San Diego Breast Lift doctors

Tom J. Pousti, MD Tom J. Pousti, MD
San Diego Plastic Surgeon
8851 Center Drive Suite 300, San Diego
567 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
20 answers
Steve Laverson, MD Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas
14 answers
Ronald J Edelson, MD Ronald J Edelson, MD
San Diego Plastic Surgeon
9339 Genesse Avenue Suite Plaza - 39, San Diego
9 answers
Jason R. Hess, MD Jason R. Hess, MD
San Diego Plastic Surgeon
4060 4th ave Suite 120, San Diego
8 answers
Gary H. Manchester, MD Gary H. Manchester, MD
San Diego Plastic Surgeon
3720 Fourth Avenue, San Diego
6 answers
Antoine A. Hallak, MD Antoine A. Hallak, MD
San Diego Plastic Surgeon
16766 Bernardo Center Drive Suite 109, San Diego
6 answers
Barry Stuart Handler, MD Barry Stuart Handler, MD
San Diego Plastic Surgeon
6699 Alvarado Rd. Suite 2305, San Diego
4 answers
Moneer Jaibaji, MD Moneer Jaibaji, MD
San Diego Plastic Surgeon
1001 B Avenue Suite 108, Coronado
4 answers
Johan E. Brahme, MD Johan E. Brahme, MD
San Diego Plastic Surgeon
9850 Genesee Avenue, Suite 130 Ximed Building, La Jolla
2 answers
Vincent P. Marin, MD Vincent P. Marin, MD
San Diego Plastic Surgeon
1431 Camino Del Mar, Del Mar
2 answers

Recent Answers

Which Breast Lifting Technique Would Be Most Suitable? (photo)

I have consulted a board certified PS & am in process of scheduling the surgery. Dr. has said for perkiest look go for a full lift w/ augmentation, and for a more natural look go with a donut lift w/ augmentation. Below are photos of the look I'm after & my own breasts. I know "perky" and "natural" have different definitions depending on each person. Which lifting would bring mine to the same position and shape? I know all breasts are different, I am simply going for that "style" in the pics

A: What type of breast lift for me (photos)?

A circumvertical pattern will produce the projection you desire with a nice breast shape, and implants added for volume.  In skilled hands, you should have the result you desire, or better.

Steve Laverson, MD
San Diego Plastic Surgeon
Skin Retraction After Breast Lift Upon Breast Implant Removal

I am seeking medical opinions of a breast lift upon removal of implants, without replacement. I have 300cc, textured, anatomical, submuscular saline breast implants for 14 years. I am a young 35yr old, no children. Full A or small B prior, and went to a small/medium C cup after, with decent skin elasticity. Gained 15 lbs since then, and developed more breast tissue. I don't feel they sag at the moment, but do have a natural slope. How much does the skin actually retract after the breast lift? Any medical or detailed advice is appreciated.

A: Breast Appearance after Breast Implant Removal?

Thank you for the question and picture.

Based on your description  and picture,  it is very likely that you will not “need” press lifting after removal of the breast implants. Things that you have going for you include: Relatively good skin elasticity, no history of childbirth, relatively small breast implants  etc.

In other words, you may find that the skin will “bounce back”  quite well in your case,  negating the need for breast lifting.

Generally speaking what breasts look like after explantation  depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back),  the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation). 

Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will  potentially influence the factors discussed above. If you take these factors into consideration and apply them  to your specific circumstances you may get a good idea of what to expect after the implants are removed.
 
I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon
Should I Avoid Second Hand Smoke in a Casino 5 Days Before Breast Lift?

I am having a bilateral mastopexy in 5 days. I would like to go out tomorrow night with my husband (possibly to a casino) and there will be smoking. Should I not go because of the second hand smoke? I am not smoking but I am worried about being around it before my surgery. Thank you so much.

A: Breast Lift and Second Hand Smoke?

Thank you for the question.

Yes, avoidance of secondhand smoke (and all forms of nicotine) is necessary prior to undergoing breast lifting (or any other plastic surgical procedure that involves “flaps”  such as tummy tuck and face lifting surgery).

Nicotine is a powerful constrictor of blood vessels,  decreasing blood flow to the “flaps” used during these procedures. This decrease blood flow could potentially lead to wound healing problems and/or tissue necrosis.

Best wishes with your upcoming operation.

Tom J. Pousti, MD
San Diego Plastic Surgeon
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