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Cassileth Plastic Surgery

Case #1568 · Culver City, CA

Fat Transfer Breast Augmentation

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

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Additional views

Oblique
Case 1568 — Oblique before
Before — Oblique
Case 1568 — Oblique after
After — Oblique
Side
Case 1568 — Side before
Before — Side
Case 1568 — Side after
After — Side

This 35-year-old patient from Culver City, CA has health problems including GI problems and was diagnosed with multiple autoimmune deficiencies and other issues.had bilateral removal of breast implants.

Continued care

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

Aftercare protocol
  • No pressure on the breasts for 3 weeks — graft survival depends on tissue contact preservation
  • No bra with underwire for 6 weeks
  • Walking encouraged; cardio at week 4
  • Liposuction donor sites: compression garment for 4–6 weeks
  • Hyperbaric Oxygen Therapy to support healing when recommended
Skincare
  • Hydrating body protocol on liposuction sites
  • SkinCeuticals C E Ferulic on liposuction incision site scars
  • Massage at donor sites starting week 3 to break down residual edema
MedSpa services
  • Hyperbaric oxygen therapy when recommended — improves fat graft survival
  • Indiba radiofrequency on donor sites for tissue tightening
  • LED light therapy to reduce bruising
Specific to this case
  • Aftercare

    Bilateral HBOT protocol, 10–15 sessions over the first 6 weeks.

    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.

  • Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
  • Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
  • Arrange button-front or zip-front tops for the first three weeks, overhead reaching is restricted. A drain holder or apron is provided.
  • 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

    First week is the strictest activity window. Bilateral cases benefit most from staying ahead of swelling with consistent icing and rest.

  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?

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