A New Approach: Pre-Pectoral Breast Reconstruction

Pre-pectoral breast reconstruction is an alternative approach to traditional breast reconstruction, where the implants are placed over the muscle instead of underneath it.

Prepectoral breast reconstruction resultsPre-pectoral breast reconstruction has been made possible in large part by the use of biological mesh products (called acellular dermal matrices) that can substitute for muscle to cover, protect, and support a patient’s implants.

According to a recent article in The New York Times:

“Placing breast implants under the chest muscle, a procedure called post-pectoralis or sub-muscular placement, has been the standard approach to implant breast reconstruction for decades. But now some surgeons are placing the implants on top of the muscle, in an effort to reduce complications like pain, weakness and breast deformities that can occur with sub-muscular implants when the chest muscles are flexed.”

The article goes on to interview Dr. Sbitany, an associate professor of plastic and reconstructive surgery at UC San Francisco and a consultant for Allergan, a manufacturer of the mesh products:

“Dr. Sbitany said that since he started talking about the new option, known as prepectoral breast reconstruction, he has been besieged by patients who have had submuscular implants for five, 10 or 15 years and want the reconstruction done over. Artificial breast implants are the most common method of breast reconstruction after mastectomy.

When patients want them replaced, Dr. Sbitany said, he removes the old implants, places the pectoralis major muscle back down where it used to be and inserts new implants on top of the muscle, using biological mesh to cover and support them under the skin.

‘There is no question that putting the implant below the muscle causes increased rates of pain and chronic discomfort with any physical activity — not in every woman, but in a consistent number of patients,’ said Dr. Sbitany.”

Washington, DC Area Pre-Pectoral Breast Reconstruction 

The physicians at Bruno|Brown Plastic Surgery are a part of a forward-thinking movement that challenges the traditional under-the-muscle technique. While there are many patients who still benefit from this traditional method, the number of patients eligible for pre-pectoral breast reconstruction is growing.

Dr. Brown and Dr. Bruno routinely lecture nationwide on this technique and take part in educational labs in teaching plastic surgeon colleagues.

Benefits of Pre-Pectoral Breast Reconstruction Include:

  • No muscle fatigue or chronic pain
  • No muscle animation or pull on skin
  • Quicker recovery, less pain, less downtime

Candidates for Pre-Pectoral Breast Reconstruction Include:

  • Patients undergoing mastectomy
    Previously reconstructed patients
    Active patients

The pre-pectoral breast reconstruction procedure may not be the best fit for all patients, so make sure you discuss your options with a board-certified plastic surgeon.

Contact us today to set up your consultation.



UK Celebrity Shares Her Experience with PRP Treatment for Her Hair Loss

PRP Injections Hair Loss Results DCMen aren’t the only ones who suffer from hair loss, it’s an issue for women too. If you suffer from hair loss or thinning, PRP treatment could be right for you.

What is Involved in PRP Hair Loss Treatment in DC?

Plasma is a component of your blood that contains special “factors,” or proteins, that help your blood to clot. It also contains proteins that support cell growth. Researchers have produced PRP by isolating plasma from blood and concentrating it.*

PRP is extracted by drawing a small amount of your own blood and, using a centrifuge, separated from the red blood cells. PRP also contains white blood cells and platelets, which have high growth factors which can help stimulate hair follicle activity and promote new hair growth.

Multiple injections, too small to be visible, are then made to the scalp allowing the PRP to be absorbed and treat the affected area. Because the process uses your own blood, PRP for hair loss is an extremely safe procedure.

One Celebrity’s Experience with PRP Treatment for Hair Loss

Reality TV personality Vicky Pattison, best known from the MTV show Geordie Shore, documented her experience with PRP treatment for her hair loss on her Instagram.

According to OK Magazine Vicky “revealed she believes she suffers from traction alopecia and has undergone PRP therapy to combat her hair loss.” The magazine shares, “The 30-year-old beauty has claimed she has “abused” her hair over the years by having hair extensions, experimenting with different hair colours, and stress – although she also believes her bald patches and hair thinning is ‘traction alopecia’, which is caused by using force when styling the hair tightly.”

Washington, DC: PRP Hair Loss Treatment

We recommend 5 to 6 PRP treatments to achieve the best results for your hair loss. This treatment can also work well as a preventative measure to stifle hair loss. For maximum results, treatment on those whose hair loss is recent works best. It can be more challenging to stimulate hair follicles that have been dormant for a long time.

Make sure to choose an experienced, board-certified plastic surgeon for your PRP hair loss injection treatment. The doctors of Bruno | Brown Plastic Surgery take a holistic approach to this procedure to help you achieve the best results.

We look forward to hearing from you to schedule your PRP treatment for hair loss soon.



Tummy Tuck in DC: Is it right for you?

Have tireless efforts of diet and exercise failed to deliver the results you want? Consider a tummy tuck procedure in Washington, DC.

Aging, or significant life events such as pregnancy, can change the overall appearance of your figure and leave you with stubborn fat that diet and exercise alone are unable to remove. Perhaps you experienced a significant weight loss but are now left with loose, hanging skin- an adverse effect of an otherwise positive change. A tummy tuck procedure can completely reshape the abdomen.

Tummy Tuck

Benefits of a Tummy Tuck

  • Flattened stomach area
  • Improved appearance of abdominal muscles
  • Slimmed waistline
  • Enhanced, youthful appearance of the abdomen
  • Tightened stomach muscles
  • Reduced appearance of stretch marks
  • Removed excess, loose skin
  • Reduced waistline, some patients drop several pants sizes

If you live in the Washington DC area, a tummy tuck procedure at Bruno | Brown Plastic Surgery can completely reshape your abdomen and stomach area, by removing excess skin and fat and allowing you to feel comfortable in your own skin again.

This procedure usually takes between two and four hours, with a recovery time of as little as two weeks and no overnight hospital stay required, though many patients choose to stay overnight for comfort. Ideally, candidates for this procedure are generally in good health, are near their ideal weight, and have realistic expectations for achieving their desired look.

Your Options for a Tummy Tuck in the DC area

The tummy tuck procedure, also known as an abdominoplasty, that is right for you will be determined by your plastic surgeon, with your goals and lifestyle in mind.

Options include:

  • Full tummy tuck- includes an incision made around the belly button and across the hip line.
  • Mini tummy tuck- involves a much small incision and can be complemented with liposuction.
  • Extended tummy tuck is best for patients who have undergone a significant weight loss and includes multiple incisions around the flank, lower back, and hip line.

Make sure to choose an experienced, board-certified plastic surgeon for your tummy tuck. The doctors at Bruno | Brown Plastic Surgery take a holistic approach to this procedure. They find that by focusing on reshaping your overall figure, rather than focusing only on your problem areas, provides the best results.


We look forward to hearing from you about your tummy tuck in Washington, DC soon.

Washington, DC: Why Consider Breast Implants?

Breast implants can improve your self-confidence and allow you to feel comfortable in your skin.


There are many possible benefits to receiving breast implants in DC. Implants can increase the fullness, symmetry, and projection of your breasts to create the look you desire.

What Does Receiving Breast Implants in Washington, DC Involve?DC Breast implants

During a breast implant procedure, either saline, silicone, fat, or the recently FDA approved Ideal implants are used to contour and resize the breasts. The incisions are made either around the areola, below the chest or in the underarm to achieve your desired look. The procedure takes one to two hours with a recovery time of two to four weeks and no overnight hospital stay is required.

The expert plastic surgeons at Bruno | Brown Plastic Surgery will work with you to evaluate:

  • How your desired look will match with your current body size and type
  • Exact specifications for your desired shape and size
  • How your lifestyle will be impacted (such as athletic activities or hobbies)

This evaluation will help your experienced plastic surgeon determine the type of breast augmentation that will work best to achieve the results you desire. Each type of breast implant has unique benefits which the doctors at Bruno | Brown Plastic Surgery will discuss with you. Ideal candidates for this procedure are at least 18 years of age with an interest in breast enhancement, in good health, and not currently pregnant or nursing.

There are many possible benefits to receiving breast implants such as:

  • Increased breast symmetry
  • Improved breast projection
  • Increased self-confidence
  • Reshaped cleavage
  • Returned breast volume and shape that is typically lost after aging, pregnancy, or a significant weight loss

Singer Iggy Azalea’s Reason for Breast Implants

Even celebrities such as Iggy Azalea are discussing why they chose the procedure. According to Vogue Azalea was, “sick of having to sew padding into her stage costumes and wanted to be able to wear lingerie without wiring.” It was something she had thought about her entire life.

For Azalea, receiving breast implants was mainly about making her body proportional. Azalea says, “it’s about proportion. I have to have everything tailored because I have such a small waist. I’m a 2 or a 0 on the top, and a 6 on the bottom.”

If you’ve had the same experience as Azalea and many others, issues with clothing and self-confidence, breast implants could be your solution.

We look forward to hearing from you to schedule your DC breast implant procedure or free consultation.

Thanks to all who attended this year’s Pink Party

Thank you for joining us for our Annual Pink Party in honor of Breast Cancer Awareness month.

Thursday, October 11, 2018

DC plastic surgeons



  • Bank your Botox: $11 per unit
  • Fillers: Buy 1 for 20% off, 2 for 25% off, 3 for 30% off
  • Kybella: 25% off
  • All in-office procedures: 25% off
  • All products: Buy 1 for 20% off, 2 for 25% off, 3 for 30% off


All attendees will receive a raffle ticket for a chance to win amazing prizes, but there are plenty of ways to earn more:

  • One extra ticket by RSVP-ing with a friend that’s new to Bruno | Brown
  • One extra ticket for every $250 spent
  • Post a picture during the event with the party hashtag for two extra tickets!

Amazing raffle prizes include:

  • Botox Treatment
  • Volbella
  • Voluma
  • Vollure
  • ZO Skin Health
  • Kendra Scott
  • Whyte House Monograms

Plus special Bruno | Brown gift bags for the first 50 purchases at the party!

Date: Thursday, October 11, 2018

Time: 4-7pm

Where: 5454 Wisconsin Avenue, Suite 1210, Chevy Chase, Maryland 20815



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