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Cassileth Plastic Surgery

Case #1429 · Los Angeles, CA

Breast Augmentation

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

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Additional views

Oblique
Case 1429 — Oblique before
Before — Oblique
Case 1429 — Oblique after
After — Oblique
Side
Case 1429 — Side before
Before — Side
Case 1429 — Side after
After — Side

This 30-year-old patient from Los Angeles, CA had bilateral silicone implant augmentation with 265cc implants. Post photo are 10 months after surgery.

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.

  • 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 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.

  • 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.
  • 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.
  • 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

    Both sides healing in parallel means the early phase is quieter, short walks, full rest periods, and no driving until off pain medication.

  2. Week 2

    Walking distance doubles. Showering rules relax. Compression garments transition to the long-wear schedule.

  3. Week 4

    Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.

  4. Week 6

    The "back to normal" week for most patients. Final compression schedule transitions to optional.

  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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