The Rise of Tweakments in Washington DC – Everything you need to know.

Liquid Rhinoplasty DCAccording to the American Society of Plastic Surgeons, minimally invasive cosmetic procedures have grown nearly 200 percent since 2000 and show no signs of slowing down any time soon.

This has given a rise to ‘tweakments’ – subtle, barely noticeable procedures that don’t require surgery and have minimal downtime.

Keep reading for some of our tweakments, and make sure you schedule a consultation to see which ones are best for your goals.


Quick, with limited downtime and often with immediately visible effects, injectables such as fillers and Botox remain incredibly popular.  If you’re looking to further sculpt through targeted fat reduction, you can also look to Kybella.

Tone Improvement, Fine Line and Wrinkle Reducers

Depending on your needs, we have several procedures to help lift, tighten, smooth and tone your skin.

Consider microneedling with PRP (aka the Vampire facial the Kardashians rave about), which reduces the signs of aging, minimizes scarring, boosts collagen production, reduces hyperpigmentation and pore size, prevents premature aging, treats stretch marks, minimizes the appearance of age spots, helps improve texture and improves the appearance of rosacea.

PRP injections may also work for you.  Your own PRP is injected into specific areas of the skin and acts as a matrix that promotes collagen growth and regenerates tissue.

Our latest procedure, the Plasma Pen, is exceptional at tightening and rejuvenating skin. For the most amazing videos and before and after photos, make sure you follow our skincare specialist Sara on Instagram: @skinbysara_bbps

Looking for a Body Contouring Tweakment?

Destroy fat cells in just 25 minutes using SculpSure. SculpSure works by heating up the fat cells above a threshold temperature to which they are no longer viable. The body then clears away the damaged fat and these cells will not regenerate.

Finding the Best Tweakment in Washington DC: How to Get Started

Bruno | Brown Plastic Surgery has a full range of tweakments available for our patients.  Not sure what would work best for you? We’re here to help.

Click here to schedule your consultation!





Northern Virginia Magazine Top Plastic Surgeons!

Dr. Bruno and Dr. Brown Recognized as Top Plastic Surgeons in Northern Virginia Magazine!

In a survey of over 4,000 doctors and 7 hospitals, our very own Dr. Bruno and Dr. Brown were recognized as two of the top plastic surgeons in Northern Virginia by Northern Virginia Magazine!

Make sure to get your own copy to read this feature. Congratulations, Dr. Bruno and Dr. Brown!

Read Dr. Bruno’s bio here >

Read Dr. Brown’s bio here >

See all of our Awards & Press here >




Washington DC: Breast Reconstruction Option – DIEP Flap

At Bruno | Brown Plastic Surgery we strive to offer the safest and most advanced techniques for breast reconstruction. The DIEP flap procedure requires special surgical training and expertise in microsurgery, and we’re proud to be able to offer this advanced procedure to our patients.

What is DIEP flap breast reconstruction?

The DIEP (Deep Inferior Epigastric Perforator) flap is a modern advancement of the original abdominal wall TRAM flap that utilizes the patient’s own tissue from the lower abdomen to reconstruct the breast using fat and skin alone.

In this technically advanced procedure, the living fatty tissue (fat, skin and blood vessels) is removed from the abdomen and reattached in the breast area to rebuild your breast. Your surgeon will carefully reattach the blood vessels of the flap to blood vessels in your chest using microsurgery.

The abdominal skin is then closed, leaving the abdomen smaller in size. Because no muscle is used, most women recover more quickly and have a lower risk of losing abdominal muscle strength with a DIEP flap compared to any of the TRAM flap procedures.

What are the benefits of DIEP flap breast reconstruction?

  • Utilizes your own tissue for molding the breast
  • Is made of healthy, living fatty tissue
  • Saves the abdominal musculature

In addition to DIEP flap, what other types of breast reconstruction does Bruno | Brown Plastic Surgery provide?

  • Tissue Expander and Implant Reconstruction
  • Direct-to-Implant Reconstruction
  • Latissimus Muscle Flap Reconstruction using back skin/fat/muscle
  • Fat Grafting Reconstruction using fat from various locations
  • Advanced Technique Muscle Animation Repair
  • Oncoplastic Breast Reconstruction
  • Reconstructive Breast Lifting/Reduction

Are you interested in learning more about DIEP flap, or any of our DC breast reconstruction procedures?



What our patients say:

When I was diagnosed with breast cancer in 2012, I was given a peer recommendation for Dr. Bruno, and I am so grateful for it. I required a unilateral mastectomy and reconstruction, and a breast reduction. Dr. Bruno was sensitive to my insecurities and was available at any time to answer questions and provide complete explanations. His kindness and soothing demeanor was very helpful during the entire process and made me feel confident about coming out of this health crisis successfully, which I did, and with a beautifully reduced breast that shows no scar whatsoever.

-Christine F.



Chevy Chase: Rhinoplasty (Nose Job)

Chevy Chase Rhinoplasty Nose Job Before and AfterRhinoplasty, or surgery to reshape the nose, is one of the most popular forms of plastic surgery.  According to, there were more than 200,000 rhinoplasty procedures performed in the US last year, making it the third most popular of all plastic surgery procedures.

Rhinoplasty is a precise procedure that, when performed by an expert plastic surgeon such as the doctors at Bruno | Brown Plastic Surgery, can enhance both the aesthetics and the function of the nose.

Why Rhinoplasty?

Rhinoplasty can have a profound effect on your appearance. The doctors at Bruno | Brown Plastic Surgery will work with you to ensure that you not only have a more appealing nose but that the procedure will also bring greater harmony to your overall facial features and increase your self-confidence.

During your consultation, your surgeon will discuss your issues and concerns as well as how to reshape the nose to best enhance your facial features.

What are some of the benefits of Rhinoplasty at our Chevy Chase office?

  • Reforms a nose which has been broken
  • Reshapes a nose with an irregular shape
  • Alters nasal size which is too narrow, constricted, wide, or upturned
  • Reduces or lengthens the breadth or height of a nose
  • Smooths a crooked or bent nose
  • Improves breathing restricted by a deviated septum

Rhinoplasty Procedure Methods

There are a number of methods used to perform rhinoplasty, including open rhinoplasty (incisions to the tissue between the nostril and the nose crease) and closed rhinoplasty (incisions to the inside of the nose through the nostrils). Our physicians will work closely with you to determine the best rhinoplasty procedure for your needs and lifestyle.

Not ready for a permanent change? Read our recent article on using filler for a nonsurgical nose job.

If you’re looking for Rhinoplasty in Chevy Chase, contact us to set up a consultation, or call us at (301) 215-5955.



Washington, DC: Breast Implants

DC Breast implantsDid you know that breast augmentation was the most popular cosmetic surgical procedure in the United States in 2018? 313,735 breast augmentation procedures were performed!

Are you considering breast implants in Washington, DC?

Breast implants can help you feel more comfortable in your skin and increase your self-confidence.

It may be that you simply want to increase your breast size, or that you’ve lost breast volume from aging, pregnancy or significant weight loss. Whatever your reason for considering breast implants, the skilled doctors and Bruno | Brown Plastic Surgery can help.

Help choosing your implant type, implant profile, implant size and more.

There is a lot to consider when making your choice about breast implants.

We have three different breast implant options available:

  • Saline implants: A silicone shell is filled to your desired volume, increasing size and shape of cleavage
  • Silicone implants: More viscous than saline, a silicone shell is filled to the desired volume and offers a more natural look
  • Ideal implants: Uses a series of implant shells nested together and two separate chambers that hold saline, providing a natural feel and youthful look

We also offer breast augmentation with fat grafting for those patients that do not want to use implants.

Implant size:

First, you should discuss the overall size or volume you’re looking to achieve. Your experienced plastic surgeon can help you choose the best implant size for the appearance you desire but will also talk you through additional considerations, such as skin elasticity to accommodate the implants you choose, your lifestyle and more.

Implant projection:

In addition to volume, breast implants come in five different profiles: Low, low plus, moderate, full and extra full projections. The profile changes the projection of your breast implants, so while not directly related to the implant size, they can affect how large or natural the implants appear.

Input from your DC Plastic Surgeon:

Our experienced plastic surgeons will help guide you throughout the process of choosing your ideal breast implants. However, keep in mind that decisions about your implants, including their size, must ultimately rest with you. Be sure to choose a surgeon who makes you feel comfortable asking questions and gathering all of the information you need to make an informed choice.

Our physicians have spent many years helping patients choose their breast implants and can offer you invaluable input, ensuring you feel confident in your decision and your expectations for breast augmentation are met.

Are you ready to get started?

Schedule your DC area breast implant consultation at Bruno | Brown Plastic Surgery.



Washington, DC Moms: Regain Your Confidence with a Mommy Makeover

A Mommy Makeover in Washington, DC Can Help Mothers Restore Their Pre-Baby Body

Pregnancy and motherhood are an exciting time in a woman’s life but can bring unwanted changes to their bodies. Depending on a mom’s body goals, mommy makeovers can be a combination of any of the following procedures:

  • Tummy Tuck: Reshape the appearance of the abdomen by removing excess fat and loose skin around the waistline
  • Liposuction: Through careful, targeted suction, excess fat and tissue are permanently removed
  • Breast Lift: Breasts are lifted to enhance the position and symmetry and reduces the appearance of aging or sagging breasts
  • Breast Augmentation: Reshapes and resizes the breasts for a more youthful appearance, increasing breast symmetry and improving projection
  • Labiaplasty: Sculpts and reshapes the labia minora and/or labia majora

Benefits of a Mommy Makeover by Bruno | Brown Plastic Surgery

The doctors at Bruno | Brown Plastic Surgery will work with you to determine what combination of procedures is right for you and your lifestyle. Because mommy makeovers consist of multiple surgeries at once, this saves on cost and allows you to experience just one recovery period.

One Bruno | Brown patient said, “It seems like a big surgery because it’s doing a lot, but honestly, combining a breast surgery with a tummy tuck doesn’t add any recovery time. Might as well do them at the same time! There are also cost savings in doing multiple procedures together.

Read more about the mommy makeover procedure at The American Society of Plastic Surgeons.

Mommy Makeover Candidates

Mommy makeover candidates should be at least four to six months post-childbirth and should have stopped breastfeeding. Candidates should also be close to their ideal body weight. The procedure will remove excess, loose, or hanging skin, that may have resulted from pregnancy or weight loss. It also reduces the appearance of stretch marks, particularly after pregnancy.

The procedure will take anywhere between 3-6 hours with no overnight hospital stay required. Recovery time is usually between 2-3 weeks.

If you are interested in a mommy makeover, contact us today to schedule a consultation.




Choosing the best size and implant type for your breast augmentation procedure in Washington, DC.

At Bruno | Brown Plastic Surgery our doctors are often asked how to choose a breast implant size, and what type of implant should be used to achieve a patient’s ideal look for their breast augmentation procedure.

DC BREAST AUGMENTATIONBreast Augmentation and Implant Sizes:

The first thing that is important to understand is that bra cup sizes vary wildly from retailer to retailer and are not an exact measurement of breast size. Breast implants are measured by exact volume in cubic centimeters (cc’s), so while a cup size might give you a ballpark range of the overall breast size you are trying to achieve, they will not help you choose an exact breast implant size.

Try to put the idea of a specific cup size out of your mind while you consider your options. Also, remember that your natural breast tissues will contribute to the overall size of your breasts after implants have been placed, provided your implants are not part of a breast reconstruction procedure.

In general, breast implant volumes range from about 120cc to 800cc. In choosing a breast implant size, it also helps to remember that your skin must stretch to accommodate the implants you choose. If you have poor skin elasticity or are prone to stretch marks, your cosmetic results may be best if you choose implants that will not put undue stress on your skin.

Choosing the Best Size for Your Breast Implants for your Washington, DC Breast Augmentation Procedure

Visualizing breast implant sizing is helpful to some patients as they begin to imagine how they would look with larger breasts. Our sizing kit allows us to determine the overall desired volume and an approximation of how you will look after surgery. We do our sizing with a personal fitted t-shirt to see a general idea of the effect breast implants would have.

A measuring tape can also help. Having your surgeon take measurements of your chest wall dimensions will help you get a better understanding of your existing body proportions and how they would change with different breast implants.

One of the best resources available to patients choosing a breast implant size is the gallery of breast augmentation before and after photos. Looking at before and after photos of other patients who share a similar build, existing breast size and desired breast size can provide some of the most useful direction to women considering implants.

Don’t forget about breast implant profiles!

In addition to different volumes, breast implants also come in five different profiles: low, low plus, moderate, full and extra full projections.

The implant profile affects the projection of your breast implants, and although they are not directly related to the implant size, they can affect how large or natural your breasts appear.

Breast Implant Types:

Bruno | Brown Plastic Surgery offers four types of breast implants:

  • Saline implants: A silicone shell is filled to your preferred volume, increasing the shape and size of your breasts
  • Silicone implants: More viscous than saline, a silicone shell is filled to the desired volume and offers a more natural look
  • Ideal implants: Uses a series of implant shells nested together and two separate chambers that hold saline, providing a natural feel and youthful look
  • Fat grafting: Uses liposuction to transfer fat from other parts of the body to the breasts, giving a fuller look

Input from Top DC Plastic Surgeons

From size to type to your individual lifestyle, if you’re considering getting breast implants there’s a lot to consider.

The doctors at Bruno | Brown Plastic Surgery will help guide you throughout the process of choosing your ideal breast implants.

Be sure to choose a surgeon who makes you feel comfortable asking questions and gathering all of the information you need to make an informed choice. Our physicians are experts at helping patients in Chevy Chase, Northern Virginia and Washington D.C. choose breast implants and can offer you invaluable input on your breast augmentation procedure.

Are you in the Washington, DC area and interested in discussing your breast augmentation procedure?

Schedule a consultation.


Washington, DC: Have you heard of the nonsurgical nose job?

Filler isn’t just for fuller lips and the reduction of fine lines, it can also be used for a non-surgical nose job.

Nonsurgical Nose Job Washington DCYou may have seen it on Instagram, but what exactly is a nonsurgical nose job?

A nonsurgical nose job, sometimes referred to as ‘liquid rhinoplasty,’ is when filler is injected into the nose to recreate bone structure, perfect the slope of the nose, or reduce the appearance of bumps and an uneven structure.

It is a relatively new procedure that focuses on the small changes that can be achieved with dermal fillers. A few small injections of a hyaluronic filler can have a big effect on the appearance of one’s nose.

According to the American Society of Plastic Surgeons, one of the most common issues treated with the nonsurgical rhinoplasty is a pronounced bump along the nasal bridge.

Carefully placed filler injections can plump up the area around the bump, which gives the illusion of a straight nose. A nonsurgical nose job can also smooth small indentations, create a straighter looking nasal bridge, and lift a drooping nose tip. By making slight tweaks to the nose with filler injections, the overall appearance and facial symmetry can be improved.

Dissolvable and reversible, a nonsurgical nose job is great for those not ready to commit to rhinoplasty surgery. The ideal patient is looking for mild to moderate improvements in the shape or appearance of their nose. The benefits of a nonsurgical nose job are temporary, typically lasting from 12 to 18 months. No anesthesia is necessary; for the patient’s comfort, the doctors at Bruno | Brown Plastic Surgery will use a topical numbing cream.

Some benefits of a nonsurgical nose job in Washington, DC:

  • No downtime
  • Bruising and swelling are minimal
  • Procedure takes less than an hour
  • Results are immediate
  • Changes are reversible
  • Benefits last approximately 12 months
  • Dramatic results

If you’re interested in discussing your nonsurgical nose job in Washington, DC, contact us today for your consultation!


Breast Reduction Surgery Washington, DC

Looking to ease discomfort or achieve a breast size that you feel is proportionate to your body? Breast reduction surgery, also known as reduction mammaplasty, is a procedure used to remove excess fat, glandular tissue and skin to minimize breast size.

What is breast reduction surgery?

Patients with hypertrophy (overdeveloped or disproportionately large breasts) often experience discomfort from the weight of their breasts. This can make it challenging to perform common physical activities.

These patients are also more likely to experience issues such as:

  • Chronic back, neck and shoulder pain that requires pain medications
  • Chronic rash or skin irritation under the breasts
  • Nerve pain
  • Restricted activity

Although breast reduction surgery is often performed to address medical issues, patients that are simply unhappy with the breast size can still have a breast reduction procedure. Breast reduction surgery lifts and reshapes the breasts for a smaller and more aesthetically pleasing breast contour.

What are the benefits of a Washington, DC breast reduction surgery?

  • Improves the aesthetic appearance of the breast
  • Improves breast proportions for an overall more balanced silhouette
  • Can reduce back, neck and shoulder pain
  • Can increase self-confidence
  • Improves ability to participate in physical activities
  • Clothing and bras will look and feel better

Getting a breast reduction surgery consultation in Washington, DC

During your consultation with the doctors at Bruno | Brown Plastic Surgery you should be completely open in discussing your medical history, any physical conditions you’ve had, why you’re seeking a breast reduction and the goals you have for your outcome.

Your surgeon will discuss how much breast tissue will need to be removed to achieve your goal, and will also help you prepare for surgery and plan for your recovery.

Your Breast Reduction Surgery Recovery in Washington, DC

Breast reduction surgery generally lasts 3-4 hours, no overnight hospital stay is required and you can expect a recovery time of approximately 2-3 weeks.

If you’re in the Washington, DC area and would like to discuss a breast reduction surgery, contact us today to set up a consultation.