Case #1501 · Malibu, CA
Breast Lift
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This 45-year-old patient from Malibu, CA desired perkier breasts after having children and to address tuberous breast deformity. Dr. Cassileth performed a mastopexy with pocket lift using an absorbable mesh placement, reduction of residual axillary fat with liposuction, and fat g
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
- Coordination
Post-pregnancy hormonal context reviewed for both medication selection and recovery pacing.
Post-pregnancy hormonal shifts influence healing and skin behavior.
Why this approach
The decisions that shaped this surgical plan.
- Post-pregnancy changes, tissue laxity, muscle separation, and skin behavior, were the central planning inputs. The technique was selected to address each, not just the cosmetic surface.
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.
- Day-of transport and an overnight companion (24 hours minimum) are required for discharge.
- For nursing patients, surgery is scheduled after weaning. Iron and thyroid panels checked pre-op to support healing.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- Day 1–7
Rest, hydration, and short ambulation. Most patients are off prescription pain medication by day 4.
- Week 2
Walking distance doubles. Showering rules relax. Compression garments transition to the long-wear schedule.
- Week 4
Return to most low-impact activity. Scar massage, compression, and skincare protocols pick up.
- Week 6
Most physical restrictions lift. Return to strength training, full-impact cardio, and overhead lifting.
- Month 3
Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.
