Case #1683 · Encino, CA
Breast Lift
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This 37-year-old patient from Encino, CA opted to undergo a Mommy Makeover after having three children. Dr. Cassileth performed liposuction on the thighs and abdomen to remove excess fat and cinch her waist, followed by a breast lift to address her sagging breasts, and a tummy tu
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.
- Skincare
Aggressive sun protection on incision lines through the first 12 months.
Younger skin pigments scars more reliably under sun exposure.
Why this approach
The decisions that shaped this surgical plan.
- Pregnancy-related anatomy informs the plan: rectus separation, skin laxity, and breast tissue volume change all factor in.
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.
- No nicotine for 6 weeks before through 6 weeks after surgery. The vascular impact directly affects skin healing.
- Front-closing clothing only for 3 weeks. Drain holders and supportive surgical bras are issued at discharge.
- A driver is required the day of surgery and a responsible adult should stay with you the first 24 hours.
- Hormone status confirmed stable; if nursing, scheduling waits until cessation. Sleep, nutrition, and iron levels reviewed pre-op.
Recovery timeline
Milestones specific to this case. Individual recovery varies.
- 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.
- 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
Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.
