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Cassileth Plastic Surgery

Case #1617 · Las Vegas, Nevada

Breast Reduction

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

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Additional views

Oblique
Case 1617 — Oblique before
Before — Oblique
Case 1617 — Oblique after
After — Oblique
Side
Case 1617 — Side before
Before — Side
Case 1617 — Side after
After — Side

Age: 55, from Las Vegas, Nevada. Patient complained of large, heavy breasts and asymmetry. Breast Reduction was performed.

Continued care

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

Aftercare protocol
  • Surgical bra continuously for 6 weeks
  • Sleep elevated on your back; no side or stomach sleeping for 4 weeks
  • Drains typically removed at days 5–7
  • Scar management protocol at 3 weeks
  • Hyperbaric oxygen therapy in early recovery when recommended, to support wound healing and reduce swelling and bruising
Skincare
  • Medical-grade silicone sheeting on the anchor or lollipop incisions
  • SkinCeuticals C E Ferulic for scar healing
  • SPF 50+ on incisions for 12 months
  • Hydrating body protocol while skin retracts
MedSpa services
  • Laser or microneedling for scar refinement after 3 months
  • LED light therapy weekly for the first 8 weeks
  • Lymphatic drainage starting week 2

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.
  • 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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