Juvenile Breast Reduction

Description

Juvenile Breast Reduction is designed to improve the appearance and symptoms of overly large breasts in young teens. Breast hypertrophy can cause both physical and psychosocial consequences as the breasts are too large for the teen’s body frame. The teen may experience different degrees of back, shoulder, and neck discomfort associated with large breast and may seek the care of a chiropractor to temporarily alleviate some of the pain. Simple juvenile activities such as exersize or shopping are bothersome to young teens experiencing breast hypertrophy. An ideal candidate is at or near their ideal goal weight and must be willing to accept scars resulting from breast reduction surgery in exchange for the improvement in size, contour, and position of the breasts. While breast reduction surgery is one of the most patient pleasing operations performed, the need for further surgery may be necessary in the future if the breasts were to grow large again, for example after pregnancy.

The Procedure

During juvenile breast reduction, the excess breast tissue, adipose tissue, and breast skin are removed. This procedure both reduces and lifts the breast to a more pleasing position on the breast mound, improving neck, back, and shoulder discomfort. With the reduced discomfort, teens find it easier to perform their daily activities such as exercise and finding clothing as well as feeling comfortable in clothes is no longer an issue.

Patient’s Testimonial:

I’m 16yrs old and just had the best experience of my teenage life. A breast reduction! Most would say that 16yrs old is way too young to make such a permanent decision about one’s body. For me the decision was warranted.  At the age of 13 my breast had already reached the size of 28D and I my body frame was a size zero. Talk about disproportion.  By the age 14yrs I had become so uncomfortable with the heaviness dragging on my neck and back that I had to give up gymnastics, horseback riding and tap dance-all things that I loved. I was never one to be uncomfortable with my body, I believe people should love who they are, but having such big breast on my small frame caused me not only physical pain but emotional pain too. I didn’t like the way people looked at me, I didn’t like the way clothes fit, I didn’t like the attention my breast unintentionally brought me. Things like prom dress shopping and getting fitted for a costume for the school play, things that should be fun and memorable made me miserable and embarrassed. I didn’t dare wear a bathing suit or tight fitting t-shirt, those things and the attention they brought just didn’t fit my personality.  By age 16yrs I was size 30F and miserable (l say F-s plus because l was busting out of that size but refused to go bigger)

This surgery is the best thing that has happened to me. I knew I wanted a breast reduction by the time I was thirteen and l was bound and determined to get one. It took several years of coaxing from my mom and my team of doctors-pediatrician, physical therapist, chiropractor and especially Dr. Pousti…he’s a hero in my book. I felt he understood my pain and wanted the best for me.  I’m so glad that Dr. Pousti and his team are the ones that got my insurance to approve this surgery. They made me amazingly comfortable, I wasn’t scared at all. I woke up from the surgery instantly feeling the relief in my neck, back and shoulders that l had dreamed of for over three years. I’m now extremely happy with my body, the results are amazing. I couldn’t have asked for a better doctor.

It’s only been three weeks since my surgery and I honestly feel like a whole new person. Shopping for clothes is super fun…I can buy bras off the rack! I can wear strapless! I love my new 30B’s. They are perfect for me and l’m a very happy confident person because of how much Dr. Pousti and his Team cared. They Rock!

Sincerely with Love

Possible Risks and Complications of Breast Implant Size Reduction/ Breast Lifting

Asymmetry: Almost everyone’s breasts are different to begin with and Dr. Pousti will do his best to make them as symmetric as possible — we can never guarantee that they will be perfect.

Bleeding: It is possible, though unusual to experience a bleeding episode during or after surgery. If post-operative bleeding does occur, it may require emergency treatment to drain accumulated blood. It is important after surgery, especially in the first 2 weeks, to avoid exercise and raising your heart rate and blood pressure. Also avoid aspirin, ibuprofen and many other medications that may affect your ability to clot your blood.

Loss of Blood Supply to the Nipple-Areola Complex: Limited incision techniques are used, however because of the invasive incisions and relocation of the nipple/areola complex a blood compromise can occur.

Mal-Positiong of the Nipple – Areola Complex: Depending on implant placement after surgery, the nipple – areola complex may not be in the ideal location and further surgery may be necessary.

Tissue Necrosis: If a lack of oxygen to the tissue is present after surgery, the tissue will turn purple or blue and if prolonged, tissue damage will occur.

Infection: This is very rare but can be taken care of with antibiotics if it occurs.

Loss of nipple/areola sensation: Numbness may occur temporarily or permanently from traumatizing sensory nerves in the breast during the procedure.

Inability to breast feed: This is not exact because some patients cannot breast feed prior to the surgery.

Inability to predict exact cup size: We will discuss your goals and do our best to achieve them.

Breast Asymmetry: The breasts will be “sisters not twins” and symmetry is never promised. Breasts are asymmetrical before surgery and will most likely be asymmetrical following surgery. Differences in terms of breast and nipple shape, size, or symmetry may also occur after surgery.

Delayed Healing: Wound disruption or delayed healing is possible. Some areas of the breast skin or nipple region may not heal normally and may take a long time to heal. Areas of skin or nipple tissue die. This may require frequent dressing changes or further surgery to remove the non–healed tissue. Smokers have a greater risk of skin loss and wound healing.

Spreading of the Areola / Scar: All surgery leaves scars, some more visible than others. Abnormal scars may occur within the skin and deeper tissues and may be unattractive and/or a different color than the surrounding tissue. Spreading of the areola may also occur.

Need for Revisionary surgery: It is possible that you will need to have one or more re-operations over the course of your life because of local complications from breast implants. Reasons for re-operations could include any of the potential

Tissues all need oxygen and other nutrients in order to stay healthy. If the oxygen is compromised it is not getting to the tissues in a high enough concentration, the tissues will turn blue or purple and become ischemic (which means lack of oxygen). If this lack of oxygen goes on for a long enough time period, necrosis or tissue death may happen.

Tissues all need oxygen and other nutrients in order to stay healthy. If the oxygen is compromised it is not getting to the tissues in a high enough concentration, the tissues will turn blue or purple and become ischemic (which means lack of oxygen). If this lack of oxygen goes on for a long enough time period, necrosis or tissue death may happen.

Possible Risks and Compications of Breast Lift with Breast Augmentation

Leakage: Leakage of the implant sometimes happens. It may be because of trauma to the area or just for no reason. This can be fixed by returning to the operating room and replacing the implant.

Asymmetry: Almost everyone’s breasts are different to begin with and Dr. Pousti will do his best to make them as symmetric as possible — we can never guarantee that they will be perfect.

Capsular Contracture: It is a normal process for the body to cover the implant with a thin layer of scar tissue. Occasionally, an excessive amount of scar is formed and it contracts or shrinks around the implant making it feel unacceptably firm. If mild, the breast or breasts are moderately firm. If severe, the breasts can appear distorted and be hard and uncomfortable. This can be treated by a surgery to remove the scar tissue and replace the implants. It may or may not occur again.

Rippling: Being able to feel the implant due to a small amount of breast tissue to begin with OR losing weight after breast augmentation surgery.

Interference with mammography: All implants interfere with mammography but the implants placed under the muscle and therefore interfere less with mammography than implants placed above the muscle. We recommend patients 38 years or older get a baseline mammogram prior to the surgery.

Bleeding: It is possible, though unusual to experience a bleeding episode during or after surgery. If post-operative bleeding does occur, it may require emergency treatment to drain accumulated blood. It is important after surgery, especially in the first 2 weeks, to avoid exercise and raising your heart rate and blood pressure. Also avoid aspirin, ibuprofen and many other medications that may affect your ability to clot your blood.

Loss of Blood Supply to the Nipple-Areola Complex: Limited incision techniques are used, however because of the invasive incisions and relocation of the nipple/areola complex a blood compromise can occur.

Mal-Positiong of the Nipple – Areola Complex: Depending on implant placement after surgery, the nipple – areola complex may not be in the ideal location and further surgery may be necessary.

Tissue Necrosis: If a lack of oxygen to the tissue is present after surgery, the tissue will turn purple or blue and if prolonged, tissue damage will occur.

Infection: This is very rare but can be taken care of with antibiotics if it occurs.

Rupture/deflation: Breast implants do not last a lifetime. Some breast implants may rupture/deflate in the first few months after surgery and some after several years. Others may take 10 or more years to rupture/deflate.

Loss of nipple/areola sensation: Numbness may occur temporarily or permanently from traumatizing sensory nerves in the breast during the procedure.

Inability to breast feed: This is not exact because some patients cannot breast feed prior to the surgery.

Inability to predict exact cup size: We will discuss your goals and do our best to achieve them.

Implant Exposure: Is usually associated with not enough tissue coverage for the implant as a result of an infection. Further surgery would be necessary.

Breast Asymmetry: The breasts will be “sisters not twins” and symmetry is never promised. Breasts are asymmetrical before surgery and will most likely be asymmetrical following surgery. Differences in terms of breast and nipple shape, size, or symmetry may also occur after surgery.

Delayed Healing: Wound disruption or delayed healing is possible. Some areas of the breast skin or nipple region may not heal normally and may take a long time to heal. Areas of skin or nipple tissue die. This may require frequent dressing changes or further surgery to remove the non–healed tissue. Smokers have a greater risk of skin loss and wound healing.

Spreading of the Areola / Scar: All surgery leaves scars, some more visible than others. Abnormal scars may occur within the skin and deeper tissues and may be unattractive and/or a different color than the surrounding tissue. Spreading of the areola may also occur due to pressure of the implant placed on the incision

Need for Revisionary surgery: It is possible that you will need to have one or more re-operations over the course of your life because of local complications from breast implants. Reasons for re-operations could include any of the potential

Tissues all need oxygen and other nutrients in order to stay healthy. If the oxygen is compromised it is not getting to the tissues in a high enough concentration, the tissues will turn blue or purple and become ischemic (which means lack of oxygen). If this lack of oxygen goes on for a long enough time period, necrosis or tissue death may happen.

Tissues all need oxygen and other nutrients in order to stay healthy. If the oxygen is compromised it is not getting to the tissues in a high enough concentration, the tissues will turn blue or purple and become ischemic (which means lack of oxygen). If this lack of oxygen goes on for a long enough time period, necrosis or tissue death may happen.

Post Operation Instructions

1. Sleeping in an upright position for 1 week after surgery.

2. No heavy lifting until 3 weeks post-surgery.

3. No driving for 1 week post or until off narcotic pain medication completely.

4. Please take the medications as directed. Antibiotic medication is for 3 days, pain and nausea medication are taken as needed. Never take medications on an empty stomach and always space out the medications.

6. Constipation is very common due to the pain medication and anesthesia. Please use Colace, an over the counter stool softener or any laxative that has worked with you in the past. You may start taking something to help prevent constipation 2-3 days post surgery.

7. If you develop a rash or think you are having an allergic reaction to the medication, please call our office immediately. Sometimes Benadryl will help.

8. No upper body exercises for 3 weeks post surgery

9. You cannot get the breast wet for 1 week post surgery or until Dr. Pousti has directed otherwise. When you do go in the shower regular soap and water. When you come out of the shower, get your hair dryer put on low and cold setting to dry the incision lines completely.

10. No ocean water or pool water for 6-8 weeks post surgery or until the incision is fully healed.

11. No tanning or sun exposure to the incision until the your incision has healed completely.

12. Please do not put scar creams or ointments on the incision immediately after surgery, you may irritate the area or cause an allergic reaction.

13. After surgery you will have sterile dressings, a surgical bra, and compression stockings provided to you. Please leave everything on until we see you in the office which is usually 3 days post surgery. 

14. For Scar treatment, use prescription strength medication that helps prevent keloiding and redness or you may also use anything that has worked for you in the past. Scars will look their worst and angry looking closer to 2 months post surgery.

15. Wear the surgical bra for a total of 4 weeks. You may wear a comfortable sports bra or regular non-underwire bra after your surgical bra for at least 4 more weeks. Around 2 months post-op, you may begin wearing a normal bra as long as you have acquired full   sensation. 

16. Some drainage from the incision lines is normal and its usually a light green/yellow discharge at about 2-3 weeks post surgery. Please keep the area as dry as possible.

17. If there is redness on the incision line or it feels tender, please call our office at (619)466-8851.

18. Incision lines and final results may take up to about a year.

19. If you are an out of town patient, please keep in touch via email, and send photos to us at your 2ndweek, 1st month, 2ndmonth, 4th month, 6th month…etc.

20. Please call us with any concerns Mon-Friday 8:30am-5:30 pm Saturdays from 9:00am-12pm at 619- 466-8851.

21. If you would like to blog or write a testimonial of your experience in our office please see the following websites

Possible Risks and Compications of Breast Implant Removal

Asymmetry: Almost everyone’s breasts are different to begin with and Dr. Pousti will do his best to make them as symmetric as possible — we can never guarantee that they will be perfect.

Bleeding: blood loss in this surgery is minimal. It is important after surgery, especially in the first 2 weeks, to avoid exercise and raising your heart rate and blood pressure. Also avoid aspirin, ibuprofen and many other medications that may affect your ability to clot your blood.

Infection: this is very rare but can be taken care of with antibiotics if it occurs.

Breast Sagging / Unsatisfactory redraping of the skin: ptosis or sagging of the breast may occur if the breast tissue stretched as a result of the breast implants does not tighten up post-surgery.

Loss of nipple/areola sensation: Numbness may occur temporarily or permanently from traumatizing sensory nerves in the breast during the procedure.

Inability to breast feed: this is not exact because some patients cannot breast feed prior to the surgery.

Inability to predict exact cup size: we will discuss your goals and do our best to achieve them.

Emotional / Physiological changes: it does take time to get used to the physical changes after breast implant removal surgery, especially for those who have had breast implants for quite some time.

Fluid Accumulation (seroma): Tissue fluid may build up in the area where the breast implant was removed. Additional treatment would be necessary to remove the excess fluid.

Contour Depression / Inversion of Nipple Areola Complex:

Unsatisfactory Results:

Displeasing breast size / shape: After breast implant removal, the breasts will not look the way they did prior to breast augmentation. It may take time to physically and emotionally get used to the loss of breast size / volume after implant removal.

Possibility of further surgery: Breast lifting or a breast re-augmentation may be desired after breast implant removal to either lift the breast tissue or add volume.

Patients with breast implants may choose to remove them for various reasons, such as lifestyle changes, aesthetic reasons, and/or potential health complications they feel are stemming from their implants. There are three types of implant removal surgeries, depending on the reason for the explant.

Straightforward Breast Implant Removal – consists of removing just the implants. This procedure is ideal for patients who are not experiencing any complications and would like to remove their implants for aesthetic reasons or lifestyle changes that resulted in them no longer wanting their implants. Straightforward implant removal is a fairly quick and simple procedure with a relatively speedy recovery. Another reason why patients would choose to just remove the implant rather than remove both the implant and the capsule is if the capsule is thin and delicate. Removal of a thin capsule can result in bleeding and possibly removal of the remaining breast tissue. If the capsule is not thick, calcified, or abnormal in any way, some believe removal does not need to be performed

Implant Removal with Capsulectomy – consists of removing the implant, as well as removing the capsule surrounding the implant. A total capsulectomy involves removing the entire breast capsule from around the implant. A partial capsulectomy involves removing only part of the implant capsule. Since the capsule does not disappear on its own after the implant is removed, some patients opt to proceed with a capsulectomy. Sometimes during a partial capsulectomy when the entire capsule cannot be removed for whatever reason, the remaining capsule will be cauterized to sterilize the area and promote healing.

Implant Removal En Bloc – consists of removing both the implant and the surrounding capsule together as a single unit. This method was originally created as a way to remove ruptured silicone implants without further contaminating the body with silicone gel. Removal in this method can help the breast tissue and/or muscle to return to their anatomical positions. Some feel that it can also produce a better aesthetic result. It is arguably the most complex technique of breast implant removal.

Breast Implant Removal Explanation

Breast augmentation remains one of the most common operations plastic surgeons perform. Understandably there will be a group of patients who have had breast implants who choose to have the breast implants removed. Reasons for wanting to have breast implant removal (explantation) may have to do with physical and/or psychosocial concerns.

For example, there are patients who despite best efforts experience repeated complications with the breast implants. These complications may involve leakage of implants, infection, capsular contracture (encapsulation) and/or implant malposition problems. Patients who have had these complications may decide to rid themselves of the breast implants and their associated risks/complications.

Other patients who seek to have breast implants removed for “medical reasons” may feel that the breast implants are causing certain physical ailments. These patients may have undergone extensive medical, laboratory and/or radiological workup of physical symptoms only to be left without a specific diagnosis or cause of their symptomatology. This lack of diagnosis may cause the patient to feel that the breast implants are the “cause” of the physical ailment leading these patients to want to have their breast implants removed. Obviously these patients should be cautioned that there is no scientific evidence that removal of breast implants will eliminate any of the symptoms they are experiencing.

On the other hand, some patients decide that they do not want to “keep” breast implants in place for non-physical reasons. These patients often report that they no longer feel that the breast implants are “necessary” or that they are at a different place in life and no longer want a “foreign body”. These patients may simply wish to have a more “natural” existence, which does not leave any room for breast implants.

There are rare occasions when patients wish to have their breast implants removed only days or weeks after having had them placed. In these cases, it is best to allow several months to pass before making drastic decisions that may be based on strong emotional reactions that tend to occur after body changing plastic surgical procedures. Of course, it is always best to prevent these types of situations by determining patients’ motivations for having a breast augmentation done in the first place. Generally, self motivated patients (seeking the operation for the right reasons) who have been considering the operation for at least a year tend to be less likely to want to have breast implants removed subsequently.

One common question asked in regards to breast implant removal is what should be done with the breast implant capsule. Generally, unless the breast implant capsule is thickened, calcified, or otherwise troublesome there is no indication to remove the thin capsule. Removal of the capsule would unnecessarily increase the risks of the breast implant removal procedure. Nevertheless, some patients may wish to have the capsule removed despite the lack of medical necessity.

From the technical standpoint breast implants can be removed under local anesthesia, under local anesthesia with sedation (twilight), or under general anesthesia. If additional “work” is planned (such as capsulectomy and/or mastopexy surgery) then I prefer to do the operation under general anesthesia.

The decision to have breast implants removed should not be made lightly. The decision should be made after extensive thought and with the help of a well experienced board-certified plastic surgeon who may be able to guide the patient with recommendations.What a patient’s breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).

Life experience since the breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. The patient must take these factors into consideration and apply them to her specific circumstances to get a good idea of what to expect after the implants are removed. Again, it may be very helpful to have a trusting relationship with a well experienced, nonjudgmental board-certified plastic surgeon when considering removal of breast implants.

Patient Testimonal – Images Above With Implants and Then Without
I feel really good. I’m very happy. Going to gym is much each. No longer have big fluffy bags keeping me from laying on my tummy for exercises. I feel thinner, slimmer, although I’ve never been overweight. The implants always made me feel larger. Hoping to get a little more fluff although I don’t expect too much more since, if I remember correctly, I’m about the same size and shape I was prior to implants. Which, even so, is fantastic considering i had my implants for 10 years! No stretch marks. Right back to who I was before!

Physically though! I have to say, there has been some amazing improvements. No more back pain, no neck pain, no arm numbness, no “muscle” tugging. No achy breasts. The best hugs I can get!!! And oddly, the circulation in my hands and feet are just unbelievable. Who knew!?

“I am so extremely pleased beyond words with the result of my implant removal with a lift that Dr. Pousti did for me a little over a year ago.”

Dr. Tom J. Pousti is double board certified in plastic and reconstructive surgery and specializes in breast augmentation and revisionary breast surgery. With the amount of patients with breast implants growing the number of those wishing to remove their implants is increasing as well. More and more people are inquiring implant explanation surgery for a variety of reasons. Some interested in replacing the implants and some not. 

No other photos on this page are of this patient

Patient Testimonial:

“I saw Dr. Pousti for removal of 10 year old implants with capsular contracture. He was very professional and knowledgeable. I had 4 consults before seeing him and he seemed to be the most medical as far as doing the overall best thing for my long term health vs trying to sell procedures. I was 100% sure that I wanted him to do my surgery during our first meeting. I had the surgery a month later and have been very happy. I feel better than I have in years. The follow up from his office is terrific. I was called daily for the first week to check and see how I was doing and if I had any questions. I just had my one month follow up with him and he said I was completely complication free and I could return to all normal activities. I see him again in 3 months. He said if I decide I want a lift or anything, that would be the time to start discussing it, but he hopes I will just be happy without needing more procedures.”


Patient Testimonial:

“When I was eighteen I underwent breast augmentation because I was insecure about my body. I felt that breast implants would give me the confidence I lacked and ultimately  make me happy. Bra shopping was a nightmare and when wearing a sports bra or bikini I was flat as a pancake. To my eighteen year old self I felt I was lacking something. Now eight years have passed and I am not the same person I was at eighteen. I am still young, but I feel fortunate to have discovered who I am and what I believe in, and what ultimately matters to me.  I have been married for four years to a man who loves me for me.  And just six months ago we had a beautiful baby girl. I had been thinking of having my implants removed for the last three years and being pregnant with them and breast feeding solidified my decision.
I had my implants removed three weeks ago and I feel liberated! Not only was my husband supportive of my decision, he also was encouraging throughout my appointments, surgery and the outcome of my body without implants.
I would encourage any woman who is toying with the idea of implant removal to do your research and come visit Dr.Pousti He is honest, professional and more than certified.”

Description

The removal of breast implants that have been placed either for cosmetic or reconstructive purposes is a surgical operation. Breast implant removal may be performed as a single procedure or combined with additional procedures such as: removal of scar tissue surrounding the implant, breast biopsy, removal of escaped silicone gel, secondary breast augmentation, and mastopexy.

What To Expect After The Surgery

Rest in bed is the order of the day, along with plenty of fluids and no aggravation. You will be permitted to shower, perhaps as quickly as two to three days post-op. Also, the chest will feel somewhat sore for the first few days. This should abate very quickly, and by the end of the first week you should be very comfortable.

Testimonial:

I grew up very insecure with my focus on fixing physical flaws, rather than working on my inner confidence and strength. I was 17 years old when I found a solution to what I thought was a problem. Throughout this journey I have had a spiritual awakening and came to the realization that I was born with all the necessary tools to live an abundant and more holistic life. These implants have been like training wheels and helped me love myself and I am ready to let go of them.

Testimonial:

Dear Dr. Pousti and staff:

In 1995, when I was 25 years old, I had my first set of saline breast implants put in.  Because I was always barely a size A cup, it was something that I had wanted to do as long as I could remember.  I was pleased with the results until the day I was in a car accident and one of my breast was damaged.  Because of this, in 1998 the implants had to be removed.  I had originally wanted them just removed without replacing them, however, the doctor at the time (not Dr. Pousti) talked me into removing and replacing the implants instead of removing them only.  I had a very difficult surgery as well as recovery.  I have regretted ever since then that I let the doctor talk me in to new implants.  They have since been uncomfortable; I have not been able to sleep on my stomach; as a runner, it has been hard running with the implants, they have been in the way; and I just have not been able to wear anything that I wanted without it being too tight in my chest and too big in my waist.  I was just a different person when I got the implants, and implants were not fitting in with my lifestyle any longer.  I had been beyond ready to go back to my natural body for a long time.  Finally, fourteen years later, when we were finally in a position where I could have them removed, we began to research and pray that we would find a great surgeon.  Due to the fact that I had such a horrible experience with my last surgery, we wanted to find a doctor that we could trust and one in which we would feel comfortable.  In Dr. Pousti and his staff, we found much more than we could have ever imagined or hoped for.  We have been so blessed that we found Dr. Pousti.

I would like to thank Dr. Pousti and his staff so much for all that they have done and continue to do for me even though my surgery is over.  While I was researching and looking around for the best surgeon that could perform my surgery, I kept coming back to Dr. Pousti.  I was impressed with the extremely large amount of positive comments that were on many websites. Fact is, honestly in all of the many reviews that I read through, I did not come across even one negative comment.   Also, his own personal website was amazing and filled with so much information about any surgery that you could possibly think of.  Once I went in for my first appointment, I knew for sure, no question that I wanted Dr. Pousti to perform my surgery.   Dr. Pousti, from the very first appointment made me feel beyond comfortable.  He and his staff explained everything and answered any question that I had, and I had many.  I had such a negative experience due to a very bad surgery in the past, and felt very very anxious.  Dr. Pousti took so much time to help my husband and me to feel as stressed free and relaxed as possible.  This amazing Dr. and his staff has called me everyday since my pre-op appointment just to check in on me, making sure that everything was ok and to rest any worries that we may have had as they knew that I was extra anxious. Since my surgery, they have continued calling and checking in on me to make sure that all was well.  They even called on both Saturday and Sunday.  From my first appointment until today, which is a week today since my surgery, Dr. Pousti and his staff have just gone above and beyond what they needed to do; way more than I have ever experienced from any other doctor’s office.

If Dr. Pousti and his staff were not enough, the Surgery Center where he preforms his surgeries is absolutely top of the line.  Again we were astonished and amazed at the treatment that we received there.  Dr. Pousti shared with them my concerns, and the staff from the Surgery Center went above and beyond what they needed to assure me and help make sure I was comfortable. They called me the night before and listened to my concerns.  The next day they were perfectly punctual, and everything went according to schedule.  Dr. Pousti and the staff from the Surgery Center were there by my side the whole time.  They even held my hand as I drifted off to sleep.

My husband and I will always be thankful and blessed that we found Dr. Pousti to perform my surgery, and we would not hesitate for even one second to refer anyone who is looking for a plastic surgeon to Dr. Pousti.  He is truly a one of a kind Dr. with a one of a kind staff.  We searched form many other doctors, and Dr. Pousti was like night and day compared to the others that we visited.  We are absolutely sure that anyone who does choose him will be extremely satisfied, thankful, and blessed.

Extremely Grateful

PS:  A side note from my hubby —

It was very important as we searched for a doctor that we found one in whom I could feel safe in trusting my wife’s care too.  Dr. Pousti and his staff were very professional with high quality and standards which exceeded our expectations.  Thanks for taking care of my wife.

God Bless

Prime Plastic Surgery consists of the top board-certified surgeons in the country providing the highest caliber of patient care. We offer cosmetic and reconstructive procedures, both surgical and non-surgical, to help patients achieve truly life-changing results. Our surgeons are members of several prestigious organizations, including:

  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
  • International Society of Aesthetic Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

Discover what the Prime difference can do for you. Request a consultation online or call our practice at (858) 285-4667.

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