Case #1435 · Los Angeles, CA
Breast Augmentation
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This 37-year-old patient from Los Angeles, CA had bilateral subpectoral silicone implant augmentation with Allergan SCM 210cc performed by Dr. Cassileth.
Continued care
Recommended aftercare, skincare, and MedSpa services for Breast Augmentation.
- 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
- Medical-grade silicone sheeting on incisions starting week 3
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incision sites for 12 months
- Laser or microneedling for scar refinement after 3 months
- LED light therapy to reduce post-op swelling
- Indiba radiofrequency for tissue recovery
- Aftercare
Hyperbaric oxygen series extended to 10–15 sessions for bilateral tissue support.
Bilateral procedures heal more reliably with sustained HBOT.
- Skincare
Aggressive sun protection on incision lines through the first 12 months.
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.
- Stop NSAIDs, aspirin, and high-dose fish oil two weeks before surgery; the surgical team provides a full medication list at the pre-op visit.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- Arrange button-front or zip-front tops for the first three weeks, overhead reaching is restricted. A drain holder or apron is provided.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- 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.
- Week 2
Activity ramps up cautiously: longer walks, no lifting yet. Most patients return to desk work this week.
- Week 4
Light cardio and most desk-work activities cleared. Lifting limit increases to 15 lb. Scar massage typically starts now.
- Week 6
The "back to normal" week for most patients. Final compression schedule transitions to optional.
- Month 3
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
