This 29 year old patient had lost a significant amount of weight and was left bothered by her excess abdominal tissue. After completing the hard work of actually loosing the weight, the patient decided it was now time to feel good about herself. She was interested in finding a Plastic Surgeon serving the San Diego area who had extensive experience with patients who had extreme weight loss and found Dr. Pousti’s website.

The patient was not able to diminish her extra/loose skin with exercise. She was bothered by the “droopiness” and unevenness of her breasts, she wanted them more “perky” with the areola placement improved. She and Dr. Pousti discussed how patients who have had massive weight loss have skin elasticity issues and caution must be taken during surgery to achieve their goals.

Although the patient wanted breast implants in addition to breast lifting surgery, San Diego Breast Surgeon Dr. Pousti recommended that things be performed in 2 stages for safety.  The first surgery would include the breast lifting (mastopexy) surgery as well as the extended tummy tuck (abdominoplasty with back lipectomy) and after things have healed, they would perform the breast augmentation portion of the procedure.  The patient was happy with the Breast Surgery Experience of San Diego Surgeon, Dr. Pousti and proceeded with surgery.

Markings and measurements were performed the night before surgery, while Dr. Pousti explained the mastopexy and extended abdominoplasty procedures in detail again with the patient. Very precise measurements were taken for both procedures to ensure as much symmetry as possible.

All measurements are re-checked the morning of surgery prior to the start of the procedure.

In the operating room, after the back lipectomy is completed, the patient is turned onto her back so that the breast and tummy portion of the surgery can be performed.  Below you can see the right breast is being worked on and how nice the placement will be compared to the left breast.

The excess skin that will be removed during the tummy tuck procedure is shown below.

Immediately after surgery.