Treatment Provider

Tom J. Pousti, MD
Board Certified Plastic Surgeon
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Almost 6 months post op...

I'm just two weeks shy of my 6 month "anniversary". I DO have some more updates to report since my last post. Previously I mentioned not having a crease, at least not a defined crease. I still don't have MUCH of a crease, but I do have one now! Which is nice. I have seen it first hand now.. things DO continue to change even this far out. The addition of a crease makes me much happier with overall appearance.
I could still stand to be slightly larger, and a little softer. My fingers are crossed, to see if softness continues to increase over time. I'm chanting "it can take up to 12 months +...." in my head :) I'll keep you posted!

I'd like to take a moment to discuss Dr. Pousti and his office once more. I think he is a genius at what he does. He is highly intelligent and knows how to deal with people. I have no regrets about my choice to use him to perform my procedure. But with that being said, I believe his office staff leaves something to be desired, with the exception of DAISY. At my most recent visit after the first of the year, there was a new receptionist. At least new to me. I'd never seen her before over the last 6 months. I had a couple of questions for her when I first walked in and she couldn't answer a one of them. This was unusual, as the previous receptionist was well informed on pretty much everything. This new girl didn't offer to find someone else to answer my questions, or attempt to find me an answer. She simply told me she had no idea and went about her business. Not okay, in any setting.
My appointment was scheduled for 3:15. I arrived at 3:05. I was quickly seated in an exam room, the last one on the left, at or very close to 3:15. I was excited, thinking I'd get in and out relatively fast considering I had no issues to discuss. Time ticked on. And on. And on some more. No one came. No one came to let me know if Dr. Pousti was simply running behind, if he had encountered an emergency, or if I'd simply been forgotten. And it felt like I had been forgotten, sicne I'd listened to TWO people come and go from the exam room next door. Finally at 4:20 I ventured into the hall way (I'm a patient person. I can wait, I really can.. but an hour without anyone speaking to me is excessive). The girl who I found acted as if I was insane for questioning the time, but reassured me I was next. Sure enough, not five minutes later in came Dr. Pousti. I was so frustrated I forgot to ask him the questions I had. My face to face time with Dr. Pousti was probably 90 seconds, which is okay considering my results are great and I have no problems.. but its not okay to leave me waiting so long without keeping me informed.

Dr. Pousti's work IS amazing, but do plan several hours in your schedule for an appointment here.

Progress

I love my new breasts, I really do. Zero regrets. There are some things I'd change about them if it were as easy as waving a wand though. To be fair, some of these small things that I'd change, are likely based on my anatomy rather than any other outside factors.
-Size. I asked Dr. Pousti to go as big as he could, and I believe he did just that. But even with 465CC, I feel like I want more. Maybe 100CC more. I have friends with 300 and 325CC that are my same body type/size and their breasts look massive next to me. I don't know why this is, and it does bother me. I've clearly forgotten where I came from, right? I mean my natural breasts didn't even have "200CC" equivalent COMBINED.
-Crease. I wished I had an under boob crease. Or amazing under boob at all. I'm not sure if this is me, or HP implants, or what, but it is what it is. Although I'd change it if I could.
-Softness, or lack of. My implants aren't as soft as I'd hoped. I have Sientra, and since my surgery I've learned Sientras are known to feel a tad firmer. Wished I had known this ahead of time, or even known I was getting Sientra. Brands, options like this were never discussed with me. I'm not sure Dr. Pousti even offers anything besides Sientra, but would have been a worthwhile conversation.
-Sensitivity, or again lack of. My left breast has very little feeling left in it post op. This is a bummer. I knew it was a risk, but I guess I just hoped it wouldn't happen to me.

To reiterate, I love my breasts and I'm happy I did this surgery. It's still a dream come true.

Stats?

After reading several other reviews I realized I've left out some important details about myself that may prove useful to others. I'm 5'3", ~122lbs.
My doctor used 465CC smooth/round silicone implants, placed under the muscle.

Provider Review

Board Certified Plastic Surgeon
8851 Center Dr., La Mesa, California
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After care follow-up
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An acquaintance recommended Dr. Pousti and after reading reviews online & meeting him in person I knew he was the doctor for me. Dr. Pousti is great communicator and highly skilled at what he does, evident by my outstanding results.