Treatment Provider

Tom J. Pousti, MD
Board Certified Plastic Surgeon
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Ive always had large breast and have endured the...

Ive always had large breast and have endured the physical and emotional trial that comes with them. I often felt they got in the way of activities, limiting my mobility, limiting my ability to wear certain things. Not to mention they drew a lot of unwanted attention from others. My large breast also caused me to have headaches, indentations on my shoulders, heat rashes, neck pain and mid back pain. After breastfeeding my son, my breast became even bigger. The size increased from a 34E to a 34F. I was told by other friends who breastfed, that I would shrink after breastfeeding but I never did. After much consideration and a long talk with my husband who LOVES my large breast, we both agreed it was time to look at some options for my emotional and physical well being. My search for a plastic surgeon begin. I thought about a breast reduction for about a two years. I spoke with other people who had it done. I had not heard any regret from the people I spoke with exception that they had wished they had done it sooner. I begin to look online at images first and begin to compile a file of images of transformations that I thought looked great. I kept coming across some of the same surgeons. So I narrowed it down to three surgeons an based that decision on certification, experience and artistic signature. An "artistic signature" of a surgeoin to me is, what you start with and what you end up with. There are so many unique body types that I saw truly drastic, positive changes to. My personal goal is to have smaller breast but retain some of the unique character I was born with. My biggest fear is hypertrophic scarring and discoloration. Ive weighed the fear scarring and the desire to overcome some of the personal limitations I contribute to large breast and decided that the best decion for me is surgery. With the support of my family, friends and then finding an excellent surgeon, it feels as though Ive made the best decison.

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
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Staff professionalism & courtesy
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When I narrowed down to three surgeons, I set up three consultations. Two surgeons were in CA and one in AZ where I live. I ended up choosing Dr Pousti because after my very first interaction with him. He was very easy to talk to, he listened to my goals and how I wanted to reach them. He also gave me questions to think about that I had not thought of. From the beginning he seemed to be an objective advocate to my goals and was very understanding about my personal concerns of scarring. I also appreciated that he had on his website a tab for reference for "African American" patients. It was very difficult in my search to find many images posted of African American outcomes. It was nice to see that he included this information on his website. He also had availiable patients who were willing to share thier personal breast reduction experience with me. I found this to be very helpful because I was able to ask specific questions about thier experience and if they would have done anything differently. Last, but not least, Dr. Pousti has the very best team of professional people working with him. His staff is warm, caring and you can tell that they love what they do and they enjoy working for Dr Pousti. Thats important to me because that speaks to the character of the Dr.,...in my opinion.