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Cassileth Plastic Surgery

Case #1493 · Palm Springs, CA

Breast Lift

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

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This 55-year-old patient from Palm Springs, CA was unhappy with droopy breasts after having three kids and aging. Patient desired smaller, perkier breasts. A bilateral breast lift was performed. Post-op photos were taken at 8 months.

Continued care

Recommended aftercare, skincare, and MedSpa services for Breast Lift.

Aftercare protocol
  • 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
Skincare
  • Medical-grade silicone sheeting on the full incision pattern
  • SkinCeuticals C E Ferulic for scar healing
  • SPF 50+ on all incisions for 12 months
MedSpa services
  • Laser or microneedling along the vertical and inframammary scars after 3 months
  • LED light therapy to accelerate healing
  • Lymphatic massage starting week 2
Specific to this case
  • Aftercare

    Bilateral HBOT protocol, 10–15 sessions over the first 6 weeks.

    Bilateral procedures heal more reliably with sustained HBOT.

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.

  • Discontinue blood thinners (NSAIDs, aspirin, fish oil, vitamin E) two weeks out. Acetaminophen remains safe; the full list is reviewed at pre-op.
  • 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

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

  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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