32 Year Old - Breast Augmentation Revision + Lift + Internal Sutures - San Diego, CA

Last September (2015) I had my first breast augmentation and lift. I went to a doctor who did not listen or communicate with me whatsoever. What I described and what I got was not at all in alignment. Starting out at a 34C (very deflated on tops and sides and droopy from weight gain/loss over the years), I wanted a lift and to make my breasts fuller, but was very direct about not wanting larger breasts. The doctor ended up giving me 300cc round implants subglandular with a Benelli lift. The doctor did not communicate that this type of lift would increase my areolas' size by a lot. 6 months post surgery, my breasts were already dropping again and much bigger than I wanted (end size was a much fuller 34D). At this point, I decided to seek a second surgery to give me the breasts I wanted to begin with.

I was recommended to Dr Pousti by my sister who had had her breast aug with him about a year prior. I decided to make a consultation based on her recommendation despite the $100 consultation fee (which, if you proceed with surgery goes toward your surgery's cost). I could not believe the night and day difference between my consult with Dr Pousti and my consult with my previous doctor. I guess you don't really know what to look for in these consults until you've had more than one and see just how it should be done!

To begin with, Dr. Pousti's staff was incredibly welcoming and friendly. I felt right at home the moment I walked in. Once my consult started, I was taken back and was introduced to a patient for some Q&A on her experience with Dr. Pousti. I can't tell you how invaluable this information is. During my appointment, I got to meet with 3 other clients who were in for post-op appointments in various stages of recovery. All 3 patients had gotten the same surgery I was planning to get and all gave glowing reviews of their experiences. I got to ask them questions and take a look at their work. I was sold right away from this alone!

During the consult with Dr. Pousti himself, I was able to communicate with him what I was after and what had gone wrong with my last doctor. I felt very comforted by his attitude and honesty with expectations and what was achievable. I had read before my consult on his site that he appreciates lots of photos, so I created a booby dream board for his reference. He hangs these photos right in the operating room during surgery. As someone who had received boobs that no way reflected my goals before, this is a huge comfort to me to know I'm not just another number, but that Dr Pousti wants to give me the breasts I want!

The surgery I am having tomorrow (9/16/2016) will include a stage III breast lift (anchor), areola reduction, removal of current implants, new implants placed under the muscle, and getting my pocket restitched so that my breasts face forward and aren't flowing off to the side. I definitely want to go as small as possible, so doctor has told me he will remove as much breast tissue as necessary to keep them small while leaving enough to get a great shape. I have a preference to very perky, round and small breasts with no skin on skin. While I know cup size is arbitrary, I am hoping to end up a B or small C.

I wanted to give an update on day of surgery experience!

Upon arrival to the surgical center, I was taken back to change and rediscuss my goals with the OR nurse. I had brought in some additional photos for sizing reference. When Dr Pousti arrived, he told us to go over my goals as if we had never talked before to make sure we were all on the same page (again, super appreciative of the doc letting my repeat myself without feeling like I'm harping!). I felt 100% like we were on the same page. I didn't have any opinions of ccs of profile and let my doctor decide what was best to achieve the round, small, perky, forward-facing breasts I was after.

Again, everyone i dealt with was so friendly and really made a nerve wracking situation the best it could be. I was much less nervous for this procedure than for my last.

Once I was taken into the OR I was out within just a few minutes of lying down. I woke up several hours later in recovery, was given some pain medication and my partner arrived to take me home. Unfortunately by the time I was coherent enough, my doc was in another surgery so I still don't know what profile or ccs I ended up with. Will hopefully find that out today or tomorrow at my post-op! Very excited.

My surgery ended up being 3 hours and 40 minutes and drains needed to be used. I've been uncomfortable but nothing too intense on the pain threshold so long as I keep to my medication schedule or muscle relaxants and pain killers.

The pain has been manageable but I have been sleeping a lot today (much more tired than the last few days). I am very bloated and still very curious about the outcome but should be able to take a look near the end of the week.

I had my post op today and found that I received 295cc ultra high profile mentor round silicone implants. The doctor initially had in 250s but he decided last minute that they were just too small and the 295s were better for my goals (what a great doctor!).

I will get my drains out near the end of the week and will also start going further apart on medications to wean myself off.

For the amount of procedures I had, I feel I am in a pretty good place pain-wise.

I will post photos soon of my natural breasts, breasts after my first BA and ones of my new procedure when i have time.