This 44 year old patient from Fresno, California suffers from congenital symmastia . She was interested in having her cleavage area improved as well as having breast implants placed for more upper fullness of the breasts. Dr. Pousti discussed options with the patient regarding her congenital symmastia and the patient had realistic expectations for her results.
The first stage that would be to perform is breast augmentation and liposuction of the cleavage and sternal areas. Below is the patient’s post op photos after surgery #1 – still very fresh in the recovery stage.
This first surgery (placement of breast implants) would allow a capsule to form around the breast implant (this capsule strengthens with time) and after the capsule is strong enough, Dr. Pousti can then return to the operating room and place internal sutures (capsulorrhaphy) to improve the contour of the breasts and cleavage area with revisionary breast augmentation surgery. Below is the patient 1 year post op breast augmentation / liposuction of the cleavage area.
After being examined by Dr.Pousti he believed she showed signs of significant improvement. They discussed the next surgery that would involve the internal bra, removing some breast tissue to help define the breast a bit more, and also exchanging her implants. After discussing all options she was ready to move forward with the second stage of the surgery. She scheduled her surgery date soon thereafter.
Dr.Pousti performs markings the morning of the scheduled surgery and they went over the procedure one more time. They also discussed post surgery instructions as well and he answered any additional questions that the patient may have had before they proceeded to the operating room.
This is the patient immediately before her surgery. She has been prepped for surgery and markings have been completed. The red area between the breasts is where the internal bra will be placed so as to create cleavage or space between the breasts. It also shows that she currently has 335cc silicone gel implants and these implants will be removed and replaced with high profile breast implants.
Above, is an illustration of the breast/soft tissue that was removed from the pre-sternal area of the patient to help create more definition between the breasts.
This is the pateitn immediately after her surgery. She had an internal bra placed between the breasts and tissue was also removed as to create more space between the breasts. She also had her implants exchanged. She went from 335cc to 325cc smooth round high profile silicone gel implants produced by the Mentor corporation. Below, is the patient 4 days after her surgery and she is healing very nicely and without any complications. She will continue to follow-up with Dr.Pousti throughout her recovery process.
