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Can't say enough good things about Dr. Tom Pousti...
Can't say enough good things about Dr. Tom Pousti and his staff. I had suffered with gynecomastia since I was 12 years old and it took 26 years for me to finally do something about. Some of the reasons I waited so long : Fear of surgery, cost, and the guilt that I was uncomfortable with something so minor while other people suffer from "real" problems such as cancer. I finally came to the conclusion that I deserved to do something about it and made an appoint with Dr. Pousti's office after carefully reviewing online reviews. I don't regret it one bit and am glad I finally did something about a problem that caused me so much anxiety and personal pain for so long. I was feeling so uncomfortable in clothes that I lived for the times where I could wear zip up jackets or black shirts. The new style "moisture wicking" t-shirts from Under Armour and other makers became my worst enemy. Those thin fabrics accentuated every horrible curve of my breasts. It was humiliating and could not take it any longer and needed to act.
I wanted to outline the surgery process so those interested know what it is like. Again, it was totally worth it but it is a commitment and not something to enter into without careful analysis.
Step 1: An initial consultation and set-up for the surgical process - about 2 visits.
Step 2: Surgery day. The center where Dr. Pousti does his surgery was top notch and had the nicest people. I absolutely adored the prep nurse, surgical nurse and anesthesiologist - caring, calm people. Prep for surgery takes about an hour or so and Dr. Pousti came in one final time to make some markings. He had called me the night before and was his usual calm self with a dry sense of humor that I really like. I wasn't scared hopping on the operating table and remember nothing until I slowly woke up in recovery. The actual surgery is the easiest part!
Step 3: Recovery (the first 3 weeks). You will be outfitted with a vest and padding during surgery that you cannot remove for a week. Forget about showering and get a sponge! I wasn't in much pain and was eating soup that night and working on my e-mails for work the next morning. It was actually much easier than I thought. Again, pain wasn't bad and I abandoned the Percocets after about a day and a half. The constipation is bad for about 3 days and the Percocets make it worse so I switched to Tylenol. The constipation was probably the worst part of the entire thing as laxatives didn’t even help.
Again, you can't shower for a week and you get a bit stir crazy. I left the house and started my evening walks a couple days after surgery. I wore zip up hoodies because a normal shirt was out of the question. I could go back to work but luckily I worked from home as it would have looked weird if I walked into the office in a hoodie. There was some itching and it did get a bit uncomfortable from time to time but nothing too severe. The key is to keep pressure on the chest area and that is why the vest becomes your best friend.
After a week they take the padding out of the vest and you get to see the results for the first time. I was shocked at how good everything looked even though I was bruised. My breasts were already done to a normal size and I found it hard to believe it would eventually look even better! You continue to wear the vest for another 2 weeks 24/7 but at least you could take it off to shower!
An important note about showering: It's not what you think! You can't just hop in and get wet. You have to keep the tape that covers the incisions dry. I tried the Band Aid brand waterproof bandages. They don't work well at all. Showers were essentially bobbing and weaving around to avoid getting my chest wet and then using a blow dryer to dry off any parts of the tape that got wet. Not fun at all but at least I could get somewhat clean.
Step 4: Four weeks and beyond. I am now 2 months out and feel totally normal. I've started going back to the gym to try to reduce some of the other fat in other parts of my body that I may need to see Dr. Pousti about! It feels so wonderful to wear t-shirts without suffering and ditching the vest was a real pleasure. The tape on the incision remains but you can now get it wet and they eventually fell off about 2 weeks after I started fully showering and not worrying about them getting wet.
Your body might feel a bit strange for a while as you sense part of you missing (fat and tissue!) when you are wearing clothes. That feeling took about a week to subside and any numbness was gone at that point. Once the tape is off and there are no scabs you use BioCorneum ointment to reduce the visibility of scars. You'll use that for at least a couple months and I still have plenty left at this point.
It is amazing how invisible the scars are, particularly on the nipple. Dr. Pousti is a genius with a scalpel and it is almost impossible to see anything. I don’t know how he gets it so perfect as everything is perfectly aligned and looks natural There are two small scars to the right of my breasts on the side of my body but they are small and don't bother me much. I assume they will fade more as time goes on and I use the BioCorneum.
Was it all worth it? Heck yeah! The joy of walking around in a t-shirt and not feeling like I need a bra is incredible. From the wonderful office staff, the nurse, anesthesiologist, to Dr. Pousti himself, everyone was delightful. Dr. Pousti is a hoot and I like his sense of humor. The man is clearly an incredible artist and knows what he is doing. He helped me ease 26 years of suffering and for that, I am forever grateful!
I wanted to outline the surgery process so those interested know what it is like. Again, it was totally worth it but it is a commitment and not something to enter into without careful analysis.
Step 1: An initial consultation and set-up for the surgical process - about 2 visits.
Step 2: Surgery day. The center where Dr. Pousti does his surgery was top notch and had the nicest people. I absolutely adored the prep nurse, surgical nurse and anesthesiologist - caring, calm people. Prep for surgery takes about an hour or so and Dr. Pousti came in one final time to make some markings. He had called me the night before and was his usual calm self with a dry sense of humor that I really like. I wasn't scared hopping on the operating table and remember nothing until I slowly woke up in recovery. The actual surgery is the easiest part!
Step 3: Recovery (the first 3 weeks). You will be outfitted with a vest and padding during surgery that you cannot remove for a week. Forget about showering and get a sponge! I wasn't in much pain and was eating soup that night and working on my e-mails for work the next morning. It was actually much easier than I thought. Again, pain wasn't bad and I abandoned the Percocets after about a day and a half. The constipation is bad for about 3 days and the Percocets make it worse so I switched to Tylenol. The constipation was probably the worst part of the entire thing as laxatives didn’t even help.
Again, you can't shower for a week and you get a bit stir crazy. I left the house and started my evening walks a couple days after surgery. I wore zip up hoodies because a normal shirt was out of the question. I could go back to work but luckily I worked from home as it would have looked weird if I walked into the office in a hoodie. There was some itching and it did get a bit uncomfortable from time to time but nothing too severe. The key is to keep pressure on the chest area and that is why the vest becomes your best friend.
After a week they take the padding out of the vest and you get to see the results for the first time. I was shocked at how good everything looked even though I was bruised. My breasts were already done to a normal size and I found it hard to believe it would eventually look even better! You continue to wear the vest for another 2 weeks 24/7 but at least you could take it off to shower!
An important note about showering: It's not what you think! You can't just hop in and get wet. You have to keep the tape that covers the incisions dry. I tried the Band Aid brand waterproof bandages. They don't work well at all. Showers were essentially bobbing and weaving around to avoid getting my chest wet and then using a blow dryer to dry off any parts of the tape that got wet. Not fun at all but at least I could get somewhat clean.
Step 4: Four weeks and beyond. I am now 2 months out and feel totally normal. I've started going back to the gym to try to reduce some of the other fat in other parts of my body that I may need to see Dr. Pousti about! It feels so wonderful to wear t-shirts without suffering and ditching the vest was a real pleasure. The tape on the incision remains but you can now get it wet and they eventually fell off about 2 weeks after I started fully showering and not worrying about them getting wet.
Your body might feel a bit strange for a while as you sense part of you missing (fat and tissue!) when you are wearing clothes. That feeling took about a week to subside and any numbness was gone at that point. Once the tape is off and there are no scabs you use BioCorneum ointment to reduce the visibility of scars. You'll use that for at least a couple months and I still have plenty left at this point.
It is amazing how invisible the scars are, particularly on the nipple. Dr. Pousti is a genius with a scalpel and it is almost impossible to see anything. I don’t know how he gets it so perfect as everything is perfectly aligned and looks natural There are two small scars to the right of my breasts on the side of my body but they are small and don't bother me much. I assume they will fade more as time goes on and I use the BioCorneum.
Was it all worth it? Heck yeah! The joy of walking around in a t-shirt and not feeling like I need a bra is incredible. From the wonderful office staff, the nurse, anesthesiologist, to Dr. Pousti himself, everyone was delightful. Dr. Pousti is a hoot and I like his sense of humor. The man is clearly an incredible artist and knows what he is doing. He helped me ease 26 years of suffering and for that, I am forever grateful!
Provider Review
Dr. Pousti was a true delight. He has a dry wit that I really liked and he made you feel very comfortable in his very capable hands. His bedside manner is wonderful and he knows just the right thing to say to help you feel at ease.