Preparing for Surgery

San Diego Plastic Surgeon Dr. Tom Pousti is a double board certified surgeon certified in General Surgery as well as Plastic and Reconstructive Surgery serving the San Diego and Riverside County with over 20 years of broad medical and surgical training experience. Dr. Pousti is known for his warm, caring, and respectful approach to his patients as well as his extraordinary results. Patients have often said he is, “professional, courteous, attentive”, and have noticed his dedication and involvement to each patient soars particularly above acceptable. “Right away I knew that he would be more personally involved as a physician and surgeon than the other plastic surgeon and cosmetic surgeons I had looked into”. Dr. Pousti is exceptionally involved in each and every one of his patients.

Developing a personal relationship with each patient is Dr. Pousti’s main focus during a consultation. He firmly believes in understanding not only what surgery the patient is interested in, but digging deeper and uncovering why that particular surgery is in their interest. Prior to the consultation process, Dr. Pousti encourages patients to research pictures of what they would hope to achieve after surgery as well as results they do not like, so that he is able to tailor each surgery specific to that patient. During the consultation, patients are also given several albums including pre-operative and post-operative photos of Dr. Pousti’s previous patients to not only review his outcomes, but to also choose photos the patients likes and dislikes and their reasoning behind their decisions. During this process he creates a “portfolio” of your pictures that he takes into the operating room on the day of your surgery. This enables Dr. Pousti to reference to those photos during that patient’s surgery, which helps ensure astonishing results. Not only the benefits, but risks and complications of surgery are addressed to each patient at this time. Safety is always Dr. Pousti’s main concern. Dr. Pousti will meet with the patient as many times as they desire until they are comfortable with scheduling their surgery. He firmly identifies the magnitude of trust involved before, after, and most importantly throughout the surgery.

Before each surgery, Dr. Pousti takes the time to meet with you in the office for your pre-operative appointment, usually the 3 weeks before surgery. Another appointment would be the night prior to surgery, during this appointment, Dr. Pousti will perform “markings”. These markings and measurements aide in preparing Dr. Pousti as well as the patient for the upcoming surgery. Dr. Pousti identifies each patient is unique with diverse body types and structure, which is why marking are tremendously important to him and aide the patient in understanding what exactly will be addressed and focused on during the operation. Markings reassure and that each surgery is tailored to that patient’s specific needs. Measurements are always carefully made to achieve the desired goal of the individual patient. Markings are also reinforced the morning of surgery, at the surgery center, to help reinforce that the desired goal is met. 

Abdominoplasty (Tummy Tuck) Markings: 

Dr. Pousti performing markings on this patients abdominal section in preparation for surgery. The numbers help doctor to measure exactly how much skin will be removed. Measurements are very important to assure a remarkable result.

After her markings, Dr. Pousti is explaining to the patient exactly which area will be taken off during surgery.

In the surgery center, Dr. Pousti is re-checking all the measurements and defining markings one last time before surgery starts to ensure the best results.

The muscle repair has already been finished and Dr. Pousti is showing exactly how much skin he removed from this particular patient. Once he removes the rest of the excess skin, he will bring the belly button through a new hole and finish suturing the skin together.

Augmentation Mammoplasty (breast augmentation) markings:

Dr. Pousti is measuring this patients breasts to ensure that symmetry as well as fullness is achieved following surgery.

Here, Dr. Pousti shows the patient how one areola will need a slight lift with the augmentation to achieve the best results.

The patients markings and measurements have been reinforced prior to surgery.

This is the patient immediately after surgery. Dr. Pousti has the patient in an upright position to double check symmetry and placement to guarantee remarkable results.

Mastopexy (breast lift) markings:

Dr. Pousti uses these markings to assist in the surgery room during this procedure which involves rearranging breast tissue, altering the nipple location, and amplifying the breast firmness by tapering the skin.

Measurements for this procedure help Dr. Pousti with symmetry and location of the breasts following the surgery.

After examining the measurements and markings, the patient will be prepared for surgery.

Dr. Pousti observes the results before finishing the procedure.

Reduction Mammoplasty (breast reduction) markings:

Dr. Pousti uses markings for this particular procedure to reduce and reshape the appearance of the breast.

Measurements are also made to establish symmetry during the surgery.

The markings are determined by what technique will be used during the surgery, which is dependent upon the patient’s age and anatomy.

Dr. Pousti shows the initial results of breast reduction performed on one breast.

Revisionary Breast Markings:


Dr. Pousti is marking the red area, the area of concern, to demonstrate which area will be fixed during the procedure. The red indicates where the implants are touching the center of the chest creating a “uni-boob”

The doctor examines the patient in the operating room again prior to the start of surgery.

Directly following surgery, the breasts are no longer touching the center of the chest with the aide of pocket correction and internal sutures.

Brachioplasty (arm lift) markings:

Markings of the excess skin and fat are being applied to help Dr. Pousti and the patient prepare for surgery.

Dr. Pousti is finishing the markings on the area of skin that will be removed. Exact placement of markings are important to conceal the incision and future scar.

Chest Wall Reconstruction Markings:

Dr. Pousti is using a moulage is being used to mold a silicone pectoral implant.

Dr. Pousti is marking the sunken area to ensure exact placement of the silicone implant.

The markings represent the area of the sunken chest where the implant was placed to fill out the dent.

Pectoral Implant Markings:

Dr. Pousti measures this patient prior to surgery to guarantee projection of the chest wall focusing on the pectoral region. 

An incision had been made by Dr. Pousti where he will insert the implant.

Dr. Pousti reveals the initial results and differences with one pectoralis implant placed. 

Blepharoplasty (eyelid surgery) Markings/Brow Lift (forehead lift) Markings:

Dr. Pousti is applying the markings on the eyelids where he will reduce the bulging and wrinkling of the skin. He also creates markings on the forehead to remove or rearrange the muscles and skin that can often cause the wilting or droopiness.

The marking have been re-checked by Dr. Pousti and now the patient is ready for surgery.

The patients forehead and eyelids have improved significantly and appear rejuvenated.

Otoplasty (ear surgery) Markings

Dr. Pousti performs markings to fix the surplus prominence of the ears.

Markings are checked and re-checked for flawlessness.

Dr. Pousti’s technique has fixed the projecting of the ears. 

Liposculpture (liposuction) Markings:

The markings represent the area that will be treated with liposuction.

Dr. Pousti is performing liposuction to exonerate stubborn fat.

Labia Reduction Markings:

Marking are applied by Dr. Pousti to remove excess skin, however avoiding an interference with the urethral opening and clitoris are important.

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.

Contact Prime Plastic Surgery

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