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Cassileth Plastic Surgery

Case #1431 · Studio City, CA

Breast Augmentation

Dr. Lisa Cassileth · Founder, Cassileth Plastic Surgery
Before
After
Before · FrontAfter · Front

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Additional views

Oblique
Case 1431 — Oblique before
Before — Oblique
Case 1431 — Oblique after
After — Oblique
Side
Case 1431 — Side before
Before — Side
Case 1431 — Side after
After — Side

This 39-year-old patient from Studio City, CA had bilateral subpectoral silicone implant augmentation with Allergan SCM 330cc

Continued care

Recommended aftercare, skincare, and MedSpa services for Breast Augmentation.

Aftercare protocol
  • Compression bra continuously for 4 weeks, daytime for 8 weeks
  • No lifting above 10 lb for the first 3 weeks
  • Walking encouraged from day 1; cardio at week 4, full chest workouts at week 6
  • Scar management protocol at 3 weeks
  • Hyperbaric Oxygen Therapy to support healing when recommended
Skincare
  • Medical-grade silicone sheeting on incisions starting week 3
  • SkinCeuticals C E Ferulic for scar healing
  • SPF 50+ on incision sites for 12 months
MedSpa services
  • Laser or microneedling for scar refinement after 3 months
  • LED light therapy to reduce post-op swelling
  • Indiba radiofrequency for tissue recovery
Specific to this case
  • Aftercare

    Hyperbaric oxygen series extended to 10–15 sessions for bilateral tissue support.

    Bilateral procedures heal more reliably with sustained HBOT.

  • Skincare

    Sun avoidance and SPF protocol extended through month 12 to minimize scar hyperpigmentation.

    Younger skin pigments scars more reliably under sun exposure.

Why this approach

The decisions that shaped this surgical plan.

  • Bilateral approach chosen to keep the planning, the tissue response, and the aesthetic outcome consistent between sides.

Pre-op preparation

What to do before surgery. Specific to this case.

  • Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
  • No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
  • No overhead clothing for 3 weeks. Stock front-zip tops, supportive sports bras (post-clearance), and the drain pouches we provide.
  • Day-of transport and an overnight companion (24 hours minimum) are required for discharge.

Recovery timeline

Milestones specific to this case. Individual recovery varies.

  1. Day 1–7

    Bilateral healing takes a slower start. Expect more chest-wall fatigue through day 5 and a stricter no-lifting rule for the first 10 days.

  2. Week 2

    Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.

  3. Week 4

    Light cardio and most desk-work activities cleared. Lifting limit increases to 15 lb. Scar massage typically starts now.

  4. Week 6

    Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.

  5. Month 3

    Tissue softens, scars begin to fade, and overall shape settles toward final. Scar maturation continues for another 6 months.

Considering this procedure?

Schedule a consultation with Dr. Cassileth to discuss your goals and explore your options.

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