Case #1584 · Pacific Palisades, CA
Fat Transfer Breast Augmentation
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This 40-year-old patient from Pacific Palisades, CA wanted to restore volume after having her breast implants removed. Dr. Cassileth performed fat transfer to the breasts.
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
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.
- 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
Activity ramps up cautiously: longer walks, no lifting yet. Most patients return to desk work this week.
- Week 4
Return to most low-impact activity. Scar massage, compression, and skincare protocols pick up.
- Week 6
Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.
- Month 3
Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.
