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Symmastia Repair

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This 28-year old patient from San Diego, California was interested in revision breast surgery, the patient previously had breast augmentation surgery (performed by another surgeon) and wanted to improve the placement on her breast implants.breast revision

pre-breast revision

Due to “bottoming out” (inferior migration of the implants) and “symmastia” (occurs when two implants meet one another in the center of the chest) the patient was unhappy with the results of her previous surgery.  The patient researched for the most experienced Board Certified Plastic and Reconstructive Surgeon to perform her revisionary breast surgery and found Dr. Pousti. After  looking through before and after pictures of countless patients with the same complications, she felt that she had found the best plastic surgeon for her breast augmentation revision surgery.

markings prior to breast revision

Markings were carefully drawn out in detail prior to surgery.  Measurements were made and all efforts will be made to achieve the patients goals.

markings-breast revision

Measurements are re-checked again in the operating room.

before breast revisionary surgery

Above, you will see the “shaded area” where internal sutures (capsulorrhaphy) will be performed for breast implant pocket correction.

deflation-breast revision

Intra-operative photos above show the breast implants removed and internal sutures used to create an “internal bra” to correct the implant mal-postion and symmastia. Liposuction of the chest (cleavage area) was also performed at this time.

after breast revionary surgery

(Intra-operative) Round, moderate plus profile 470cc silicone-gel breast implants were used in both breasts.


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