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Cassileth Plastic Surgery

Case #1439 · 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 1439 — Oblique before
Before — Oblique
Case 1439 — Oblique after
After — Oblique
Side
Case 1439 — Side before
Before — Side
Case 1439 — Side after
After — Side

This 37-year-old patient from Studio City, CA originally had implants put in at the age of 18. After experiencing capsular contracture, she underwent an implant removal and replacement with another surgeon, unfortunately developing capsular contracture a second time. While breast

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
  • Skincare

    SPF 50+ on incisions daily for the first year; younger skin pigments scars more reliably under UV.

    Younger skin pigments scars more reliably under sun exposure.

Why this approach

The decisions that shaped this surgical plan.

  • Unilateral case, the contralateral side was reviewed pre-op for symmetry goals. The technique was selected to match the untreated side in volume, shape, and position.

Pre-op preparation

What to do before surgery. Specific to this case.

  • Discontinue blood thinners (NSAIDs, aspirin, fish oil, vitamin E) two weeks out. Acetaminophen remains safe; the full list is reviewed at pre-op.
  • No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
  • Front-closing clothing only for 3 weeks. Drain holders and supportive surgical bras are issued at discharge.
  • 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.

  1. Day 1–7

    Rest, hydration, and short ambulation. Most patients are off prescription pain medication by day 4.

  2. Week 2

    Walking distance doubles. Showering rules relax. Compression garments transition to the long-wear schedule.

  3. Week 4

    Return to most low-impact activity. Scar massage, compression, and skincare protocols pick up.

  4. Week 6

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

  5. Month 3

    Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.

Considering this procedure?

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

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