Case #1483 · Venice, CA
Breast Lift
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This 33-year-old mother of twins from Venice, CA felt her breasts were saggy and deflated after breastfeeding. Dr. Cassileth performed a bilateral breast lift to address the excess skin on her breasts; the after photos are 8 weeks after her procedure, when she was still healing b
Continued care
Recommended aftercare, skincare, and MedSpa services for Breast Lift.
- Compression bra continuously for 6 weeks
- Sleep elevated on your back for the first 2 weeks
- No upper-body resistance training for 6 weeks
- Scar management protocol at 3 weeks (anchor or lollipop pattern)
- Hyperbaric Oxygen Therapy to support healing when recommended
- Medical-grade silicone sheeting on the full incision pattern
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on all incisions for 12 months
- Laser or microneedling along the vertical and inframammary scars after 3 months
- LED light therapy to accelerate healing
- Lymphatic massage starting week 2
- Aftercare
Extended hyperbaric oxygen course (10–15 sessions) to support bilateral healing.
Bilateral procedures heal more reliably with sustained HBOT.
- Coordination
Post-pregnancy hormonal context reviewed for both medication selection and recovery pacing.
Post-pregnancy hormonal shifts influence healing and skin behavior.
- Skincare
SPF 50+ on incisions daily for the first year; younger skin pigments scars more reliably under UV.
Younger skin pigments scars more reliably under sun exposure.
Why this approach
The decisions that shaped this surgical plan.
- Pregnancy-related anatomy informs the plan: rectus separation, skin laxity, and breast tissue volume change all factor in.
- Bilateral breast lift 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.
- 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.
- Front-closing clothing only for 3 weeks. Drain holders and supportive surgical bras are issued at discharge.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
- Hormonal stability and lab values confirmed before surgery. Nursing-friendly scheduling and meds are coordinated when relevant.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- 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.
- Week 2
Walking distance doubles. Showering rules relax. Compression garments transition to the long-wear schedule.
- Week 4
Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.
- Week 6
The "back to normal" week for most patients. Final compression schedule transitions to optional.
- Month 3
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
