Case #1542 · San Diego, CA
Fat Transfer Breast Augmentation
Drag the handle to compare. Click anywhere to jump.
Additional views
This 31-year-old patient from San Diego, CA was presented with severe breast asymmetry. Dr. Cassileth performed fat grafting breast augmentation, taking fat from her torso and transferring it into her right breast. She loves her new breasts and symmetry.
Continued care
Recommended aftercare, skincare, and MedSpa services for Fat Transfer Breast Augmentation.
- No pressure on the breasts for 3 weeks — graft survival depends on tissue contact preservation
- No bra with underwire for 6 weeks
- Walking encouraged; cardio at week 4
- Liposuction donor sites: compression garment for 4–6 weeks
- Hyperbaric Oxygen Therapy to support healing when recommended
- Hydrating body protocol on liposuction sites
- SkinCeuticals C E Ferulic on liposuction incision site scars
- Massage at donor sites starting week 3 to break down residual edema
- Hyperbaric oxygen therapy when recommended — improves fat graft survival
- Indiba radiofrequency on donor sites for tissue tightening
- LED light therapy to reduce bruising
- Skincare
Sun avoidance and SPF protocol extended through month 12 to minimize scar hyperpigmentation.
Younger skin pigments scars more reliably under sun exposure.
Why this approach
The decisions that shaped this surgical plan.
- Single-side procedure. The non-operated side anchors the symmetry target; technique choice reflects what's needed to match it.
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.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- No overhead clothing for 3 weeks. Stock front-zip tops, supportive sports bras (post-clearance), and the drain pouches we provide.
- 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.
- 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
Most patients consider this the "final result emerges" milestone. The remaining 10 percent of refinement plays out through month 6.
