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POSTED UNDER Feminizing Top Surgery REVIEWS

35 Y/o Transgender Xl Breast Augmentation

ORIGINAL POST

When I decided to commit to transitioning, there...

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Miss Maxine
WORTH IT$6,500
When I decided to commit to transitioning, there was only one surgeon that came to mind that I expected would be able to provide the unique results I was looking for with the utmost saftey and professionalism. That was Dr. Pousti. My goals are anything but typical. I wanted a surgeon who was experienced in transgender cases, and also one who was comfortable with unusually large sized implants. My target range is in the 2000 to 4000 range, per breast. Dr. Pousti's reputation preceds him in both the transgender community and the "big bust" community. I had my consultation with him in August of 2016, where we discussed my goals. Dr. Pousti was very receptive and understanding of my goals, emphasizing that his first priority is safety and that he would do what he could to help me reach my goals as long as they were safe. He also explained that achieving such a large size would require multiple procedures, but that he would try to get my breasts a large as safely possible, during the first procedure. My surgery was scheduled for October, at which time I had prepared a poster board with some examples of my goals on it. Dr. Pousti would use this as a reference during surgery to ensure he was meeting my precise expectations.

10/1516
I am currently four days out from my surgery. Before the procedure, Dr. Pousti estimated that he might be able to safely fit about 700cc's of saline into my breasts. Amazingly, he managed to fill them up to an impressive 1050 on the right, and 1000 on the left (the difference is to ensure symmetry). Recovery was most difficult for the first two days, but by following all post-op instructions, I was able to minimize my discomfort. I weened myself off of the narcotic pain meds, yesterday, and took a tylenol this morning. I haven't required any pain meds, since. Currently, my chest just feels sore, kind of like I pulled a muscle, but nothing I can't easily ignore. I have my second follow up on Thursday. I will post more photos and updates, later this week.

Miss Maxine's provider

Tom J. Pousti, MD

Tom J. Pousti, MD

Board Certified Plastic Surgeon

Miss Maxine

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Replies (21)

October 16, 2016
Congratulations!!! I love your poster it's so bright and happy, lol!
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October 16, 2016
Thank you! I had way too much fun making it!
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October 16, 2016
Thank you very much for taking the time to review your experience. It has been our pleasure taking care of you and getting to know you and your family better. I especially appreciate your positive energy and gracious nature. I look forward to seeing you back in the office soon and am hopeful that you will be very pleased with the long-term outcome of the procedure performed. Thank you again. Tom J Pousti MD.
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October 16, 2016
Thank you so much for everything. I look forward to what the future will bring!
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October 16, 2016
Thanks for posting this, you are an inspiration to all of us. As they say...go big or stay home.
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October 16, 2016
I'm glad! I'm definitely not kidding around when it comes to size!
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October 16, 2016
There are so many girls on here that go small and are disappointed. I wish I had your [RS bleep].
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October 16, 2016
Maybe one day you'll get your dream boobs! Keep your eye on the prize!
October 17, 2016
I would love to get implants. I'm a guy that's gay with around C cup natural breast and I want them bigger. I'd love DDDs if that's possible,and have a sex change. Congrats. on taking the step.
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November 23, 2016
Thank you! Good luck on your journey!
November 4, 2016
How can I contact Dr. Pousti
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November 4, 2016
www.poustiplasticsurgery.com
UPDATED FROM Miss Maxine
9 days post

10 days post-op

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Miss Maxine
10/20/2016
Today I had my second follow-up appointment. The compression bra and bandages were removed for examination. Doctor was pleased to inform me that there are no complications and that everything is looking good. I was also shown how to do breast massages to help the implants settle properly, which will give the breasts their final, proper appearance. Due to the nature of my overfill, I was given sutures that I can shower with. This was my first shower since surgery and it was breathtaking! Also, this has afforded me the opportunity to wash the compression bra, which it was really starting to need! While it was in the wash, I took the opportunity to do the breast massages, which I will do regularly throughout the day. The compression bra itself will remain my good friend for a few more weeks, given that it provides the proper support I need during this period of recovery. I have added some new photos showing my breasts. You can see the incision sites and the overall shape of the breasts. There is also some visible bruising, which is normal. My next follow up is in ten days. I'll keep you folks abreast (pun intended) of my progress at that point!

Replies (6)

October 20, 2016
It takes such a long time for them to drop the first time. It took my first set 6 months before they even thought about settling. I was so impatient too, lol, hopefully you have better self control than me!
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October 20, 2016
Thanks for telling me that! I totally forgot to ask how long that takes. At that rate, they may settle around the time I'm ready for my next surgery!
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October 24, 2016
Thank you for sharing your journey with us all what an inspiration. Would you mind giving us an indication of your height and chest width.
Did you go under or over the muscle?
I read that your planning on an increase in size? Is it an option to use silicone or does the saline give you the flexibility to be adjusted by PS, and allow for the skin to grow and stretch?
Looking forward to following your progress.
Well done once again.
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October 24, 2016
I'm 5'4", and my bra band witdth is 42. My surgeon went under the muscle, as that will create a better result, overall. I chose saline because it is better suited to the shape I want to achieve. Silicone tends to be softer, thus hanging more naturally, with gravity. Saline can hold a firmer shape. I want my breasts to be as round as possible, so I went with saline, for that reason.
March 14, 2018
hi again , can you till me where is the insition? Arriola?
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March 15, 2018
Yes, around the areola.
UPDATED FROM Miss Maxine
22 days post

3 Weeks Post-Op

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Miss Maxine
Three weeks out! I had a follow-up, yesterday, and all is well! Stitches will be coming out next week. Most of the bruising has faded and is now hardly noticable. I am still doing breast massages to get the implants to settle, properly, with noticable results. The surrounding skin and muscle is starting to stretch and relax, making the breast noticably softer and allowing them slightly more freedom to move around, naturally. However, they're still pretty tight, overall. It's going to be a slow and steady process, so patience is key.

My next appointment is on Tuesday, so I'll post another update after that!

Replies (0)