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Cassileth Plastic Surgery

Case #1430

Breast Augmentation

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

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Additional views

Oblique
Case 1430 — Oblique before
Before — Oblique
Case 1430 — Oblique after
After — Oblique
Side
Case 1430 — Side before
Before — Side
Case 1430 — Side after
After — Side

This 30-year-old patient had tuberous breasts, and she also disliked the large size of her nipples. She had bilateral breast augmentation with nipple reduction. She is so excited to have larger breasts with smaller nipples, with the exact shape and size she was hoping for.

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

    Sun avoidance and SPF protocol extended through month 12 to minimize scar hyperpigmentation.

    Younger skin pigments scars more reliably under sun exposure.

Why this approach

The decisions that shaped this surgical plan.

  • Bilateral approach chosen to keep the planning, the tissue response, and the aesthetic outcome consistent between 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.
  • Nicotine in any form, cigarettes, vapes, patches, gum, paused six weeks before and six weeks after surgery. Nicotine narrows blood vessels and slows wound healing.
  • No overhead clothing for 3 weeks. Stock front-zip tops, supportive sports bras (post-clearance), and the drain pouches we provide.
  • Day-of transport and an overnight companion (24 hours minimum) are required for discharge.

Recovery timeline

Milestones specific to this case. Individual recovery varies.

  1. Day 1–7

    First week is the strictest activity window. Bilateral cases benefit most from staying ahead of swelling with consistent icing and rest.

  2. Week 2

    Activity ramps up cautiously: longer walks, no lifting yet. Most patients return to desk work this week.

  3. Week 4

    Return to most low-impact activity. Scar massage, compression, and skincare protocols pick up.

  4. Week 6

    Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.

  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?

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