Case #1670 · Brentwood, CA
Liposuction
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This 53-year-old patient from Brentwood, CA felt he had a double chin and disliked the excess fat around his neck. Dr. Cassileth performed Slimlipo on his neck.
Continued care
Recommended aftercare, skincare, and MedSpa services for Liposuction.
- Compression garment continuously for 4 weeks, daytime for an additional 4 weeks
- Lymphatic drainage massage starting week 1
- Walking encouraged from day 1; cardio at week 3
- Massage technique taught to maintain even contour during the swelling phase
- Hyperbaric Oxygen Therapy to support healing when recommended
- Body hydration protocol on the contoured areas
- SkinCeuticals C E Ferulic on incision site scars
- SPF 50+ on incision site scars for 12 months
- Indiba radiofrequency for skin retraction during the first 8 weeks
- Lymphatic drainage weekly for the first month
- Laser or microneedling for skin tightening at 3 months if needed
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.
- Stage essentials at hip height, phone charger, water, medications, snacks, to limit reaching and bending in the first week.
- 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.
- 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.
- Week 2
Walking distance doubles. Showering rules relax. Compression garments transition to the long-wear schedule.
- Week 4
Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.
- Week 6
The "back to normal" week for most patients. Final compression schedule transitions to optional.
- Month 3
Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.
