San Diego Breast Implants doctors

Tom J. Pousti, MD Tom J. Pousti, MD
San Diego Plastic Surgeon
8851 Center Drive Suite 300, San Diego
757 answers
Steve Laverson, MD Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas
73 answers
Vincent P. Marin, MD Vincent P. Marin, MD
San Diego Plastic Surgeon
1431 Camino Del Mar, Del Mar
57 answers
Jason R. Hess, MD Jason R. Hess, MD
San Diego Plastic Surgeon
4060 4th ave Suite 120, San Diego
48 answers
Gary H. Manchester, MD Gary H. Manchester, MD
San Diego Plastic Surgeon
3720 Fourth Avenue, San Diego
25 answers
Ronald J Edelson, MD Ronald J Edelson, MD
San Diego Plastic Surgeon
9339 Genesse Avenue Suite Plaza - 39, San Diego
11 answers
Lori H. Saltz, MD Lori H. Saltz, MD
San Diego Plastic Surgeon
La Jolla Cosmetic Surgery Centre 9850 Genesee Ave, Suite 130 Ximed Building
10 answers
Antoine A. Hallak, MD Antoine A. Hallak, MD
San Diego Plastic Surgeon
16766 Bernardo Center Drive Suite 109, San Diego
9 answers
Barry Stuart Handler, MD Barry Stuart Handler, MD
San Diego Plastic Surgeon
6699 Alvarado Rd. Suite 2305, San Diego
5 answers
Marialyn Sardo, MD Marialyn Sardo, MD
La Jolla Plastic Surgeon
9850 Genesee Ave. Suite 410, La Jolla
3 answers
Richard Chaffoo, MD Richard Chaffoo, MD
San Diego Plastic Surgeon
9850 Genesee Ave. Suite #480, La Jolla
3 answers
Moneer Jaibaji, MD Moneer Jaibaji, MD
San Diego Plastic Surgeon
1001 B Avenue Suite 108, Coronado
3 answers
Joseph L. Grzeskiewicz, MD Joseph L. Grzeskiewicz, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
2 answers
Glynn Bolitho, PhD, MD, FACS Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
9834 Genesee Ave Ste 311, La Jolla
2 answers

Recent Answers

Can I Achieve These Breasts from What My Surgeon Has Suggested? (photo)

My surgeon in Thailand has suggested: polyurethane, round shaped, high profile, 325 and 350 cc implants to be placed subfascial using the breast fold incision. NB: I requested the polyurethane cover implants. I have added a photo of my breasts and a photo of the breasts I VERY much desire. I am in love with them! (image found on the internet-public domain) Thank you :)

A: Polyurethane implants?

I would exercise caution when travelling abroad for cosmetic surgery.  In the US, polyurethane implants were withdrawn from the market due to safety concerns.  That apart, it may be difficult to achieve your aesthetic ideal without a mastopexy, or lift.  You may want to arrange a consultation with one of the qualified Gold Coast plastic surgeons down the road from you. 

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
Is There a Way for Me to Have Closer Breasts Without the Aid of a Push Up Bra? (photo)

I'm 1 month PO. I adore my new breasts! I love the size and shape. They are so close to perfection. All I wish is for them to be a wee bit closer together, without the aid of a push up bra. Are larger/wider implants the only option? I would feel comfortable going slightly larger, but cost is an issue. Please note I do praise the surgeon. He is very highly renowned. I understand he's done a fabulous job & that my anatomy may be making it difficult to achieve very close breasts. Thnk you.

A: Can my breasts be closer together? (photos)

Things will get better (softer, more natural, easier to push together with bra) as swelling resolves and skin envelope expands.  Normal intermammary distance about 2.5 cm, and yours appears to be less.  You answered your own question, and have a great result.

Steve Laverson, MD
San Diego Plastic Surgeon
I'm 6'1", 155lbs, and Very Athletic. My Dr. Recommended I Go with 475cc. Will This Size Interfere With My Triathlons? (photo)

I am a 6'1" and weigh 155lbs, I have had 3 kids and am very athletic, my doctor recommends that I go with a 475cc implant, I know I have a big frame but will these be too big and weigh to much? I am a triathlete and love to run. I don't want to have back problems because of the implants.

A: Breast Implant Sizing?

Thank you for the question and picture.

It will be very difficult (and potentially confusing to you) for any online consultant  to give you better advice that you will receive from a well experienced board-certified plastic surgeon who has seen you in person  and had the opportunity to discuss your goals in detail.

Generally, I suggested patients concentrate on finding a well experienced plastic surgeon who they trust will do a good job for them. Then, I suggest careful communication  in regards to what the patient is trying to achieve.  Once this communication takes place your plastic surgeon will be in a much better position to determine breast implant size than any online consultant will be.

In my practice I find the use of goal pictures to be very helpful  in the communication process..   I have found that the use of words such as “natural” or “D cup”  etc. mean different things to different people and therefore prove unhelpful.
 

Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate. Placing breast implants on top of the skin ( pre-operative “sizing”) is not necessarily accurate either.


I use  intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 
 

I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon
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