Treatment Provider

Tom J. Pousti, MD
Board Certified Plastic Surgeon
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Bottom line: Pousti Plastic Surgery in San Diego...

Bottom line: Pousti Plastic Surgery in San Diego is your #1 choice for plastic surgery. I am pleased beyond my expectations.

Background: I am a transgender/transsexual woman in the process of transitioning from man to woman. The decision to undergo surgical procedures to bring my body closer in line with my true gender was frightening to consider and difficult to make. Once my mind was made up, I knew the first surgical procedure I would undergo would be breast augmentation.

Process: I chose 4 doctors with whom I would seek consultation. Dr. Pousti was my first stop. My wife and I attended the consultation together, and we were treated respectfully, kindly, and fairly (there was never a sideward glance as I've become accustomed to receiving). Every one of the several members of the Pousti team involved in the initial conultation was friendly, warm, inviting, and concerned. My wife was included in the entire process - it might even be fair to say that she received more attention than I received! The amount of care and logically-presented information we received surprised us both, but that was not my biggest surprise. At one point during our conversation, Dr. Pousti told me I had to correct 1 thing before he would operate. He told me it would be unethical for him to perform surgery if I was in the process of weight change because he couldn't be sure of the end results. When a Dr. working for private compensation tells me she/he will not operate because he/she is placing my health and his/her reputation ahead of my money, I am going to listen to and respect the Dr. much more than I would without that information.
Some may call this decision naive, or even negligent, but by the end of the consultation I knew I had stumbled into the right office on my first consultation. Dr. Pousti (i.e. the Pousti team) impressed me so much with their professionalism and personable manner that I committed to the surgery before leaving the office. I had an assigned surgery date when I walked out of the office.
The surgery went off without a hitch. The presurgery appointments, checkups, etc. were quick and easy, the check in for surgery was smooth, the surgery - well, I couldn't tell you about that part since I wasn't conscious, but I heard it went well - and postsurgery was easy. And here is my only complaint. This is not the fault of Dr Posti, this is placed squarely on the shoulders of the medical facility; the head nurse in the recovery unit was pushy and often stern with me while I was in recovery because the person driving me home could not arrive early. At some point, they ran out of beds for patients, so when I was sufficiently recovered (albeit still under the influence of medication) I was moved to a chair to wait for my ride home. Again not Dr. Pousti's issue, but a little off-putting.

Postsurgery has been fantastic. I have received consistently professional, kind, and warm service at every one of the followup appointments. The results are amazing - far above my expectations. As I requested, Dr. Pousti has increased the size of my breasts from a natural "B" (in most labels) to a natural "DD" (in most labels). I asked Dr. Pousti to give me a natural look, not a look that immediately implies I have undergone augmentation. As of today, only 4-1/2 months after surgery, anyone looking at my braests would not be able to tell I've had breast augmentation surgery, with the exception of the scars that are still healing.

Recommendation: The entire Pousti Plastic Surgery staff have been incredible throughout the process of presurgical consults, surgery, and postsurgery care. Without hesitation, I recommend you see Dr. Pousti for a consultation before you make a decision about having or not having surgery and about who will perform your surgery. Pousti Plastic Surgery, and the entire team receives an A+ in my opinion, as they do in the opinion of many others on this site and other sites.

Provider Review

Board Certified Plastic Surgeon
8851 Center Dr., La Mesa, California
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

A+