This 32 year-old patient traveled from out of the country to have Dr. Pousti preform breast revisionary surgery. The patient previously had breast augmentation surgery as well as two revisionary surgeries, all preformed by other plastic surgeons. Due to breast asymmetry and symmastia the patient was unhappy with the results of her surgeries. Symmastia – commonly referred to as “bread-loafing” 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. Symmastia results from overly aggressive attempts to alter chest wall anatomy trying to increase cleavage in patients.
The patient researched for the most experienced Board Certified Plastic and Reconstructive Surgeon to perform her revisionary breast surgery and found Dr. Pousti. After reading outstanding reviews and looking through before and after pictures of countless patients with the same complications, she knew she had found the best plastic surgeon for her breast augmentation revision surgery. Immediately after several consultations via e-mail, phone and office, the patient scheduled for surgery.
Dr. Pousti takes his time measuring things out and marking on the patient to prepare for surgery.
The risk and potential complications were reviewed and discussed with the patient in detail the prior to surgery.
Dr. Pousti has experience in breast revisionary surgery and knew exactly what needed to be done to achieve the patient’s goals. It was decided that medially capsulorrhaphy (internal sutures) would be performed for better breast implant placement on the chest wall along with the use of allograft.
Due to very little breast tissue and thin skin, her old breast implants were removed and Alloderm (Dermis) was inserted medially for more support (the green drawings).
immediately after implant removal and after the internal sutures are preformed with use of allograft
Below, you can see that the temporary sizers that are placed before re-augmentation to check for size and symmetry
before and immediately after breast revisionary surgery with capsulorrhaphy and allograft
The old breast implants were removed and replaced with 457cc silicone gel implants to achieve the patients desired look.
The patient before and 3 1/2 months after surgery
