Case #1672 · Thousand Oaks, CA
Liposuction
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This 29-year-old patient from Thousand Oaks, CA desired a flatter midsection. Dr. Cassileth performed liposuction to her stomach and flanks.
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
- Skincare
Sun avoidance and SPF protocol extended through month 12 to minimize scar hyperpigmentation.
Younger skin pigments scars more reliably under sun exposure.
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.
- Set up a recovery zone with easy access to water, medication, and comfortable seating. Avoid stairs when possible the first 72 hours.
- 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
Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.
- Week 4
Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.
- Week 6
Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.
- Month 3
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
