La Jolla / San Diego Cosmetic Surgeon Dr. Tom Pousti Talks About Tailor Tacking

Description Tailor Tacking is a technique that is used by plastic surgeons as a way to preview the potential results of surgery before any final incisions are made. This technique is most commonly used during breast lifting surgeries and breast reductions. Tailor Tacking Technique Prior to the surgery being performed measurement of the patients breasts are taken and markings are made.  These markings are used to ensure symmetry and help the surgeon know where incisions should be located.

Before Surgery

After all measurements and markings are made, a sizer implant is placed into the breast pocket and the skin is then temporarily fastened together prior to making final incisions and suture fixation.

The use of the Tailor Tacking technique prevents errors in nipple-areolar placement and is a very important part of the mastopexy procedure. It ensures that the right amount of skin is removed during the surgery. If too much skin is removed during a breast lift with implants it can limit the size of the implant that is going to be used and can cause tension on the incision lines during closure and healing. This could then result in further surgery due to wound healing problems and possible implant exposure. If not enough skin is removed during the lift the patient can be left with loose skin and be unhappy with their results.

Immediately after surgery

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What To Expect After Surgery Pain is rarely strong, more commonly being a degree of discomfort. Swelling occurs but usually begins to subside by the third or fourth day. Some degree of swelling may persist for longer periods. A well-fitted bra is worn day and night for four weeks. While there is probably seldom interference with future breast feeding, women are cautioned that it may not be possible to breast feed in the future. Resumption Of Physical Activities Driving may be resumed in 2 weeks. Sexual activity in 2 weeks. Non-contact sports in 3 weeks. Contact sports in 6 weeks. TESTIMONIAL: I never really thought that I was the type of person who would get plastic surgery done. My body was far from being perfect, but I was comfortable with the way that I looked and never saw the need for surgical intervention. Having four kids completely changed that. My once flat stomach had turned into a wrinkly mess. My abdominal muscles had completely stretched so it looked like I had a big belly, even though I had lost all of my pregnancy weight. I breastfed all four of my children so my breasts looked deflated. Prior to having children, I never had to worry about clothes – but now I had to think about how best to hide my stomach or pick tops that didn’t accentuate my saggy breasts. I was exercising every day, eating only healthy foods and soon was back down to my pre-pregnancy weight. I was thrilled but still so disappointed because there was nothing I could do about the extra skin on my stomach or my saggy breasts. Even my doctor said that I could do a million sit ups a day but nothing but surgery could get rid of the wrinkles and extra skin on my stomach. So, after discussing it with my husband, I decided to have plastic surgery. I had heard about Dr. Pousti through a friend of mine. After meeting him I knew that he was the right doctor for me. He was extremely professional and understanding. His staff was all so friendly. One of the things that helped me in choosing Dr. Pousti as my surgeon was the fact that he introduced me to previous patients who had had similar surgeries done. I was able to see actual patients and not just pictures. It was so helpful to see his work and talk to patients about their experiences. After leaving Dr. Pousti’s office after that first visit, I knew that he was the doctor for me. I ended up getting a tummy tuck, breast lift and breast augmentation. The surgery itself was uneventful. Everything went smoothly and I had no complications. The hardest part was not being able to pick up my children for almost 4 weeks after the surgery. Dr. Pousti and his staff were absolutely amazing. They walked me through the whole process and followed up with phone calls almost twice a week. They were sincere and genuine in their concern for my well-being. The girls in his office are so warm and caring – I actually looked forward to my follow-up visits – his staff made the appointments so enjoyable. It’s been 4 months since my surgery and I can honestly say that it’s been life-changing. I was prepared for the physical changes that occurred but was not at all prepared for the emotional changes. I have so much more self-confidence than I had after having my children. Even my husband noticed and said that I exuded a confidence that he hadn’t seen in a while. I know that a person’s self-worth shouldn’t be found in one’s physical appearance. However, I think that if you’re unhappy about something about yourself (whether it be a physical or character trait) you should work to change it. I had done all that I could to change my problem areas – I just needed a little assistance to complete it. I’m absolutely and completely thrilled about my new body. I feel just like I did before having kids. I owe everything to Dr. Pousti and his wonderful staff. I feel completely indebted to him for giving me a part of my identity back. Thank you Dr. Pousti. Your kindness, hard work, and professionalism will forever be appreciated. TESTIMONIAL: OK, so we have all been there or we wouldn’t be here. We’ve sat on the beach next to our man and caught him catching a glimpse of a girl in the bikini and wished we were her or at least built like her. Nice shape and all. We are the ones at the swimming pool covered up with the oversized towel to hide what time has either taken away or maybe didn’t give us to start with. I WAS ONE OF THOSE WOMEN. After having several children, my body was definately lacking what once was. But at my age, I thought I was crazy for even thinking about having plastic surgery. I thought long and hard about it and met with several specialists. It was not until I met Dr. Pousti that I was sure this was the right thing to do. Right from the start, Dr. Pousti made it clear to me that he would not do the surgery for my husband’s sake. He would do it if it was for me. I did not know how much it would change my life. Dr. Pousti made me feel so comfortable from the very first visit to his office. His staff was very professional and made me feel very comfortable the way they helped me with the scheduling, the paperwork and the appointments. It was after my first visit with Dr. Pousti that I made the decision to go ahead with surgery. I FEEL LIKE A NEW WOMAN. My confidence is way beyond my expectations! I am proud of my body! Thanks to help from Dr. Pousti, I love the way I see myself when I look in the mirror. I have the confidence in myself that I haven’t had in many years. I thank God for Dr. Pousti, for giving me my woman-hood back. To all of you reading this letter, all I can say is, you are in the right place with the right doctor. GO FOR IT! and enjoy life the way that I am finally enjoying it!!! ~C.E.Wilson

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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