San Diego and La Jolla Breast Augmentation Specialist Dr. Tom Pousti

Dr. Tom Pousti is a highly skilled breast augmentation specialist who now has offices in La Jolla where he can see La Jolla breast augmentation patients. In the paragraphs below, Dr. Pousti describes the breast augmentation procedure, including information about breast implants and breast enlargement. He has helped many San Diego and La Jolla breast implants and breast enlargement patients achieve a more youthful and shapely appearance.

This is an actual patient of Dr. Pousti.


Breast Augmentation is performed to increase the size and fullness of the breast. Women whose breasts are disproportionately small, or whose breasts have sagged or “deflated” after childbirth, or who have unevenly-shaped or sized breasts, are candidates for the procedure. At times, it is necessary to lower the inframammary fold to achieve the results we are looking for. If the breasts droop too much, a “lifting” procedure may be required in addition to, or instead of the augmentation.

Before Surgery

Before Surgery with Sizer Implants

After Surgery

The location of the incisions, under/over the muscle, breast size, choice of implant type and shape are custom designed for each patient based on their needs and their body and breast types.

This is an actual patient of Dr. Pousti.

Patient Testimonial:

Before Surgery

After 2 kids and years of research and a lot of thought I decided I wanted to go ahead and proceed with a breast augmentation. I’ve heard a lot about Dr. Pousti from a friend who is getting the same procedure done in which whom was referred as well from women who have already had the breast augmentation surgery by Dr. Pousti and are very happy with their results. With this said, I set up a consultation with the Doctor and his staff, all were wonderful answering most of my questions prior to even having to ask them.  Dr. Pousti is extremely easy to talk to and the staff are warm and welcoming.  He is EXTREMELY PATIENT as I had many concerns and asked the same questions quite a few times and assured me every time I would be 100% okay.  He put my mind at ease!   I look forward to having my surgery and even more excited to see the end result!

Immediately After Surgery

Dr. Pousti,
I just had surgery today,  and I can’t begin to explain to you the amazing staff at the clinic.  There are NO words good enough to describe them ALL so ill say they were simply wonderful, so caring and EXTREMELY attentive. Honestly one of the best hospital experiences I’ve EVER had.  And thank you so much for being so patient with me and so caring.  I could go on and on about how calm and peaceful recovery was, checking on me FREQUENTLY and just an amazing group and overall experience.  Couldn’t have been this way without you and your surgical staff. From the bottom of my heart, thank you!

Patient Testimonial:

“My experience with Doctor Pousti falls nothing short of incredible. From my first consult to follow up appointments, him and his staff were completely accommodating, kind, and friendly. There was no pressure to rush a surgery date or schedule it any sooner than I was ready to do so. The entire process was clear and concise, which added to my comfort and ease with the procedure. I had no qualms or worries with Pousti or his staff; it was the genuine care for me that they all had that blew me away. My husband was deployed at the time of the surgery, and I got more “Hey Deej, how are you feeling today?” “Are you feeling lonely? Would you like to chat?” calls from him and his staff than I did my counselor (and my counselor is incredible at what he does too, so that says something!). Pousti’s desire to understand my goals for the procedure and my lifestyle was crucial in choosing him as my surgeon. I have worked very hard on building a healthy lifestyle, and in doing so I have lost 100 lbs. The thought of handing my hard earned and toned body to a careless surgeon for a breast augmentation terrified me. My worst nightmare would be a botched boob job on the body I have spent years developing. Seeing the immense care and respect Pousti showed me and all his patients solidified that he was the surgeon for me. The result? A set of dream-come-true perfect breasts that allow me to continue my active lifestyle, and give me those sexy curves up top to match my new figure. I LOVE the outcome, and I absolutely, without a doubt, could not be happier. I could write PAGES on my experience with Doctor Pousti, but the bottom line is, I am so incredibly elated. Pousti is my guy!!”


This is an actual patient of Dr. Pousti

Patient Testimonial:

“Everything about my experience with Dr. Pousti has exceeded my expectations. I was extremely nervous during my first consultation, and I was immediately put at ease by the entire staff as well as the doctor. We discussed my expectations and desired results as well as the specifics of the procedure. His confidence in his knowledge showed early on. I was told to provide before/after photos prior to my appointment. Based on the photos and our conversation, we quickly had the decisions made of silicone gel implant, going thru the nipple and under the muscle. I tried on various sizes of implant, settling on 425cc for a rough estimate. I was able to see one of his patients 3 days post op during that consultation and was impressed by not only his work but the wonderful testimonial that patient had.

During my pre op appointment another patient was willing to show her progress, and she was 3months post op. Seeing the two patients, in various stages of healing time gave me a good indication on what my process would be like. On the day of the surgery, the team at the surgical center was so professional, pleasant and knowledgeable. I was nervous and everyone put me at ease and made me feel comfortable. The doctor and I discussed my desired results, and since I had very little to work with (I was a 32 B) he explained he would do everything he could to get me my desired size (425 cc) to achieve roughly a full C, small D. Happily, he was able to do more, which ended up giving me 457cc silicone gel implant.

I can’t say enough about how thorough and thoughtful his entire staff has been. I received a phone call every day for 2 weeks after surgery, and every question or concern was addressed. I had my follow up appointment 4 days after surgery and was beyond impressed with the minimal swelling and ZERO bruising I had! I had another follow up appointment the next week and saw even more improvement on reduced swelling and healing. I was shown massage techniques to start helping the implant to settle into the pocket. Now, 3 weeks after surgery I finally had the white steri strip bandages removed from the incisions and I cannot begin to tell you what a relief it was to see how minimal my scar is! The healing process has already begun and I know my results will continue to improve. Anyone who is considering breast augmentation needs to visit Dr. Pousti. He is sincere and genuine, truly wants the best outcome for his patients and it shows in his work!

Pros: Knowledgable, professional and confident. Truly caring staff. Great follow through.

Cons: the only downside I have experienced is I have a weak stomach for anesthesia and was vomiting my first 24hrs. However, the staff at the office was helpful in giving us tips to help subside my nausea.

So far, I can already tell I have more confidence. I feel my body is the way it should have been, much more proportionate and I can’t wait for bikini season!

Thank you Dr Pousti for everything you have done to add to my life!”

The Surgical Procedure

The procedure takes approximately two hours. Placement of the implant is usually centered on the nipple-areola. Often, placement above or below the muscle is decided on an individual basis. Likewise, the incisions used to place the implant vary with patient preference and anatomy. The surgery is performed in a state of the art outpatient surgical center under general anesthesia. The size and type of implant to be used, along with their relative advantages will be discussed with your doctor at the pre-operative appointment.

San Diego Plastic Surgeon Video, Dr. Tom Pousti

Watch this video to learn more about the breast augmentation procedure at Prime Plastic Surgery.

What To Expect After The Surgery

Rest in bed is the order of the day, along with plenty of fluids and no aggravation. During the first week, a brassiere will be fitted and you will be permitted to shower, perhaps as quickly as two to three days post-op. Initially, the breasts will appear to be slightly higher than normal. Over three to six weeks the implant will descend to a more natural position. 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.

This is an actual patient of Dr. Pousti

Resumption of Physical Activities

After one week of resting at home, “normal activities” such as driving, working, socializing may be resumed, except NO exercise or sports for two to six weeks. It is very important to follow these guidelines, since it is possible to shift the implants to an abnormal position if exercise or physical activity is resumed too soon.

Breast augmentation and breast lift are not the same procedures. Dr. Pousti has also treated many San Diego and La Jolla breast lift patients. Pousti plastic surgery also now has a breast lift La Jolla office where he sees La Jolla cosmetic surgery patients.

In addition to breast enhancement procedures, Dr. Pousti also performs liposuction and tummy tuck. Many San Diego and La Jolla breast augmentation patients have chosen to undergo liposuction and tummy tuck, along with the breast enlargement procedure. Please visit the liposuction and tummy tuck pages of this website to learn more about these procedures. Dr. Pousti is a La Jolla plastic surgery specialist who has treated many San Diego and La Jolla liposuction patients.

This is an actual patient of Dr. Pousti

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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