Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

POSTED UNDER Feminizing Top Surgery REVIEWS

Transgender Patient, Silicone Implant... Dr. Pousti: Best Doctor and Best Staff.. Ever!!! - San Diego, CA

ORIGINAL POST

I'm one of those people that likes multiple...

lanaLashes
WORTH IT$7,000

I'm one of those people that likes multiple options and opinion. I went to 3 different surgeons for consultation before making a decision which one I want to perform my breast augmentation. Of course, each consultation cost money so to I'm trying to save you money.... go
GO with Dr. Pousti. I'll summarize my experience:

First Consultation and Pre-op consultation:

Dr. Pousti and his staff made me so comfortable. They knew I'm a trans patient when I made the appointment and the first time they met me, they had other trans former patients information in my folder for me to call for any reference (which other doctors didn't' have that). They also used the correct pronoun addressing me which is a BIG deal for the tran community. They also used my preferred name. He answered all my 3 page questions with no hesitation and I didn't feel rushed. I was there for over an hour for my first consultation which consist of my Q&A and trying on sizes. I was so impressed with the whole office.

During my first pre-op when I made the decision I will use Dr. Pousti, they provided me with a lot of information, what to expect, do's and don't and have my prescription so I can fill it before the surgery. During that time, I was so glad I chose him!

Surgery day:

The nurses made me so comfortable right before the surgery. The surgery was on time and the nurse, anesthesiologist and Dr. Pousti, all explained to me in details what to expect. It's my first time having a major surgery (that I am under) but they made me so at ease and surgery went well. I woke up with little pain, great looking breast, and went home and rested.

Post-Op

I'm on day 17 right now so I'm still healing. I've had no issues so far and has been to multiple post-op routine appointment. Dr. Pousti and his staff are still as respectful, sweet and attentive as the first day I walked in their office. I know they already got their money since surgery is paid for but I'm so impressed that they still take the time with all my questions. They also gave me flowers several times already during post op!!! Who doesn't like getting flowers??? It's one of those not necessary touches but that's what make them so special...

They still call me every SINGLE day just to check up on me and if I have any question. They even provided me Dr. Pousti's direct number so in case I need him on the weekends. I feel that Dr. Pousti and his staff are best group so don't look any further and chose him and his team!!

I will post pictures on a later time but attached is my day 7 photo. I already love it and I can't wait till it drop in it's pocket. I've been documenting my progress and have been impress on my results. If you want to contact me directly with my experience, feel free to message me.

lanaLashes's provider

Tom J. Pousti, MD

Tom J. Pousti, MD

Board Certified Plastic Surgeon

lanaLashes rating for Dr. Pousti:

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

Replies (9)

User Avatar
October 20, 2014
I am so thrilled to hear of us girls having surgery of any kind, that will help with our being who we really are. I'm so proud of you sweetie. Thanks for posting your experiance with all of us. Mikie
User Avatar
October 20, 2014
Thank you very much for taking time to review your experience; I know that you are a very busy young lady. It certainly has been a pleasure to take care of you; You have a great sense of humor! I look forward to seeing you back in the office and hope that you will be very pleased with the long-term outcome of the procedure. Thank you again. Fondly, Tom J Pousti MD
User Avatar
November 24, 2014

Congratulations, would love an update since your last one. I hope you are doing well.

December 1, 2014
I just posted an update and pics :)
User Avatar
April 15, 2015
Congrats!!! I am looking to him to upgrade!!
User Avatar
April 15, 2015
Looks really good.
UPDATED FROM lanaLashes
1 month post

Adding pics

lanaLashes
These are my pics less than 2 months after the surgery.. It's still settling but I love it already! I ordered new swimsuits and tried them on ????..

Replies (3)

User Avatar
December 1, 2014

You look beautiful, wow! Thank you so much for updating :) What size are your implants and are they under the muscle?

User Avatar
August 7, 2015
He did a beautiful job. Do you have any before pictures you could share? You look Beautiful. Best of luck with your transition.
Luv, Roxanne
User Avatar
September 21, 2016
You are an unintended inspiration to all of us. I envy you.
UPDATED FROM lanaLashes
2 months post

Implant Brand Sientra

lanaLashes
Just an update for those who are curious that my implants are under the muscle through the areola and the brand of the implant is Sientra containing 545cc of silicone. They are shaping really well and feels amazing!

Replies (12)

User Avatar
December 4, 2014

Thanks :0)

December 4, 2014
Hi Lana great pics! you must be so happy with your results. Question what size are you ? I am going in on the 17th for male breast augmentation for myself. I currently have 560ccs expanders in place now as of course prior to that I had no breasts, so the expanders have stretched my tissue a lot LOL I have not confirmed or finalize everything yet but looks like I will be getting silicone 600ccs not sure on rounds or teardrop or projection of the implant. I do have a wider chest as I wear a 38- 40 band, 38 is a bit snug for me. I like your results, As the day gets closer I am getting very nervous and excited all at the same time!
December 4, 2014
Thabks Albie. Yes, I'm really happy with the results. I honestly haven't officially measured it since I was waiting for it to settle completely. I think you're asking for my breast/cup size right? Or are you asking about my body size?? Lol .. I'm still wearing sports bra or non wired bra so I don't have a bra measurement yet buy from looking at it, I'm pretty sure I'm a D cup so it's probably a 36D if I have to guess. Good luck on your surgery! I hope it turns out the way you want it. I'm sure you have discussed with your PS what you want it to look like. I was lucky enough that I got what I was looking for. I provided my PS pics of what I like and don't like and he followed it.. Feel free to reach out to me again for further questions.
December 6, 2014
Hi Lana you results look awesome! curious on your stats height and what was your cup size pre? I really like your results. You are so right about making sure your PS Knows what you want and don't want. Basically like the size I have now with expanders. I would like to at least have what I am now, just hard to gauge as expanders look and I am sure feel different then implants will. Do you still feel tightness in your chest? how much has yours changed since you first got them. Any other advice you could pass on I would appreciate it. I go in for pre op this Friday and I go in on the 17th. thanks Ablie :)
December 12, 2014
Hi Albie... A lady never tells her stats.. Lol.. Just kidding.. I'm 5'5 130 lbs.. Before surgery, I was double A cup (just tissue growth from hormones) so my chest went from barely existing cup to a good size cup. It's been 2 months and I have no more chest tightness. I only felt my chest being super right within the first 5 days, after that, I was okay. Right now, I don't feel anymore pain and my incision has healed. Sometimes, I forget I had them so that tells you I don't feel any pain or soreness. As far as changes since I got them, look wise, it's not sitting as high and they are very soft to touch now.. I'm still massaging them daily to help it settle. Any advice? Go as big as you can and want. I heard a lot of girls regret is getting it smaller than what they thought they want. The good thing about your situation is you have expanders so there shouldn't be any surprise on how big you want it. I had no expanders so my results are somewhat of a surprise. Make sure you follow the doctors pre-op instructions and post op instructions. Hopefully someone will be with you for at least the first 3 days of your surgery since you will need assistance. I was lucky enough that my fiancé is a nurse in the navy and he's done post-op care so I was in good hands. Good luck on your surgery.
May 21, 2015
Hi Lana Its been awhile hope you are doing well. i cant believe it but its been over 5 months since having my BA. Not sure if you remember me I am the guy that had mine enlarged back in December. they are settling nicely and have got a lot softer, i actually have some bounce when I run or if I am braless, not much but enough to feel it and become a little annoying LOL I think I have a bit more to go in terms of them dropping but I am being patient. Size wise I am a 38D or 40C depending on the bra, I have found that sportbras I tend to have to squeeze into a 40C go up to a 40D as most are really tight otherwise. i am glad I had mine done in the winter, sort of gave me some time to adjust to them now as summer is here and the weather is getting warmer they are more visable through lighter clothing, While I had plenty of time now to adjust to my new size they still tend to get in the way so certain complains I have women tell me i can now relate. Whats new with you?
December 24, 2014
they look amazing :)
December 24, 2014
Great to hear! glad things are going well for you. I am doing well myself its been almost a week and I am feeling ok . I still can't believe I went through with it! I look down and I have boobs! I went Monday to my PS for my post op visit, he said everything looks good but told me he wanted me to wear a strap at least for a couple of weeks not the most comfy thing to wear :( but otherwise I'm doing well. I have not been out much today my mom, Aunt and one of my sisters are going over our cousins house for Christmas eve dinner. This will be the first time really out since my surgery.