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This 27-year old patient from San Diego, California has a mild case of gynecomastia (large breasts in males). He was very self-conscious of the appearance of his chest. He found Dr. Pousti, experienced plastic surgeon in San Diego.


The patient was very impressed with Dr. Pousti’s experience and the excellent results he had achieve for other gynecomastia patient. He met with Dr. Pousti to discuss his concerns and surgery options.


Liposuction was used to remove most of the breast tissue with a small incision under the areola. Some skin under the incision area was also removed to prevent the skin from looking “saggy” after liposuction in the areas.

Breast tissue removed from the patient’s chest area.
He is now only 5-days post-op surgery and is very satisfied with his results.
This 27-year old patient from San Diego, California was uncomfortable with the appearance of his chest. The patient has a mild case of gynecomastia (large breasts in males).


He met with Dr. Pousti to discuss his concerns and surgery options. The patient was very impressed with Dr. Pousti’s experience and excellent results he had achieve for other gynecomastia patient and was very confident that Dr. Pousti is the Best Surgeon for him.


Liposuction was used to remove most of the breast tissue with a small incision under the areola. Some skin under the incision area was also removed to prevent the skin from looking “saggy” after liposuction in the areas.

Breast tissue removed from the patient along with liposuction.
He is now only 5-days post-op surgery and is very satisfied with his results.
This patient was interested in Liposculpture for several years to contour his mid-section.
After losing the desired amount of weight, the patient decided to have liposuction for improvement of body contour. He was happy with the weight he has lost, however he was unhappy the isolated fatty tissue around his abdomen and have tried multiple diets and exercise programs. Certain problem areas remain.

Years after surgery, the patient still looks great in his abdomen area.


Since surgery, he has lost more weight and is extremely happy with his results.
This patient was very uncomfortable with his abdomen and sides, he wanted to have liposuction surgery to contour his abdomen area. He is now 9-months post-op surgery and is very happy with her new and improved body structure. Liposuction surgery was performed around his abdomen, flanks, and back.
This 38-year old patient was interested in sculpting his abdomen area with liposuction surgery. Even with regular exercise, the patient was unable to achieve the abdominal appearance is desires. His wife who is a patient of Dr. Pousti, recommend him.

He was very comfortable with Dr. Pousti and knew that he would take care of him like he took care of his wife. The patient decided to proceed with surgery.

For large isolated fatty areas, tumescent liposuction technique was used. This technique uses a micro-cannula, with a very small, one quarter of an inch in length incision and is placed in inconspicuous skin folds.
The patient is 2-months post-op lipo-sculpture of the lower abdomen and flanks (love handles). He is very happy with his results.
This 34-year old patient from Oceanside, California (North County San Diego) did not like the appearance of his mid-section, he met with Dr. Pousti to discuss liposculpture. The patient is 3-months post-op liposuction of his upper body.


For large areas, Dr. Pousti used the tumescent liposuction technique. This technique uses a micro-cannula, which allows a more targeted, and controlled fatty tissue removal. This allows the surgeon to contour the area more effectively.
The areas sculpted were the chest, abdomen, flanks (love handles) and back. He is extremely pleased with his results.
This patient was unhappy with the appearance of his abdomen section. The patient diets and exercises regularly, but even with his efforts, he is unable to create the abdomen he desires. The patient is healthy and is a great candidate for liposculpture.


The patient is now 1-year post-op surgery and is extremely happy with his results.
This patient was unhappy with his mid-section, he was uncomfortable the the appearance of excess isolated fat tissue around his abdomen and sides. He met with Dr. Pousti several times to discuss cosmetic surgery options and decided to proceed with liposuction surgery.


The patient is now 4-months post-op surgery and loves his results
| This 30-year old patient from San Diego, California was unhappy with the appearance of his chest. He had gynecomastia (a condition in which males develop enlargement of the breasts). He was referred to Dr. Pousti by his girlfriend. After meeting with Dr. Pousti, the patient was confident that he had found the best plastic surgeon for his needs.


Gynecomastia affects an estimated 40% to 60% of men. It may affect only one breast or both. Dr. Pousti is a Board Certified Plastic Surgeon that has experience in performing liposuction for men. Patients are required to wear a compression vest to help minimize swelling for atleast 4 weeks, depending on the severity and complexity of each case.

Markings were carefully made prior to surgery. The lines represent the areas where the tissue will be removed to improve the contour of the chest. The patient also wanted to reduce the size of his areolas.

An incision around the areola was made and the surrounding excess skin were removed. Liposuction was used to remove excess glandular tissue around and near the aerola.

Here is the adipose tissue and excess skin removed from each chest.

The patient was placed in the upright position to confrim size and symmetry. The “puckering” in the incision areas will smooth out with time to show a smooth chest wall once the internal sutures dissolve. Final results could take up to 6-8 months.

(Intra-Operative) Before

(Intra-Operative) Immediately After Surgery
The patient is now 2-months post-op male breast reduction surgery(gynecomastia) and is extremely happy with his results.
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This 49-year-old male wanted liposuction of the abdomen and flanks. The patient suffered from exercise and diet resistant fat in the abdominal region and flanks, even though he lived a very active lifestyle. The “love handle” areas really bothered him and so he looked into liposuction to improve his shape and waist.
The patient set up a consultation with Board-Certified Plastic Surgeon, Dr. Pousti in San Diego to discuss his options and make sure he as a good candidate for the procedure. During his initial consultation, Dr. Pousti found him to be an excellent candidate for liposuction considering he had very good skin elasticity in the proposed areas. He felt very comfortable with the Dr. and liked that he was able to review before and after pictures of patients who had had the same procedure. The risks and complications of the procedure, as well as the expected outcome and benefits were reviewed with the patient. He left the office feeling very well-informed and decided to proceed with the surgery.
At his pre-operative visit, before pictures were taken. The patient’s medical history is obtained and all of the necessary paperwork is completed including consent forms. Pre-operative and post-operative instructions were discussed with the patient and all of his questions were answered at this time. Post-operative medications including pain medications, antibiotics, anti-nausea meds were all given to the patient to be filled prior to his surgery date.
Dr. Pousti instructed patients to limit strenuous physical activities and to wear a compression garment that covers the areas on which liposuction is performed for at least 4 weeks to help minimize swelling. After surgery it is also very important for patients to massage any malleable areas to avoid any irregularities of the liposuction areas.
As you can see, he had a dramatic improvement, especially in the flank areas. In these pictures the patient is approximately 3 months post op. His final results may take up to a year to see. The contour continues to improve as well as the elasticity of the skin.
Dr. Pousti keeps a close eye on his patients and follow-up with them several times throughout the year to make sure they are healing correctly.
3 months post op liposuction of the abdomen and flanks area (love handles).
Because of the good elasticity of this patient’s skin, liposuction achieved what the patient was looking for.
The “love handle” area has improved significantlyand the patient is very happy with his results.
Testimonial:
I am a 50 year old man and recently underwent a liposuction procedure. I was very frustrated with my waistline; guys tend to accumulate extra pounds around the waist. Some call them love handles, but I didn’t. No matter how much I dieted and exercised, I could not loose the extra weight around my waist. I have always been very athletic. I exercised 5-6 times a week and weighed less than I did in high school but still could not put on jeans that I could wear just a few years ago. The appearance was not want I wanted and it looked and felt way out of proportion. Last year my wife had a breast augmentation procedure performed by Dr. Pousti and after seeing the great results there; I explored the possibility of liposuction and am extremely happy I did. I underwent the procedure on a Thursday and returned to work the following Tuesday. The results are great; it is everything I had hoped for. After years of frustration, it was all gone in just two hours. I can now see the muscle I always knew was there.
Dr. Pousti and his staff are very warm, friendly and helpful and they all did a great job. I am very pleased with the outcome and would recommend it to others. I have no regrets and would do it all over again; in fact I wonder why I waited so long. This experience has definitely changed my viewpoint on plastic surgery.
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