29 Y/o Mom of 2 with 32/34 A/b - San Diego, CA

I have always had small breasts; that is, until I...

I have always had small breasts; that is, until I got pregnant and breastfed. My 34-b's pre-pregnancy ended up being 38DD during pregnancy and while I was breastfeeding (both pregnancies). They were huge compared to what I was use to! Unfortunately, after I quit breast feeding and lost all my baby weight, my breasts had deflated to a very small 32/34 a/b (depending on the brand of bra).

I had my second son 4 years ago, so for years, I have struggled with having these small, stretchy breasts (what really looked more like stretchy skin than breast tissue). The breaking point for me was summer 2013, I had to buy an extra-small, push-up tankini because my breasts would not fill out any other swimsuit top. I was embarrassed.

I'd casually mentioned for several years that I wanted to have a breast augmentation, but when my husband saw the look in my face, tears in the dressing room that day in Kohl's, we both knew it was time. Unfortunately, we did not have the money saved up yet and we were getting ready to move across country, so I knew I had to wait.

Fast-forward to fall of 2013, I started looking at different plastic surgeons in the San Diego area. I went to a couple different doctors, searched for hours on end online, read reviews, looked at pictures, the whole nine yards. I knew financially I was ready, I just had to find the right doctor.

After consulting with a few different doctors, I chose Dr. Pousti. What drew me to his office first was his reviews on websites like this one. I called to make an appointment for the consultation, and the soonest one was a couple weeks away! I took that as a good sign; he must be busy for a reason. When I went to his office for the first time, I was blown away with how many people were in and out for appointments! I met with Vanessa, who took a long time explaining everything to me -- from the procedure to the recovery to the months afterwards. We took pictures in the office so I could see a simulation of what I might look like with certain sized implants (this was super helpful). I spoke with a couple other employees who had personally had a BA, so I could ask them anything I wanted about the procedure, and they could give me a first hand opinion.

When I met with Dr. Pousti, I have to admit, I felt surprisingly comfortable. The other doctors I had met with didn't give me that great of a first impression. Dr. Pousti is very honest; when showing him pictures of what envisioned myself looking like, he reminded me that every body is different and that "breasts are sisters, not twins." In other words, he set me up for real expectations! I scheduled the surgery the following week with Dr. Pousti. I went in a few weeks before to the office and paid my balance, got all my post-op instructions, and my prescriptions.

The day of the surgery, I was (of course) very nervous. ALL of the staff at the outpatient center helped calm my nerves! I went into surgery around 7am, and I was ready to be released around 915am. I was wrapped up in my surgical bra and very, very swollen, but the pain was not near what I thought it would be. For the first few days, I had very little control of my muscles. It was like my arms and hands would not work. You have to keep your arms to your sides at all times anyway, but little things were very difficult for me to do, like pumping soap on my hands, or pulling my pants up after using the rest room. These are things I didn't expect. Personally, there was way more of a pressure feeling than a painful feeling (if you've had children and/or breastfed, think about the engorgement when your milk came in or when it was time to breast feed and multiply that by ten!).

I went in for my 3 day post-op, and I was feeling pretty good. Everything was healing as it should be. No, my boobs were not soft yet. Yes, they were incredibly swollen still. Yes, there was lots of pressure still. My muscles and nerves were doing funky things, trying to get back in place. But nothing was excruciating by any means. Later that night, I took my last pain pill!

I am only 7 weeks 2 days post-op at this point. I don't really feel pain or pressure much anymore, but I will get a muscle spasm every once in a while, and sometimes I feel like I just need to let them loose out of the bra (Dr. Pousti instructed me to wear the surgical bra for 1 month, then move to a stretchable cotton wirefree bra after that until my next appointment at 2.5 months). One is settling faster than the other, which is not abnormal. My scars are healing nicely (I had areola incisions). I have full range of motion back in my arms, and I was given the okay to exercise at my 4 week appointment.

So far, this hasn't been as bad as I thought. The recovery is a little frustrating at times (especially when I can't lift heavy things, or before I got my motion back and I couldn't reach something in the top cabinet). I have to say, though, definitely choose your doctor wisely and do what your doctor says. There's a reason why your doctor is a good doctor -- even though you might feel like you can reach the top of the fridge, don't do it! You don't want to hurt your body while it's healing itself! And listen to your body; if it hurts, don't do it!!

Also be comfortable with your doctor's office. Dr. Pousti's employees called me EVERY DAY for the first 2 weeks of the surgery to make sure every thing was okay!! After that, if I had a question (and some were very ridiculous!), I called them and they always spoke with me, answered me and made me feel so much better. I never felt like I was a bother to them. They've all been fantastic.

I am currently doing my massages, and my right one is sitting slightly higher than my left, but they are starting to look very natural, just at a little over 7 weeks. I had 435 cc's, Sientra silicone, unders -- as of right now, I am a 32/34 D. I am aware that they might change slightly still, but I am very happy!! I am looking very forward to being able to sport that bikini this summer!!
I feel like I could have wrote the exact same thing :) Yay for great PS's like Dr. Pousti! I am 4 weeks Post Op and reading this helped me realize I am right on schedule with where I need to be. I'll be back in his office next week to (hopefully) get my tapes removed.
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San Diego Plastic Surgeon

Dr. Pousti and all his staff are fantastic. They took time explaining everything to me. Any question I had, they would explain to me so I understood it (ie, no medical jargon). Some specific questions I had about warranties, etc, if whoever I was asking didn't know, they would find out. Dr. Pousti takes a lot of time looking over your pictures and making sure he knows exactly what the look is that you're going for. He even called me the night before the surgery to make sure I wasn't too nervous, and to remind me that I was in good hands! He makes sure you have realistic expectations of the look you want and the recovery process. He is always kind and professional as well.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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