Love my 270cc Natural Results from an Excellent Surgeon - San Diego, CA

I thought I would post additional details about my results to help anyone who may have a similar body type. During each of my pre-op visits Dr. Pousti re-iterated realistic goals for my final result, letting me know that due to my low body fat, minimal existing breast tissue, prominent sternum, and natural position of my breasts, I would not likely receive breasts that were as close as I would prefer and could not tolerate a large implant. He did assure me that he would do his best to provide cleavage when placing the implants, but not at the risk of creating ripples or by displacing my areolas to an off-center position. I will admit that I was a little disappointed when I peaked at my breasts in recovery and saw that only 270cc had been placed; I had really been hoping he would go with 300cc because I liked the look of these sizers and 3D images best. Dr. Pousti re-assured me that during surgery he tried a range of 250cc – 325cc sizers and the 270cc ultimately matched my goal photos and communicated results best. I trusted him and was certainly not disappointed at my one-week follow up appointment when I saw my breasts for the first time… they looked huge! Now that the swelling has gone down and my steri-strips finally removed, I can definitely see that he was 100% correct. I do have some days when I wish they were a bit larger, but I think this is a completely normal occurrence from what I’ve read on this site thus far. I also have days when I feel that they are very large. In terms of cup-size, I was hoping for a large B to small C, but after being measured was informed that I am now a 32D! This was shocking to me, as I don’t feel that they look like a D cup at all! I’m aware that once the implants have fully settled into the pocket Dr. Pousti created, or “fluffed”, they will look slightly larger than they do now, and I am patiently awaiting the final result. I very much trust Dr. Pousti’s judgment of size and know that had he gone any larger, I would look like I had “bolt-on” breasts instead of the perfectly natural look that I have now. I’m so appreciative that Dr. Pousti gave me the results I desired!

As a registered nurse, I know firsthand the importance of choosing a doctor who is not only the best at what he or she does, but has excellent bedside manner and cares for his or her patients. During my breast augmentation journey, I learned that Dr. Pousti is just that: an excellent surgeon who exudes professionalism, provides amazing results, and has a highly patient-centered practice.
I’ve thought about the possibility of breast augmentation since I was in high school, as my breasts never grew beyond an A cup. Over time, I accepted my appearance but never completely rid of the longing for a womanly figure. In October of 2014 a friend of mine underwent breast augmentation surgery with Dr. Pousti. Her praises of both the surgeon and his practice sparked my curiosity, and I decided to schedule a consultation. Honestly, I went into the appointment a little skeptical thinking that the doctor might not live up to his hype.
My nervous energy and uncertainty about undergoing major surgery (my first) must have been obvious. Upon entering the room, Dr. Pousti immediately made me feel at ease: introduced himself, made eye contact, made me laugh, and best of all made me feel like I was his one and only concern. I relaxed and Dr. Pousti questioned my reasons for seeking his services. During this time I stressed that I wanted breast augmentation with a very natural look including mild upper pole fullness, a 45 degree breast slope, and a full lower pole. My biggest fear was to come out of surgery, have everyone look at me and immediately suspect that I had breast implants. At 5’ 6” and 111 lbs I am rather thin and the bones of my chest are rather prominent. Because of this, Dr. Pousti confidently recommended an implant in the range of 250cc – 300cc. He proceeded to provide me with realistic expectations of what my results would look like based on my body type, and let me know exactly what to expect while under his care. He even delved further to give details about himself and his personal life, assuring that he takes the utmost care of himself so that he can return the favor for his patients.
As the consultation progressed I was able to try on sizers and see images of what I would potentially look like with Dr. Pousti’s recommended size implants via Vectra 3D imaging. Dr. Pousti encouraged me to go home and think about the options that were offered, as well as the surgery in general. I was not pressured to make a decision on the spot and did not feel pressured by the doctor or his staff at any time. I did receive a quote for the procedure as well as available days the procedure could be performed should I choose to follow through. After leaving the appointment, I had no desire to meet with any other surgeons and actually cancelled a consultation that I had previously scheduled. I knew that Dr. Pousti was my doctor.
My surgery was February 27th, 2015. I met with Dr. Pousti two more times before surgery to discuss size, expectations, and concerns. Patients are normally only required to meet for the pre-op appointment, but due to my unease surgery and indecision on size, Dr. Pousti recommended I meet with him the day prior to surgery. Each time I met with him he made a clear effort to remember not only my name, but who I am, what I do for a living, and other personal facts that came up in conversation. Yes, despite his busy schedule, Dr. Pousti actually takes the time to engage in conversation with his patients! I left each visit feeling more confident in his abilities and my fears about an unsatisfactory outcome and undergoing anesthesia lessened. The day of surgery was exciting and scary at the same time, but Dr. Pousti and his team made sure to let me know that I was the sole focus and priority while under their care. The surgery center staff were wonderful as well, and my overall experience was top notch. Just prior to going into the operating room I was able to review my goals, goal photos, and preferred size with Dr. Pousti once more, knowing that he would ultimately decide the final amount of cc’s to provide the results I desired as communicated.
It is now 6 weeks and 4 follow-up visits later, and I couldn’t be happier. Based on my communicated desires and goal photos, Dr. Pousti selected 270cc round, moderate profile sientra implants and they fit my body perfectly! The incisions are minimal and I am excited to see my results as time progresses. Thus far, my breasts are exactly what I asked for: me but beautifully enhanced.
Dr. Pousti’s staff called daily during the initial the two weeks following my surgery to check in, and Dr. Pousti himself called me the night of to see that I was doing well after returning home from the surgery center. Dr. Pousti and his staff continue to be willing to answer any questions I have and address any concerns as they arise. (I had some concerns about swelling post op day 2 which were addressed within 30 minutes of my original phone call and photo email. I also had worries about a strange sensation when performing routine massages and was scheduled an appointment for the non-urgent matter within two business days.) I can honestly say that he has provided the best care I have ever experienced. I look forward to going to my post-op appointments and always feel comfortable calling with any question or concerns. My advice to anyone considering breast augmentation or any other physical enhancement surgery is to book a consultation with Dr. Pousti. You will quickly see that all of his great reviews aren’t just hype and should you choose to use him as your surgeon, will receive excellent results.