Treatment Provider

Tom J. Pousti, MD
Board Certified Plastic Surgeon
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Had my first BA in 2005 after breast feeding two...

Had my first BA in 2005 after breast feeding two kids, was a 34C prior to kids and like many, my breasts totally changed after breast feeding. Goal of first BA was simply to get back what I had. Went for the natural look and did mentor moderate profile saline implants filled to 390cc. I'm 5'9, weigh 115, athletic small frame. I should wear a 32D, but hate tight bands so I'm more comfortable in a 34D bra.

Absolutely loved my boobs, over time with a few complications, find myself with rippling, bottoming out and need of a revision. I'm very active and love that high, full, round look so will go bigger this time to find that perfect balance. Not bothered by "fake look", it's my body ;) I am traveling to San Diego to have Dr. Pousti perform my revision with Alloderm. All the research and comments out there about Dr. Pousti and his staff are so true. Absolutely loved him and the staff, very patient, informative, and truly listen!! I drove out for the consult and they called me enroute to make sure I was okay, offer directional help, offered to alter my appointment time based upon my drive out - WOW, such a feeling of caring. Still finalizing size, thinking 650/700cc silicone and getting excited but nervous for the recovery and staying still....

Any advice on size?

I'm wondering about the size of the implant and the gym and cross fit and carrying the weight of a larger implant (650-800). I already wear two sports bras at the gym. I am also getting Alloderm to keep them secure but worried that they'll be heavy for really physical activity. I don't want these girls moving! Below are some of my wish pics...Am I being greedy and unrealistic by wanting everything ...freedom to run and jet ski like a maniac with this size and the high round fullness of larger implants?

3 weeks and counting.....anyone have Alloderm or internal bra procedure?

I feel like I'm pregnant and in that nesting phase....can't seem to shut my mind off at night thinking about the recovery process and what I will need. Since I am having the internal Alloderm to provide support to my breast pocket, I will need to keep my arms at my sides for four weeks. Anyone out there go through this or internal bra procedure with any words of advice?
Been with my hubby for 20 years but the thought of him washing and drying my hair is hilarious, let alone shaving my legs....

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

As you can see from my posts to date, I have had such a wonderful experience in the care I have received from Dr. Pousti and his staff. Being an out of state patient has been so easy, and they are so accommodating. I would highly recommend Dr. Pousti. I am still pretty fresh PO, but love what I see so far! His bedside manner and ability to clearly articulate his understanding of his patient's desired outcome is awesome. I originally was thinking about a size much larger than what matched my lifestyle. He could have easily put a much larger beautiful set of breasts on me but knew after conversations with me and my husband that he could achieve my desired outcome with less cc's. We talked about it multiple times, and I totally trusted Dr. Pousti and left it in his hands along with all my "wish" pics. I am so happy with my results, he truly knew what was best. Would highly recommend him