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Capsular Contracture Again! - San Diego, CA

UPDATED FROM Worried nancy
6 years post

Sorry about all the typos!:(

Worried nancy
$12,000
I guess I should read before I post

Worried nancy's provider

Tom J. Pousti, MD

Tom J. Pousti, MD

Board Certified Plastic Surgeon

Worried nancy 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 (1)

September 21, 2020
One of your big problems is he did two different types of lift on you. Doughnut lifts flatten the breasts. That’s why they didn’t drop the same and it’s why you have the pleating on the right.
September 29, 2021
4 years later. Still hate them! Don't know what to do or where to go.... do I spend more hard earned money on these breasts? Maybe I'm too old and I should just let it go. I just used to love them. How I looked. How sexy they were;((
UPDATED FROM Worried nancy
6 years post

Reached out to doc

Worried nancy
Last year I rote to Doctor Pousti showing him pics of all my surgeries explained my concerns and requested 10k back (after paying 25k) to help with a or recruit surgery. Of course he denied it. This is how he responded.....
Mrs. Astudillo,
I have read your emails, reviewed your chart in its entirety, have reviewed your series of photographs and have read your online posts (including relative recent additions on the Real self website). This thorough review has allowed me to fully understand your concerns.
I find it very unfortunate that you are focused on the breasts’ imperfections and do not acknowledge the significant improvements achieved with the (complex) revisionary breast operations. You presented initially with severely encapsulated breast implants as well as asymmetric and ptotic breasts.
With us you have received outstanding preoperative education (with hours spent discussing the need for realistic expectations), excellent surgical and post surgical care and very significant clinical improvement (which is the objective of complex revisionary breast surgery).
The funds you have paid our office have been utilized to compensate surgical facilities, anesthesiologists, my efforts, and that of numerous staff involved in your care. Your current request for funds will not be met.
Please know that I have reviewed all the relevant material and feel that I understand your position. Further communication will not be helpful. Per our records your medical records have been sent to you on three separate occasions (9/29/17, 2/8/18, and 2/22/18).
Tom J Pousti MD
Diplomat American Board of Surgery
Diplomat American Board of Plastic Surgery.
Don’t you just live docs that don’t take responsibility? This doctor I not hrs pressed. H has tons of business. If it’s an occasional case that he doesn’t nail why not just help that patient? I just feel this is so unfair.

Replies (2)

March 6, 2021
Hi Nancy. I'm so sorry that you've gone through all of this for so long. No one can ever understand all that you've been through and experienced in attempt to be happy with your breast. After experiencing a ruptured implant that I couldn't get fixed for over a month. I can somewhat understand the feeling of taking your top off and just being mortified of what you see. Your situation of course is a much longer one and much more expensive. I have no idea what the solution is but I hope that you will one day get peace about this rather it be through a final revision or a much more difficult route of acceptance. If you're still considering revision. I'd suggest my most recent surgeon Dr. Urmen Desai (no consult fee). My initial surgeon that was just more costly for me now Dr. Payam Jerrah-Nehad (consult fee) or a doctor I've never been to but specializes in repairing circumstances such as yours Dr. Paul Nassif (consult fee). I'm assuming you have scar tissue which I hear will change a lot about how they heal. Would you ever consider completely removing them and removing the scar tissue. Healing for a bit and trying it again later? Anyway, I wish you the best and again so sorry to see that you've gone through all of this. Take care.
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October 18, 2021
It is absolutely horrible his response to you! He makes so much money (when he was still practicing, someone else took over) after all the money you paid and you are only asking for a portion of it back! It's insane! It is honestly disgusting behavior. It seems like he cares more about the honest review you wrote, which makes him look bad, instead of trying to correct the situation. I'm sure if he had refunded you you would have felt better about the situation, at least a little, and wrote that he refunded you and that made you happy. Some of these doctors are so wrapped up in reviews and social media it disgusting! I was considering going to the PS that took over for Pousti but they were so disorganized and took forever to respond I decided against it. I hope that you can find a good PS that actually cares about their patients and can help your situation. I know you wrote on one of your photos that you didn't like how wide the top of your cleavage is, but I actually really like it. I guess beauty really is in the eye of the beholder! Have a great day!
October 25, 2021
I didn't know he retired or left. He could always tell me how "blessed" he was with business. He had a ton. I always wrote that he probably got 99% of them right. But everyone has that 1 case. We couldn't he accept i was that "one". I always tried to put it nicely.... but he always took it as an insult...it's always in the back of my head. I wish I could do what's suggested above. Take them out and heal and start over..... those months would be torture for me.....
UPDATED FROM Worried nancy
5 years post

NOT WORTH IT 25k later and this is it!

Worried nancy
Had a third revision with dr Pousti on 6/29/2017. My breasts looked like they needed a revision not like I had had two. Dr Pousti may have done great with other revisions and I had hoped so dearly he was the answer to my prayers but these boobs do not look like I have spent 25k on them! First of all that’s a lot of money to pay for bad results. I don’t know why I kept going back to him. I should have stopped after the first revision and he said the results were great, didn’t know why I would be unhappy and made me feel like a crazy person. But I continued to have faith in his “greatness” and just felt inside that he could fix them.......wrong very wrong. I keep saying that for 25k I should be saying “the rest of me may need work but my boobs are hot” I should want to walk around loving my breasts. On the contrary I hide them. I don’t like my husband to see them and even after I take a Shower a bra s the first thing that goes on. Even with my capsule I had great cleavage now not so much! He made me feel like I was a perfectionist but I am not. I just wanted a decent pair of boobs. In the first visit I came in asking him to make the capsule one look like the other one. The other one sagged but I was ok with it I was 55. A little sagging is natural. I even wanted a little smaller telling him when you’re older you lose sexy and start looking “matronly”.....
Well what do you think? For me third time wasn’t a charm. Dr Pousti I would not be proud of this work. Sometimes, maybe even most of the time you can do great things. It comes a time when you have to admit “not this time”.

Replies (5)

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October 7, 2019
So very very sorry!! I had cc as well only nine months after my first surgery, so when I went back to the same doctor he only wanted to change that side. I found a new Doctor Who specializes in revisions and he used the Strattice dermal matrix and I haven’t had any problems since, five years later. But it was the same amount of money, 20 grand, and I definitely still do not think it’s worth that amount
October 8, 2019
I hope they look better than mine.
October 10, 2019
I myself am going through the same thing, and as I speak I am having stress, and haven’t been able to sleep due to my 4th capsulAr contraction. Although recently I have seen a doctor and they have told me that it can either be your body or the doctor that place in the implant in the right position I have had a second opinion from another plastic surgeon telling me that if he were to do it that this will not occur I’m just not sure if I want to spend another $7000 I have been seeking help online and trying to read reviews but it seems as though my body might just be rejecting the implants.
November 17, 2020
Aspen ultrasound they treat CC. It's the latest positive treatment most PS aren't fully aware of. Also, Z Wave which is shock therapy. Followed by massage and compression bra. Therapy can be applied couple weeks after surgery.
October 15, 2019
I wish you much luck if you decide to do it again. It’s a big decision and wears on you each day. Should I or shouldn’t I? And seeing them daily in the mirror. Or feeling them all day as you can’t leave them at home as you go about your day.... I wrestled with it each time I decided to go at it again. The money... do I or should I spend yet more money on my boobs. It takes from family (retirement fund now) and the guilt of spending 25k and still not being happy. How I wish they had come out good.......I hate this daily stress. Believe me I think about it every single night. Just wishing it was behind me.
March 7, 2020
I'm so sorry you're going through this I am going to something equally as bad and you're right you want to leave them at home and go about your day I take them off at night so you can forget about him for a while it's a living nightmare all we wanted was nice looking boobs it's amazing astonishing how much this will impact our lives and it does it's her body I don't know about for you but for me my boobs my precious brought me comfort to hold them it sounds funny but it's true a woman's breasts are important and a man with a knife can destroy so much and a few hours it's heartbreaking I just want you to know you're not the only one and I understand try to be strong that's all I can say is be strong and don't look in the mirror much that's what I do I just don't work and I'm having internal bleeding or one of them I story is quite long and horrific and it's not over by a long shot good luck
March 11, 2020
Thank you. I'm glad I'm not the only one who feels like this. Used to love my boobs. Now I take a shower an abra is the first thing that goes on. Too bad. I paid so much for them. I never wanted perfection just some natural looking boobs. Have you done anything?
November 17, 2020
Aspen ultrasound therapy for CC. Majority of PS aren't fully aware of positive treatment. Also, Z wave shock therapy which is a machine designed for CC as well. Look on internet for locations
October 28, 2019
Hey doll, just wanted to say thanks for sharing your story with us girls. It’s not easy going through the process but I hope you are happy and well.