to win me over as a patient. By gosh, I was pleasantly surprised! My expectations were met and the information I received actually exceeded what I felt was necessary to get me to sign on that dotted line. I felt extremely comfortable and at ease with every part of my consultation. Dr. Pousti’s staff were very friendly and very knowledgeable about all aspects of breast augmentation. When I aked questions, they actually listened to what I was saying and addressed all of my concerns. As for Dr. Pousti, he is quite a character! He has a great sense of humor and is very friendly. He makes his patients feel like they have known him for years. By the end of my appointment with Dr. Pousti, I decided I was cancelling my surgery with the other physican and scheduling my procedure with Dr. Pousti.

As I mentioned earlier, I did extensive research on my soon to be “enhancements” and, therefore, was very critical about receiving exactly what I wanted in terms of shape and size. I was very surprised when Dr. Pousti and the nurses were as determined to understand what I wanted as much as I was determined to convey my desires to them, even up to the last cc. There were only two pictures (that I downloaded and printed from Dr. Pousti’s website) that I felt displayed my desired results. I must mention that the difference between those two pictures was very, very small (about 70cc difference in implant sizes), This allowed Dr. Pousti a very small margin for error.

On the day of my procedure, I arrived at the surgery center both excited and anxious. This would be my first surgical experience, other than having my wisdom teeth removed, so everything was very new to me. The nurses and Dr’s that work with Dr. Pousti are just awesome!! They were very friendly and professional. One of the nurses talked to me about my desired results while we were waiting for Dr. Pousti to arrive. She said “I am your voice in the surgery room so I want to make sure that I understand exactly what you want. Dr. Pousti, of course, will be the one to make the final decision, but I will be there to make sure all of us are on the same page”. After I spoke to her, Dr. Pousti showed up, and, putting any doubts or final concerns I might have to rest, Dr. Pousti discussed my desired results with me one last time. After that conversation, I knew I had made the right decision…there was no turning back now. The only thing that was on my mind was how excited I was and that I was looking forward to seeing my surgery results.

My surgery went well, no problems with the anesthesia or with the surgery itself. I was actually told I was the “model patient”. When I woke up in the recovery room, I looked down at my chest and was so happy, they were just what I wanted! I couldn’t be happier. My post operative experience has been uneventful. That is a good thing! I have had no problems whatsoever. I’m at the beginning of my third week post-op. I stopped taking pain medications on the 3rd day after surgery, and was driving myself around on the 4th day(and I even drive a stick shift!). I know the speed in which I recovered is not common. Each person heals individually and it all depends on one’s own body. For some people, the healing process takes a couple of weeks. For those fortunate ones, such as myself, recovery can happen in just a few days.

I want to share some post-operative information in regards to sleeping positions. For the first week after surgery, you will only be able to sleep on your back. During your second to third week post-op, you should be able to sleep on your side. You won’t be able to sleep on your stomach for about 2-3 months after the surgery. I found a little trick to help with the “laying or sleeping on my stomach dilemma”. At night before I’m falling asleep, I put one pillow under my head(as usual) and I place one pillow under my stomach. In doing this, your breast barely touches the bed and it takes pressure off of your back . Also, the first few days following your surgery, the sling you are required to wear is pretty tight and very warm. I consulted with one of Dr. Pousti’s nurses after surgery and asked if I can use some sort of cold pack to reduce the “heat” and “swelling” of my breasts. I had read on the internet that some women recommend using cold packs to relieve their symptoms after surgery. Dr. Pousti’s nurse informed me that using cold packs can lead to complications, therefore, Dr. Pousti does not recommend cold therapy after surgery.

Dr. Pousti please don’t kill me… but…I used a wet towel ( I wet it in a slightly in cold water) and was applying it to my chest the first and second day post-op. I found it helped cool me down and it relieved some of the tightness in my skin. I’m not recommending going against doctor’s orders, so please ask your doctor before applying an sort of ice therapy to the surgical area.

Overall, I’m extremely happy with my results. It has been so much fun acquiring new pieces to my wardrobe. I had no idea I would be able to shop and buy myself new clothes just one week after my surgery. As for my old clothes, they look so much better in the “new me”. Now, I find myself paying special attention to my posture. When standing, I proudly display my new acquisitions. And, for the most part, people notice.

My only complaint is within myself. I’m very active and am used to working out pretty hard 6 times a week. Unfortunately, one of Dr. Pousti’s post-operative instructions is to restrict your work-out regimen. Obviously, doing any exercises that involve the chest muscles have to be omitted for a few weeks after surgery. Dr. Pousti does not want his “masterpiece” compromised by any unnecessary activities. So, for now, I have to hold myself back and forgo push-ups, crunches, etc., until I am fully recovered. I think adjusting my workout routine to consist of primarily leg exercises for the next few weeks is a small price to pay considering all I have gained.

My stats: I’m 5’6, 124lb, before surgery cup size A.
Post surgery: Silicon Implants, 300cc, under the muscle, desired result achieved: full B-small C cup

Best wishes,

Upon the patient’s arrival to San Diego, Dr. Pousti examined the patient and explained the pro’s and con’s of saline vs. silicone implants. He informed the patient that due to her lack of breast tissue, silicone gel implants would give her better results. Dr. Pousti encouraged the patient to bring in goal pictures representing the size and shape she wanted to achieve with her breast enhancement surgery. The patient and Dr. Pousti met again prior to surgery to perform markings. Dr. Pousti uses implant sizers in the operating room to determine what size implants the patient needs to achieve her goals. The sizer implant is placed into the breast pocket through a small incision on the areola and is then pumped with air until the patient’s desired goal size, based on her goal pictures, has been achieved. Once sizing is determined, the patient is sat upright to check for symmetry and fullness and the sterile implants are prepped for surgery.

For silicone gel implant placement, Dr. Pousti uses the Keller Funnel method. This technique allows for a no contact method to the implant, reducing the risk of contamination. A funnel is used to administer the implant to the breast pocket with a simple squeeze. Along with the decreased risk of contamination, this method also allows for a smaller incision, which can result in a smaller, less noticeable scar.

The patient wanted to achieve some upper fullness and cleavage while maintaining a natural look. Dr. Pousti used 375cc silicone gel implants to achieve her goals and she is very happy with her results.

Dr. Pousti examined the patient and decided she was a great candidate for breast enlargement surgery with the use of silicone gel implants, due to the small amount of breast tissue present. The patient and Dr. Pousti met prior to surgery to perform markings and discuss implant size. The patient expressed that she wanted to achieve some fullness on top with cleavage. The markings underneath the breast fold indicate where the breast pocket will be lowered to allow room for the implant and give the patient’s breast a nicer shape.

In the operating room, Dr. Pousti uses implant sizers to determine final implant sizing. These sizer implants are placed in the breast pocket and filled with air until the patient’s goal size has been achieved based on her goal pictures. Once sizing is determined, the sizer implants are removed and the patient’s final implants are prepped for placement. For silicone gel breast augmentation, Dr. Pousti uses the Keller Funnel method. This method allows for a no contact technique when placing the implant which reduces the risk of contamination. The implant is easily squeezed through the funnel and into the breast pocket. The small funnel also allows for a minuscule incision, usually resulting in a less noticeable scar. To achieve the patient’s goals, Dr. Pousti used a 300cc gel implant on the left breast and a 275cc gel implant on the right breast.