Skip to content
Cassileth Plastic Surgery

Case #1495 · Marina Del Rey, CA

Breast Lift

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

Drag the handle to compare. Click anywhere to jump.

Additional views

Oblique
Case 1495 — Oblique before
Before — Oblique
Case 1495 — Oblique after
After — Oblique
Side
Case 1495 — Side before
Before — Side
Case 1495 — Side after
After — Side

This 55-year-old patient from Marina Del Rey, CA had saline implants under the muscles that are now too big. A bilateral removal of implants, fat grafting with lift was performed.

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.

  • 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.
  • 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.

Recovery timeline

Milestones specific to this case. Individual recovery varies.

  1. Day 1–7

    Bilateral healing takes a slower start. Expect more chest-wall fatigue through day 5 and a stricter no-lifting rule for the first 10 days.

  2. Week 2

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

  3. Week 4

    Light cardio and most desk-work activities cleared. Lifting limit increases to 15 lb. Scar massage typically starts now.

  4. Week 6

    The "back to normal" week for most patients. Final compression schedule transitions to optional.

  5. Month 3

    Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.

Considering this procedure?

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

Request a consultation