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Cassileth Plastic Surgery

Case #1428 · Brentwood, CA

Breast Augmentation

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

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Additional views

Oblique
Case 1428 — Oblique before
Before — Oblique
Case 1428 — Oblique after
After — Oblique
Side
Case 1428 — Side before
Before — Side
Case 1428 — Side after
After — Side

This 47-year-old patient from Brentwood, CA is a mother of 2 and desired fuller breast again after breast feeding. She had bilateral breast augmentation with 265cc silicone implants. She is feeling confident and comfotable with fuller and younger looking breasts.

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
  • Aftercare

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

    Bilateral procedures heal more reliably with sustained HBOT.

Why this approach

The decisions that shaped this surgical plan.

  • Bilateral breast augmentation performed in one operative session so symmetry, tissue handling, and final shape track between both sides.

Pre-op preparation

What to do before surgery. Specific to this case.

  • Discontinue blood thinners (NSAIDs, aspirin, fish oil, vitamin E) two weeks out. Acetaminophen remains safe; the full list is reviewed at pre-op.
  • Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
  • Front-closing clothing only for 3 weeks. Drain holders and supportive surgical bras are issued at discharge.
  • 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

    Bilateral healing takes a slower start. Expect more chest-wall fatigue through day 5 and a stricter no-lifting rule for the first 10 days.

  2. Week 2

    Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.

  3. Week 4

    Light cardio and most desk-work activities cleared. Lifting limit increases to 15 lb. Scar massage typically starts now.

  4. Week 6

    Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.

  5. Month 3

    Tissue softens, scars begin to fade, and overall shape settles toward final. Scar maturation continues for another 6 months.

Considering this procedure?

Schedule a consultation with Dr. Cassileth to discuss your goals and explore your options.

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