8851 Center Drive
Suite 300
San Diego, California 91942
29995 Technology Drive
Suite 103
Temecula/Murrieta, California 92563
7301 Girard Avenue
Suite 203
La Jolla, California 92037
Dr. Tom J. Pousti is a Cosmetic Plastic Surgeon specializing in Reconstructive and Cosmetic Plastic Surgery and is dedicated to restoring appearance, self-esteem, function, and quality of life to his patients. After 17 years of extensive medical and surgical training, Dr. Tom Pousti is double board certified in General Surgery as well as Plastic and Reconstructive Surgery.
Internal sutures are often used in patients who need revisionary breast surgery. Due to displacements of breast implants, either laterally (outwards, towards the sides), "bottoming out" (implants settling inferiorly), or symmastia (Implants migrate medially). With the use of internal sutures, an "internal bra" can be created to position the breast implants into a more desirable place.
Over the years, factors such as pregnancy, nursing, massive weight loss and weight gain, the force of gravity, and aging take their toll on a woman's breasts. As the skin is stretched and loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Many women desire to obtain a fuller and perkier look, to improve their look.
Each mommy makeover is unique and costumed to benefit each individual woman's needs. Mommy makeovers are designed to counteract the physical effects of childbearing and nursing or breastfeeding. Every makeover is different and may require multiple procedures to achieve the best results possible.
With massive weight loss, in a short period of time, patients are often left with a significant amount of excess skin. Because of the rapid weight loss, the patient's skin doesn't "bounce back" adequately, resulting in a multitude of problems including problems with moisture, skin break down, hygiene and body image problems (aesthetic concerns).
Tuberous breast deformity also known as tubular, snoopy breast, herniated areola complex, constricted breast, narrow based breast, lower pole hypoplasia is a deformity that usually becomes evident at puberty in young women.
Choosing a plastic surgeon is an important, life-altering decision. It is vital to your safety and the success of your cosmetic surgery that the surgeon you choose has the right qualifications, ample experience, and documented results of his or her work.
Bariatic surgery, also known as weight loss surgery, encompasses all surgical treatments to treat morbid obesity by modification of the gastrointestinal tract to reduce nutrient intake and/or absorption. Removal of sagging skin is not included in the procedure but is important to the overall cosmetic appearance.
Symmastia (or medial mal-position or "uni-boob") occurs when the breast implants move too far toward the midline--the two implants may actually touch one another in the center of the chest. Often, it is necessary to expand the breast implant pocket laterally (outwardly) to allow for correct placement of the implants.
Pectus Excavatum produces a caved-in or sunken appearance of the anterior chest wall. Often considered to be cosmetic, it can impair cardiac and respiratory function, causing pain in the chest and back.
As the desire of breast enlargement increases, so does the need for revisionary breast surgery. Breast Augmentation surgery is one of the most sought after "cosmetic procedures" performed today. Revisionary surgery is often times more complicated than the original surgery and it requires a surgeon with expertise in the area and excellent skill to achieve the patients desired results.
Breast augmentation patients have the choice of saline or silicone implants. The appropriate choice is critical to the outcome, significantly affecting the result.
One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. Commonly referred to as the "uni-boob".
Revisionary breast surgery is commonly performed at Pousti Plastic Surgery. For patients with malposition of the breast implants, it is very important that they have a qualified surgeon performing their revision.
For years even the mention of silicone breast implants caused women everywhere to cringe. Many women may still remember when the FDA pulled silicone breast implants off the market because of their tendency to rupture.
Some patients present with a short distance from the areola to their inframammary fold. Many of these patients wish to increase this distance and the "fullness" of the lower pole of the breasts.
Many men and women have inverted nipples (either one or both) but don't feel comfortable discussing it with their doctors. Inverted nipple repair is rarely thought of when patients consider breast enhancement.
Tubular breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "tubular breast" shape as the shape similar to "snoopy's nose".
This is a 20 year old patient interested in getting breast implants for many years. She had seen other plastic surgeons across Southern California but was referred to Dr. Pousti by Sharp Healthcare.
This 24 year old patient from San Diego was interested in correction of her tubular breast deformity. She has asymmetric constricted breasts bilaterally.
Breast augmentation / mastopexy (breast lifting) surgery is one of the most commonly requested breast contouring surgeries performed. Breast augmentation OR mastopexy surgery is relatively simple and complication free but breast augmentation / mastopexy surgery done together carries increased chances of complications and need for further surgery.
This 28 year old patient from San Diego was interested in getting breast implants to help her achieve a more proportional body.
This 21 year old patient from Bonita, California had her first breast augmentation performed in Tijuana, Mexico about 2 years ago by a surgeon that was recommended to her by her friend. This surgeon in Tijuana, Mexico placed drains in the patient's breasts after breast augmentation surgery (this is not standard practice).
This is a 44 year-old male who has been bothered by prominent ears for many years. He presented to San Diego plastic surgeon Tom J. Pousti M.D. for consultation regarding otoplasty surgery. He was able to meet with other patients who had the same procedure and decided that he would like to proceed with otoplasty surgery.
This 28 year old, wife and mother from Riverside, California, came to see San Diego Cosmetic Surgeon, Dr. Tom Pousti for a breast augmentation and liposuction consultation in his Temecula/Murrieta Valley office. After having children, this patient was unable to lose the excess skin and adipose tissue of the abdominal area.
This is a 36-year-old busy mother of two teenagers from the area of El Centro, California (Imperial County). Due to her two pregnancies, her stomach had excess adipose tissue, her abdominal wall muscles had spread and she had extra loose skin. She tried diet and exercise but, unfortunately, was not able to achieve the look she was after. The patient did an extended amount of research on the tummy tuck procedure for about six months.
Tubular breasts have a very narrow base and usually a long skin envelope. Sometimes people refer to "tubular breast" shape as the shape similar to "snoopy's nose". In the most severe cases of tubular breast, a breast lift can be done through an incision around the areola, making the breast into a more rounded shape that the patient will be happy with. In many cases however, a lift is not necessary.
This 38 year old Realtor came to see Dr. Pousti regarding improving her body. She had had 2 children, via cesarean section, and couldn't lose the excess skin and adipose tissue in the abdominal area. Her stomach muscles had stretched and sit-ups wouldn't help. Her breasts were sagging and she wanted them more "perky".
This is a 40 year-old mother of two who was very excited to get back the body she had prior to children. She first came to see Dr. Pousti in March of 2006. She was very impressed with Dr. Pousti and his staff. It didn't take long at all for her decide that he was the plastic surgeon for her. Two days after her initial consultation the patient came back for her pre-operative visit.
At Pousti Plastic Surgery we believe your health, wellbeing, and most importantly, your safety should never be compromised when choosing to correct any chest wall condition. In order to correct pectus excavatum with breast implants, finding a reputable plastic surgeon with impeccable skill and an understanding of how breast augmentation for this specific condition should be performed is of the utmost importance.
Revisionary surgery is a difficult process to go through. One of the more common problems that patients are seeking Dr. Pousti's help for is symmastia. Symmastia - commonly referred to as breadloafing or uni-boob, occurs when two implants touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest.
This 34 year old school teacher came to see Cosmetic Surgeon, Dr. Tom Pousti for a "make-over". After having 4 children, this patient was unable to lose the excess skin and adipose tissue of the abdominal area, and the inner and outer thighs. Her breasts had lost their fullness after breast feeding her children. She had many visits with Dr. Pousti and was comforted by the fact that Dr. Pousti is a double board certified Plastic and Reconstructive Surgeon.
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