Case #1437 · San Clemente, CA
Breast Augmentation
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This 18-year-old patient from San Clemente, CA had severe tuberous breasts. With one breast and A cup and the other a D cup, the breasts were extremely asymmetrical, causing the patient both emotional distress and physical discomfort. Dr. Cassileth performed a breast reduction on
Continued care
Recommended aftercare, skincare, and MedSpa services for Breast Augmentation.
- 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
- Medical-grade silicone sheeting on incisions starting week 3
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incision sites for 12 months
- Laser or microneedling for scar refinement after 3 months
- LED light therapy to reduce post-op swelling
- Indiba radiofrequency for tissue recovery
- 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.
- Single-side procedure. The non-operated side anchors the symmetry target; technique choice reflects what's needed to match it.
Pre-op preparation
What to do before surgery. Specific to this case.
- Aspirin, ibuprofen, vitamin E, and fish oil discontinued 14 days pre-op to reduce bruising risk. Acetaminophen is allowed.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- 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.
- 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
Tissue softens, scars begin to fade, and overall shape settles toward final. Scar maturation continues for another 6 months.
