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Cassileth Plastic Surgery

Case #1474 · Studio City, CA

Breast Augmentation

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

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Additional views

Oblique
Case 1474 — Oblique before
Before — Oblique
Case 1474 — Oblique after
After — Oblique
Side
Case 1474 — Side before
Before — Side
Case 1474 — Side after
After — Side

This 37-year-old patient from Studio City, CA originally had implants put in at the age of 18. After experiencing capsular contracture, she underwent an implant removal and replacement with another surgeon, unfortunately developin

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
  • 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.

  • Surgical plan calibrated against the opposite side. Final shape, scar position, and volume targeted to match, not to a generic ideal.

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.
  • Full nicotine cessation 6 weeks pre- and post-op. This includes vapes and nicotine replacement products; the constriction effect is the same.
  • No overhead clothing for 3 weeks. Stock front-zip tops, supportive sports bras (post-clearance), and the drain pouches we provide.
  • 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

    Rest, hydration, and short ambulation. Most patients are off prescription pain medication by day 4.

  2. Week 2

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

  3. Week 4

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

  4. Week 6

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

  5. Month 3

    Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.

Considering this procedure?

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

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