Case #1004
Breast Augmentation
A woman in her 20s felt her breasts looked deflated after losing weight and wanted fuller breasts with more cleavage and a natural look. Dr. Azadgoli placed 350cc moderate profile implants over the muscle.
A woman in her 20s felt her breasts looked deflated after losing weight. She wanted fuller breasts with more cleavage, while keeping a natural look. Dr. Azadgoli performed a breast augmentation with 350cc moderate profile implants placed over the muscle (subglandular).
Why this approach
The decisions that shaped this surgical plan.
- Major weight loss changes the surgical plan — incisions are placed to manage the specific redundancy patterns left behind, not a textbook ideal.
- Bilateral approach chosen to keep the planning, the tissue response, and the aesthetic outcome consistent between sides.
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.
- 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.
- Day-of transport and an overnight companion (24 hours minimum) are required for discharge.
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
Shape is 80–90 percent of final. Scars are still pink and will continue to lighten through month 12.
- Month 6
Tissue tightening completes. Any planned refinement (e.g. revision lipectomy) is timed for this window.
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 from day 1; cardio at week 4, chest workouts at week 6
- Scar management protocol at 3 weeks
- Medical-grade silicone sheeting on the inframammary incision starting week 3
- SkinCeuticals C E Ferulic for scar healing
- SPF 50+ on incisions for 12 months
- Fractional laser 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.
- Skincare
Combined silicone and tightening regimen applied daily to newly redraped tissue.
Skin retraction after weight loss responds well to consistent topical support.
- MedSpa
Indiba radiofrequency added through month 3 to support skin retraction.
Post-weight-loss patients typically benefit from active tissue tightening.
- Skincare
Sun avoidance and SPF protocol extended through month 12 to minimize scar hyperpigmentation.
Younger skin pigments scars more reliably under sun exposure.
