POSTED UNDER Breast Implant Revision REVIEWS
worst decision ever - San Diego, CA
ORIGINAL POST
THE WORST DECISION EVER! I went in because I had a...
mzwendieApril 30, 2016
$10,000
THE WORST DECISION EVER! I went in because I had a rupture and wanted a doctor that had experience with large implants. I wanted a lift because it looked as if my bag had "bottomed out" they said. I had NO fullness on top. He said that I did not need a lift, that an internal lift would be just fine. I would have fullness on top and with the internal lift my breast would not fall into my armpits anymore! These are the things I asked for and talked about. I had no idea at that time I would be coming home and not being able to fit into my original bras because they were to small!!! My breast now are uneven (which happens a lot) but also my nipples are uneven! My breast are just as flat on top as I went in before surgery! My nipples do not point straight, they go to the sides! NO FULLNESS at all, he did stitching in between my breast so now I have enough room when I'm on my back to have a third breast! They sit right at my armpit!! Really!! I mean it's so disgusting to even look at! The worst part about it is when I had my husband take pictures for me a while back to send to the doctor I had no idea this was what he was looking at.....I had a bag moving in a sack of skin. As soon as he took the picture I asked to look at it, I yelled "Oh my god" " that's what I look like? That's gross" I starting crying. It is hard to describe but in the picture below you can see it. It's like a circle in a square and it just disgusting! I hate even having my shirt off or being in a swimsuit! Becoming intimate with my husband is horrible because I Know what he is looking at is disgusting. He used to tell me I had great boobs, I have not heard that at all since I have come out of surgery! Now I have to hold them together the whole time! I told everyone I was flying to SD to have the procedure done and even paying $4000 more than in town because I believed i was going to come out liking amazing! All I can advise to anyone reading this post is think twice before calling this doctor! I wish I would have stayed in my hometown to have this procedure done! At least I would not have paid $10000 to feel like crap about myself! I am still in extreme pain! Sharp shooting pain in my breasts daily, when I take off my bra I ache, when I lay down they pull so far apart it just hurts. When I talked with the office they said since j was a previous patient they would only charge me $6500 to go through the procedure again!! WTH!! When I got my bandages off at 6-8 weeks I was not happy then! I told them that! They told me of course I had to wait to see how thing would settle. 3 and 6 months I told them I was not happy. 6 months I flew back to talk with him. I expressed my concerns, everything I listed above. He didn't answer any of my questions keep coming in and out of my room, I asked about surgery again so he could fix me and he said of course, the lady up front would contact me. I waste of my time and money to fly out! The email with the $6500 came next!!! I was so shocked! She explained to me that some sometimes this type of surgery takes a couple of times!!! Are you kidding me!!!! Like I have $30000 to spend in my breasts! I asked for a lift he said no in the beginning that a lift would work just fine! No one EVER told me that it may not work! That I might have to go back multiple times. If that was the case I would have NEVER agreed to that surgery! It has now been a year and a half. I was waiting to post this because I thought they might work with me but that was not the case. They are extremely nice when you go through surgery, before and after most definitely but you just get ignored after! Now this is just MY story and what I went through. I wish all of you good luck with any surgery you may have in the future.
UPDATED FROM mzwendie
1 year post
Pre op--6 months
mzwendieMay 5, 2016
This doctor says he made me look better!!??? Absolutely NOT! Besides giving me 2 breasts, that's it! The internal bra was a horrible recovery! Very painful for me. I will update again with those pics. I went in with 620/615 ccs came out with 850ccs (I cannot prove that he didn't do it) but when the swelling went down my original bras were to loose, to big! Are you kidding me! 230 ccs more and I'm smaller than when I went in and a whole lot of extra skin...that you can see! It doesn't make any sense!!
Replies (11)
May 5, 2016
I agree with you. :( Your one breast was much prettier. Damn that deflation! Your breasts were really nice. I don't understand why you have all that extra skin when you went so much bigger.
May 11, 2016
Hey Fakeisthenewreal. Just curious, how did you find out that info about Krau? I am sad bc I was considering using him. How do I find that info out on other docs I am considering? good detective work!
May 21, 2016
I wouldn't completely cross him off your list based on two malpractice claims over 15 years ago. Hopefully he learned from them. However, I understand how you feel. Google is your friend. Research each doctor. You can google their name with malpractice, you can check their state licensing authority online to see if their license is active and clear and if they have any disciplinary actions in their history. You can also check reviews on realself and other websites like makemeheal. There's so much information that's public record out there you just have to done websleuthing.
May 21, 2016
Here's the link to the FL licensing body so you can check out Dr. Krau he does have a discipline on file for the liposuction he did on the man. You can read through the whole thing but warning it's a bit graphic https://appsmqa.doh.state.fl.us/MQASearchServices/HealthcareProviders/LicenseVerification?LicInd=53679&Procde=1501&org=%20
May 5, 2016
I think your breasts look smaller and better, not great and you are right no fullness on top but about the same sagginess. If you were looking for upper pole fullness, you should have had a lift.
May 5, 2016
Thank you for your comment. I went from 620 to 850 I should not be smaller. I asked him for a lift and he said I did not need it. I sure need one now.
May 5, 2016
She got a much larger implant though. I think that's so strange she looks so much smaller. You would think going from 620 to 850 would have made her breasts look bigger.
May 8, 2016
I'm no surgeon but I think he is BSing about the 850ccs. He should be paying YOU for the redo. Unbelievable!
May 14, 2016
I think he did a fine job considering. I'm not a pousti patient, but I think you look great. I hope you've found some peace.

March 9, 2017
That internal bra is horrible! I had terrible result. The proper way is to do a full lift. Look at my page!
Replies (5)
May 6, 2016
I have noticed that when people criticise Dr. Pousti they get attacked by him and other women. Your pictures show the truth. It doesn't matter the results of others who defend him. It only matters what your results are and how he handles it. He didn't do your procedure right and should repair it with no charge. It is important for women to know about doctors who don't really care about us and don't stand behind their work. Pousti is clearly a doctor like that and hopefully he will lose more business than what its worth for him to take advantage of women. You have a good case to sue him.
May 6, 2016
I agree, I think it's obvious this didn't look right from the get go. The fact he's refusing to correct it for free is really bothering me!
May 6, 2016
Thank you for that comment. I truly appreciate it. It's nice to know that some people can at least understand the frustration I am going through. It would have been nice if Pousti would have at least acknowledged the problems in the beginning but I couldn't even get that!
May 8, 2016
Clearly he does not know how to do the internal bra procedure.
May 9, 2016
Thank you for your comment. I absolutely agree! The pain is terrible still at a year and a half out!
Replies (45)
I have reviewed your preoperative pictures and have noted a dramatic improvement in your situation (unilateral breast implant deflation and very significant preoperative breast asymmetry); if you were interested in a fair review you would have posted the photographs here. I also have a very clear recollection of your preoperative communication with me during the preoperative marking session (where a family member of yours in the room influenced YOUR decision when it comes to size/fullness); again, if you were interested in fairness of this review you would take some responsibility when it comes to size/volume concerns. Furthermore, in your review you state that no one told you in “may not work”; again, the potential need for additional surgery WAS discussed several times prior to surgery, both in verbal and written form. Hopefully, third parties reading this review will understand that an impartial evaluation of its merits would require much for information including ALL the verbal, photographic, and written communication that occurred prior to surgery.
I will take treat this disappointing review as an OPPORTUNITY to communicate with patients considering revisionary breast surgery in the future. Some important issues to consider:
Although most plastic surgeons try very hard to improve patients outcomes, revisionary surgery is complex and outcomes are very rarely perfect. I tell ALL patients undergoing revision surgery that the goal is improvement not perfection. Achieving realistic expectations prior to proceeding is very important; perfection is rarely achieved and additional surgery may be necessary for a multitude of reasons. Again, the fact that additional surgery may be necessary is always an important part of the preoperative communication (verbally and in written form). Again, all plastic surgeons discuss potential risks/complications associated with revision surgery (both in written and verbal form). All practices also have financial policy regarding the costs associated with additional surgery reviewed by patients prior to proceeding with surgery; there is no doubt that providing patients with optimal care is expensive. Most of us try to help our own returning patients with discounted or waived surgeon’s fees.
Again, for patients considering utilizing our (Poustiplasticsurgery) services in the future: myself and my staff take much pride in our work and service we provide. We try to go above and beyond when it comes to helping patients achieve outcomes they will be pleased with.
In return we ask for: clear preoperative communication of goals, careful attention and thought given to potential risks/complications associated with plastic surgical procedures, and understanding that (despite best efforts) additional surgery may be necessary, and that if additional surgery is necessary additional expenses may also be incurred.
I appreciate this opportunity.
Tom J Pousti M.D. FACS
Diplomat, American Board of Surgery
Diplomat, American Board of Plastic Surgery