Treatment Provider

Tom J. Pousti, MD
Board Certified Plastic Surgeon
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I used to be 'pear' shaped- petite frame...

I used to be 'pear' shaped- petite frame (5'1" aprox 115 lb) but very curvey on the bottom. I often felt 'dumpy'. Getting breasts I now feel curvey and with an hour glass figure. I feel very sexy. Since my surgery I LOVE MY BOOBS.  They are the prettiest things I’ve ever seen.  Oh, and they ended up being 250cc saline- A very full ‘C’ cup at VS.  I can’t imagine how unhappy I would be with the assembly line boobs I would have gotten from Dr. X.  I don’t think it looks like I had a boob job, it just looks like I have an awesome rack; which was exactly the goal. One final plug for Dr. Pousti- I feel like he remembers who I am when I’m there… maybe he does or doesn’t, but either way he makes the effort to make me feel like he does and I appreciate that.

Provider Review

Board Certified Plastic Surgeon
8851 Center Dr., La Mesa, California
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Dr. Pousti’s office was the first office my Husband and I went to. He spent over 2 hours talking with us, answering both of our questions. It was completely NO pressure. Just information. No question was off limits and we covered them all. At no point did he seem annoyed or pressed for time. He is very sweet and has a great bed side manner. He even arranged for another patient to let me see her results 6 weeks post-op. I had brought in a couple pictures of breasts I liked and he took the time to look at them, discuss what was different, the same and what attracted me to both. Dr. Pousti does a very cool thing that no other plastic surgeon seems to do- he has you make a collage of boobs. One of my biggest concerns was how he managed expectations of his patients (making sure I had a realistic expectation of what I’d look like and vice-versa how I convey to him what I want). Rather than talk cc’s or cup sizes- he asks you to make a collage of breasts that you both like and hate. He goes through the collage with you discussing what it is about each picture that is good or bad. This was wonderful. I’m in law school and I was very concerned about not having my boobs arrive in a room before I do. No offense to anyone reading this but I really needed to make sure I could be respected in a court room and not look like a stripper. Dr. Pousti really made me feel that he was hearing me and understood my wants and concerns. Another big concern for me was the health and safety risks- he discussed both saline and silicone with me and recommended a few studies recently released by the FDA. I appreciated his candor and honesty and in the end, I felt very comfortable with the very low risk. After our appointment with Doctor Pousti, my husband and I went to see another plastic surgeon. He did my friends breast augmentation and they looked amazing. To keep from getting confused let’s call this doctor Dr. X. My husband and I arrived at Dr. X’s office and one of the assistants took us back to a room. She had me put on a cotton bra (the kind from VS) and then stuff it with different implants. This was how they determined what size I would get. It was very difficult to tell and I ended up guessing at a 400cc. By the time Dr. X himself came in it had already been determined that I would get silicone gel at 400cc. Dr. X answered a few questions I had but not with the same thoroughness and patience that Dr. Pousti had. He probably spent 10 minutes with me. I brought the same two pictures to this appointment- Dr. X never even looked at them. It just felt like I was on an assembly line. (* I call this Doctor ‘Dr. X’ because I’m sure he’s a great doctor and some people may like his style- it just wasn’t for me) After that I canceled all my other appointments and scheduled the surgery with Dr. Pousti. The day of the surgery was great. Dr. Pousti reconfirmed what was important to me in my results and then took me into the operating room. I have had surgery before and the scariest part for me is when you’re on the table waiting for them to put you under. Dr. Pousti held my hand and started having a conversation with me. No counting backwards, just a calm conversation while he held my hand. I remember exchanging one comment and then I was waking up in the recovery room. Like I said- Bed side manner: AMAZING. The recovery is rough… very rough. But after day 4 it starts looking up. Dr. Pousti and his staff called my husband every day to make sure everything was going well.