Dr. Tom Pousti, double board certified Plastic Surgeon specializing in Reconstructive and Cosmetic Plastic Surgery and is dedicated to restoring appearance, self-esteem, function, and quality of life to his patients. Dr. Pousti is noted for his warm, personal demeanor and has passion for his work.
I have had two breast augmentations completed by Doctor Pousti. Prior to my augmentation! Growing up I played softball and at 18 my Mother took me to a doctor in Arizona to have a consultation. My mother at the time was willing to pay for my augmentation as a graduation gift. As much as I wanted breast at the time my love for softball was much stronger and I wanted to pursue my college softball scholarship. Looking back this decision was a blessing. I waited till my 20's to have my first augmentation. We were living in Arizona at the time and we found Doctor Pousti. We drove up had consultation and made the choice to have the surgery. I felt safe and comfortable from the moment I walked into the office. He is genuine and his staff are amazing as well. My first surgery went so well and healed quickly. I was a small A cup and after healing I was a decent C cup. After a year I decided I wanted to go bigger and of course went back to see Doctor Pousti. He as honest about size increase and I decided to go for it! I love my breast and have even considered going back to have a slight increase. I will never see another surgeon no matter how far I am! My breast still look amazing and my scars are very small. If you are considering breast augmentation this is the Doctor to go to. The staff are amazing and they continue to check on you throughout healing. I live in Ohio now and if I ever decide to make any changes to my breast I will be flying to California! I will forever be grateful for my breast journey.
Growing up, I've always been self-conscious about my small breasts. I was a 32A and had a normal somewhat athletic frame - 5' 5" and 125lbs. Overall, I felt my lower half of my body was disproportionate to the top half of my body and knew I wanted to eventually get a breast augmentation in my mid-twenties if I had the means to do so. Once I felt ready, I did some research and had various consultations, however, I almost knew immediately after my consultation with Dr. Pousti that I wanted to proceed with him and his staff. They made me feel really comfortable about the whole process, putting all my worries at ease, and I felt confident they were going to give me the look I was going for (natural, teardrop, nothing too big, around a C cup, etc.). We went through a couple mood boards to pinpoint the look I wanted (you had the option to bring your own as well, but I was able to point out what I want with the boards they already had). About a month out from the operation day, I had one last pre-op meeting to go over the financials, size, type, etc. I've never felt pressured, and they made me feel comfortable with any decision I made. Days leading up to the big day, Dr. Pousti and his staff checked in on me to go over the procedure and made sure they answered any lingering questions I had remaining. On surgery day, I had an incredible staff that prepped me, and I never once felt nervous. Dr. Pousti marked me up as we went over what I wanted one last time before I went into the operating room. (Note: We did not choose exact CCs at this point. I trusted Dr. Pousti to choose the sizes he thinks best would give the look/size we discussed once I was on the operating table. We settled on a size range and I told him what size I did not want to surpass). I've never felt so sure and confident about a decision. The operation only took about an hour, and I was greeted by another set of great nurses when I woke up. The result: 275cc on my left breast and 250cc on my right. *My right breast was bigger than my left. During the recovery process, Dr. Pousti and his staff checked in once a day for the next three or so days, and every couple days for the next two weeks to make sure everything was healing correctly and there were no issues/discomfort. Overall pain was 4/10, with the max 6/10 at one point. Overall, I truly felt cared for by Dr. Pousti and his staff, and they were always available/within reach when/if I ever had a question. It has been about 3 months since my operation now, and I've had able 3-4 check up appointments. I love my new breasts and can say I feel so much more confident. They have not fully dropped yet, so I cannot wait to see the final look. Thank you so so so much Dr. Pousti and staff for making this process a breeze, I am so happy with my decision to go with you and I am in love with my new look!
I just wanted to take a moment to let everyone know about my consulation with Dr. Pousti. I haven't had my revision yet, however, he is at the top of my list when its time. He and his staff were very friendly and professional. I truly feel that my health and safety is at the top of his priorities when it comes to XL Breast Procedures. In addition, being a trans woman, he totally made me feel 100% comfortable. I had recently been diagnosed with DVT/PE. I am free and clear of symptoms now, but, i picked up a bit of weight over the last 2 years from not being active/recovery. He is definitely following proper protocols when it comes to taking on healthy patients. I respect him greatly for this. After all, what good is having big boobs if you are in a box, 6 feet under. If you are trans, go to this guy. If you want XL implants, go to this guy. Well, just go to this guy for whatever you need. He is a professional and once I book my surgery, I know i will be treated like gold. Thank you Dr Pousti & staff.
I'm kind of at a loss for words as to how my experience went with Dr. Pousti because I'm extremely happy and emotional with happy tears because I'm overjoyed! from what could of been a super nerve wracking scary experience It was the complete opposite I felt 100% comfortable at all times he completely made me feel at ease from the moment I walked in to my surgey day and every post op visit! Thanking my lucky stars I found Dr. Pousti
I recently had a breast revision surgery with Dr. Pousti. I would like to say that I had the most amazing experience with Dr. Pousti and his staff. From the time I came in for my consultation to the surgery and finally the post op appointment...it was all smooth sailing. Dr. Pousti has the best bed side manner you would EVER experience with a doctor. He treats you like one of his family members and not just a patient. He called me the day before my surgery to make sure I didn't have any last minute questions or concerns that needed to be addressed. Then on surgery day he made sure we were on the same page as to what look I wanted to achieve...just in case anything changed after my consultation. My surgery lasted 55 minutes long...and woke up in the recovery room thinking they have not began the surgery...but they were finished! The staff at the surgery center made sure I was feeling minimal pain before discharging me. I am 4 days post op now and I feel great! I literally was off my pain meds after day 2. Dr. Pousti is an amazing surgeon! He does amazing work! I am happy with the results...and I am happy with his team. I am so glad that I chose him to do my breast revision surgery!
Dr.Pousti is the best doctor hands down. I have had 3 surgeries now with him, He has always been honest and caring and safety always comes first in his book, but the best part of his book he always deliverers as close as possible to your goals. The Staff also I must mention they treat and care for you like family. The best Breast Doctor in the U.S!
I had surgery 7 years ago overfill breast augmentation. I am amazed how wonderful my results still look the same. Dr has made me feel beautiful and gave me the results I wanted. Flying here was wonderful. The staff is so friendly and accommodating
I had been contemplating a breast reduction for several years and decided it was time. You owe it to yourself to educate yourself on the procedure itself and just as important, if not more so, is selecting the doctor and their team you will be partnering with through this journey. I knew during the consultation I had found "the one". I selected Dr. Pousti and the entire experience has been beyond expectation. I had large sagging breasts and nipples pointing downward. Dr. Pousti performed my reduction, removing roughly 900 grams from each side, with no need to add implants for lifting with absolute perfection. His support team has been amazing and kept check on me frequently following the surgery. I am now 2 months post surgery and the girls are gorgeous. Talented, listens, cares, accessible, understanding, honest - I found the total package. I unreservedly recommend Dr. Pousti and Pousti Plastic Surgery.
From my very first appointment, I felt at peace and at home. His staff in his office, and the surgical center he practices out of, are top of the line. My breast implant removal went so much better than I could have imagined, and any questions or concerns were always promptly and completely taken care of with respect and kindness. I'm a happier woman having had this experience.
I have always had a flat chest throughout my life. I felt unhappy with my body and embarrassed when I would put on a swimsuit. I am petite 5'3 and weigh 100 lbs. I'm 26 years old and always on video for my business, so getting a breast augmentation would give me the confidence I needed. After going to several surgeons all over San Diego, I came across Dr. Pousti. He took the time to listen to all my concerns and truly cares. He made me feel confident and assured that he could give me the results I wanted. Wow here I am 6 weeks Post-Op, and I am so incredibly happy I made this decision! Dr. Pousti made my breasts look so natural and the perfect size for my petite body! We went with 250CC and 275CC (one of my breasts is slightly larger) so he made them more symmetrical. His staff of ladies made me feel so comfortable through the process checking up on me everyday, they are so warm and really care. I am now 6 weeks Post-Op and I feel like a new woman and have the confidence to be in front of the camera and further my business! Thank you SO much Dr. Pousti for changing my life!
Thank you for the question. My best advice: more communication. It is definitely worth spending more time (prior to the date of surgery) with your plastic surgeon to discuss further. As you know, it will be important for many reasons, that you feel comfortable that you and your plastic surgeon are on the "same page" prior to proceeding. One question that might be helpful for you to consider: would you be more disappointed if you are slightly too big or slightly too small after the breast augmentation procedure? Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical. Generally speaking, the best online advice I can give to ladies who are considering revisionary breast augmentation surgery (regarding breast implant size/profile selection) is: 1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work. 2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” or "big difference" etc means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice. 3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers. I hope this helps. Best wishes for an outcome that you will be very pleased with.
I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; one of your breast implants does seem to sit low on your chest wall, consistent with breast implant displacement ("bottoming out”). It is possible that you are feeling the implant significantly along the lower pole of the breast. Patients in your situation often complain of discomfort in the area of implant malposition. Generally, signs of breast implant bottoming out include: 1. Breast implant "sits" too low on the chest wall. 2. Excessive palpability or visibility of the breast implant along the lower breast pole. 3. Nipple/areola complex seems to be sitting relatively high, because the breast implants have settled too low. 4. Discomfort along the lower breast pole (secondary to pressure from the underlying implant). 5. Relative paucity of upper pole breast implant volume compared to lower pole volume. 6. Increased visibility of a infra mammary fold scar (higher on the breast mound). In mu hands the revisionary breast surgery plan would include include capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Any associated issues with positioning of nipple/areola complexes and visibility of the inframmammary fold scars should improve with this operation. I hope this helps.
I am sorry to hear about/see the problems you are having after breast augmentation surgery. I think your concerns are appropriate; your breast implants do seem to sit quite low on your chest wall, consistent with breast implant displacement ("bottoming out”). It is possible that you are feeling the implants significantly along the lower poles of the breasts. Patients in your situation often complain of discomfort in the area of implant malposition. Also, consistent with the breast implant positioning problem, the nipple areola complexes seem to be sitting relatively high, because the breast implants have settled too low. Generally, signs of breast implant bottoming out include: 1. Breast implant "sits" too low on the chest wall. 2. Excessive palpability or visibility of the breast implant along the lower breast pole. 3. Nipple/areola complex seems to be sitting relatively high, because the breast implants have settled too low. 4. Discomfort along the lower breast pole (secondary to pressure from the underlying implant). 5. Relative paucity of upper pole breast implant volume compared to lower pole volume. 6. Increased visibility of a infra mammary fold scar (higher on the breast mound). I think you will benefit from revisionary breast surgery which will likely involve capsulorraphy ( internal suture repair). Sometimes, depending mainly on the patient's history and physical examination, I will also use additional supportive materials such as acellular dermal matrix or biosynthetic mesh. This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes and visibility of the inframmammary fold scars should improve with this operation. I hope this, and the attached link and video (dedicated to corrective surgery for bottoming out concerns), helps.
Thank you for the question. I would suggest that you do not get to "hung up" on semantics; different plastic surgeons will use terminology such as "symmastia" differently. I have had the opportunity to help several patients with congenital symmastia utilizing different techniques; I often combine liposuction surgery of the pre sternal area with breast augmentation surgery. A second stage operation (capsulorraphy) may be helpful in improving the “definition” of the medial breast border (cleavage) if necessary. You may find the attached link, dedicate to symmastia surgery concerns, helpful to you as you learn more. Best wishes.
Thank you for the interesting question. When breast implants are removed the "pockets" collapse immediately; air embolism is not a potential complication. In my practice, I always remove part or all of the breast implant capsule (depending on the patient's presentation and concerns); I think that this removal allows for the lymphatics to function better and helps prevent fluid accumulation. I always use drains as well which helps the pockets "collapse", removing both air and fluid from the space. I hope this helps.