Case #1513 · Beverly Hills, CA
Breast Augmentation
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This 41-year-old patient from Beverly Hills, CA wanted to address her asymmetrical breasts. She wished to be able to wear bathing suits and strappy tops without worrying about her unevenness. Dr. Cassileth performed a bilateral breast augmentation with saline implants inflated to
Continued care
Recommended aftercare, skincare, and MedSpa services for Breast Augmentation.
- 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
- Medical-grade silicone sheeting on incisions starting week 3
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incision sites for 12 months
- Laser or microneedling for scar refinement after 3 months
- LED light therapy to reduce post-op swelling
- Indiba radiofrequency for tissue recovery
- Aftercare
Extended hyperbaric oxygen course (10–15 sessions) to support bilateral healing.
Bilateral procedures heal more reliably with sustained HBOT.
Why this approach
The decisions that shaped this surgical plan.
- Both sides treated in the same session, symmetric planning, identical tissue handling, and matched final contour are easier to achieve in one operative window than in two.
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.
- 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.
- 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.
