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Cassileth Plastic Surgery

Case #1588 · Beverly Hills, California

Breast Reduction

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

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Oblique
Case 1588 — Oblique before
Before — Oblique
Case 1588 — Oblique after
After — Oblique

This 25-year-old patient from Beverly Hills, California complained over back pain, shoulder pain and bra grooving. A breast reduction and breast lift was performed.

Continued care

Recommended aftercare, skincare, and MedSpa services for Breast Reduction.

Aftercare protocol
  • Surgical bra continuously for 6 weeks
  • Sleep elevated on your back; no side or stomach sleeping for 4 weeks
  • Drains typically removed at days 5–7
  • Scar management protocol at 3 weeks
  • Hyperbaric oxygen therapy in early recovery when recommended, to support wound healing and reduce swelling and bruising
Skincare
  • Medical-grade silicone sheeting on the anchor or lollipop incisions
  • SkinCeuticals C E Ferulic for scar healing
  • SPF 50+ on incisions for 12 months
  • Hydrating body protocol while skin retracts
MedSpa services
  • Laser or microneedling for scar refinement after 3 months
  • LED light therapy weekly for the first 8 weeks
  • Lymphatic drainage starting week 2
Specific to this case
  • Skincare

    SPF 50+ on incisions daily for the first year; younger skin pigments scars more reliably under UV.

    Younger skin pigments scars more reliably under sun exposure.

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.
  • 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.

Recovery timeline

Milestones specific to this case. Individual recovery varies.

  1. Day 1–7

    Light activity, hydration, and elevation. Expect peak swelling between days 3 and 5, then a gradual easing through the end of the week.

  2. Week 2

    Patients off prescription pain medication, walking 1–2 miles daily, and back to most light household activity.

  3. Week 4

    Most patients back to gym cardio at 50 percent intensity. Scar massage protocol begins. Driving restored if not already.

  4. Week 6

    Standard clearance milestone. Patients return to most exercise, gym work, and sleeping in any position.

  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.

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