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Cassileth Plastic Surgery

Case #1486 · 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 1486 — Oblique before
Before — Oblique
Case 1486 — Oblique after
After — Oblique
Side
Case 1486 — Side before
Before — Side
Case 1486 — 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 developin

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

    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.

  • 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.

  • 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.
  • Confirm a driver for surgery day and a companion who can stay through the first night.

Recovery timeline

Milestones specific to this case. Individual recovery varies.

  1. Day 1–7

    Light activity, hydration, and elevation. Expect peak swelling between days 3 and 5, then a gradual easing through the end of the week.

  2. Week 2

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

  3. Week 4

    Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.

  4. Week 6

    The "back to normal" week for most patients. Final compression schedule transitions to optional.

  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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