At Bruno | Brown Plastic Surgery, we believe every patient deserves to feel confident and comfortable in their own body. We know plastic surgery is often talked about from a women’s perspective but we want men to know that looking for male cosmetic improvement is completely normal and you don’t have to feel stuck. We specialize in treatments, such as gynecomastia surgery in DC, to help men restore a firmer, more masculine chest with natural and long-lasting results.
What Is Gynecomastia?
Gynecomastia, or enlarged male breast tissue, occurs when there is an imbalance between estrogen and testosterone. While healthy lifestyle habits can help reduce excess body fat, they don’t always work. As many as 40–60% of men experience gynecomastia at some point in their lives, and for many, surgical treatment is the most effective way to achieve a more sculpted chest. At Bruno | Brown Plastic Surgery, we approach gynecomastia in Washington DC with precision, privacy, and a strong focus on patient confidence.
What Is the Procedure Like?
Gynecomastia surgery removes excess tissue and fat to create a natural, masculine chest shape. Depending on the patient’s needs, we may use liposuction, excision techniques, or a combination of both. The procedure typically takes about two hours under general anesthesia. Most patients return to light activity within a few days and resume regular exercise within a few weeks, making it a very manageable option for people with busy schedules.
What Results Can You Expect?
Some swelling, bruising, or mild discomfort is normal after surgery and these symptoms can be managed with compression garments and/or medication. Scarring is usually minimal and fades significantly over time. While full results take several months, many men notice an immediate boost in comfort and self-confidence. Over time, the chest becomes firmer, flatter, and more defined.
Is Gynecomastia Surgery Permanent?
For most patients, yes. When performed by experienced surgeons, gynecomastia DC surgery provides long-lasting results. The procedure is about regaining confidence, feeling comfortable without a shirt, and finally moving past years of self-consciousness.
Why Choose Bruno | Brown Plastic Surgery?
Our team is known for excellence in aesthetic care with advanced surgical techniques and a compassionate, patient-centered approach. Bruno Brown Plastic Surgery has been recognized throughout the region for outstanding results and patient satisfaction, including:
The upper eyelids are often one of the first facial areas to show signs of aging. Because the skin is thin and highly expressive, it can loosen over time, resulting in hooding, heaviness, and a fatigued appearance. An upper eyelid lift—known as an upper blepharoplasty—is a meticulous surgical procedure that removes excess skin and, when appropriate, small pockets of fat to restore a smoother, more youthful eyelid contour.
Recently, Dr. Brown performed an upper blepharoplasty for a patient, Lisa, who hoped to rejuvenate her eye area without dramatically altering the overall balance of her face. Her case demonstrates how carefully planned, conservative upper eyelid surgery can deliver undetectable yet noticeable and natural results.
Thoughtful Planning: Dr. Brown’s Pre-Operative Consultation
Before determining the best approach, Dr. Brown conducted a detailed examination to evaluate:
Skin redundancy on the upper eyelids
The prominence of upper eyelid fat pads
Brow position and stability
Eyelid crease symmetry and function
During this assessment, Dr. Brown noted that Lisa’s brows were already well-positioned. This distinction is crucial: many patients assume eyelid heaviness stems solely from the eyelid itself, when in fact brow descent is often responsible. Because Lisa’s brow support was excellent, she did not need a brow lift—a procedure that, when unnecessary, can create an exaggeratedly elevated or “surprised” look.
Instead, her concerns were caused by true excess upper-eyelid skin and a small pocket of medial fat contributing to fullness and overhang. Botox, which she had tried previously, could provide a slight lift but could not correct the redundant skin without risking an unnatural “Spock brow.” Dr. Brown recommended a conservative upper blepharoplasty to address the problem directly and create a naturally refreshed appearance.
Preparing for Lisa’s Eyelid Lift in DC
On the day of surgery, patient comfort and safety were Dr. Brown’s top priorities. The eyelid area was numbed using a combination of local anesthesia and topical numbing drops. Corneal protectors—thin, curved eye shields placed beneath the eyelids—were inserted to safeguard the eyes and temporarily block vision during the procedure.
Dr. Brown then used meticulous measurements to mark the precise amount of skin to be removed. For Lisa, approximately 7 mm above the lash line was measured to maintain symmetry and eyelid function. This planning step is essential; removing too much skin may interfere with eyelid closure, while removing too little may not achieve the desired rejuvenation.
With preparations complete, Dr. Brown began by making a fine incision along the natural eyelid crease so that the final scar would remain discreet. He then:
Removed the pre-planned amount of redundant skin
Conservatively excised a narrow strip of underlying orbicularis muscle for improved contour
Reduced a small pocket of medial fat to soften fullness without creating a hollowed appearance
The incision was closed with delicate Prolene sutures, chosen for their precision and compatibility with the thin eyelid skin. These ultrafine sutures produce minimal scarring and excellent healing within the natural crease.
Why Many Patients Choose Upper Blepharoplasty Over Other Facial Procedures
Compared with other facial rejuvenation options, upper blepharoplasty offers several distinct advantages:
It directly corrects upper-eyelid aging: No amount of filler, skin tightening, or neuromodulator treatment can remove true excess eyelid skin. Blepharoplasty is uniquely effective for correcting hooding and restoring lid definition.
The results are natural—not dramatic: Unlike a facelift or brow lift, upper blepharoplasty provides subtle yet meaningful rejuvenation that preserves a patient’s natural expressions.
Recovery is typically quick: Most patients return to normal routines within 5–7 days, with mild swelling and bruising that gradually fades over the first week.
It can improve both appearance and function: Removing excess skin can restore peripheral vision and relieve the feeling of heaviness around the eyes—benefits not always achieved through nonsurgical treatments.
It enhances—not replaces—other treatments: After surgery, many patients find that makeup applies more smoothly and that they require less Botox for brow elevation.
Recovery and Expected Results
Lisa experienced the typical post-operative swelling and bruising that peaked around 48 hours and steadily improved throughout the week. Most upper blepharoplasty patients feel comfortable returning to work or social activities within one week, while the incision continues to refine over several weeks.
Her final results show a brighter, smoother upper eyelid with renewed definition and a well-rested appearance. Dr. Brown’s conservative approach ensured that her natural eyelid shape and facial balance were preserved.
Considering Upper Blepharoplasty in Washington, DC?
For patients experiencing eyelid heaviness, makeup smudging, or a persistent “tired” look, upper blepharoplasty may be an ideal solution. Dr. Brown and his team offer personalized evaluations to determine whether upper eyelid surgery, or another facial rejuvenation procedure, best meets each patient’s goals.
Fillers: Buy 1 for 20% off, 2 for 25% off, or 3 for 30% off
All skincare packages: 25% off, including:
MeliaRF
Microneedling
Hydrafacial
Red Carpet Facial
Peels
IPL
Red Light Therapy
Fractional Laser
is Clinical and ZO Products: Buy 1 for 20% off, 2 for 25% off, or 3+ for 30% off
All in-office surgical procedures: 20% off (Requires $1,000 deposit)
*Surgical procedure offer must be redeemed by September 30, 2026. All other offers must be redeemed by April 30, 2026. Surgical procedures require a $1,000 deposit during the Pink Party to secure your spot (deposit is refundable only if our physicians determine the patient is not a good fit for the procedure). All surgical procedures and skin care services must be completed at our Chevy Chase location. Botox and Extended Dosing Daxxify require different unit amounts – ask our team for more information. iS Clinical and ZO Products may be picked up from our office or shipped – patient is responsible for shipping and handling, which is $10.*
At Bruno Brown, we know that sagging skin, muscle relaxation, and fat redistribution all affect the lower face and neck as we age. When someone is looking for rejuvenation, two of the most common sought-after procedures are a neck lift or facelift. So what is the difference, what does it solve, and which do you need?
A neck lift focuses on tightening and smoothing out the skin on your neck. The process addresses excess skin, sagging muscles, and extra fat in your chin.
A facelift takes a broader approach on the face area. It addresses sagging skin on the lower face, jawline, cheeks, and sometimes the neck. It sometimes involves repositioning deeper layers of skin and muscle to create a more natural look.
Watch this video to see what you can expect from a facelift procedure in MD:
Which Do I Need?
If you’re concerned about loose skin, extra fat under your chin, or reasonably tight skin in those areas, then a neck lift might suffice. Patients seeking a neck lift in Chevy Chase can expect small incision behind the ears and under the chin to tighten the neck muscles and sculpt a more defined jawline.
If you have sagging skin or excess fat on all areas of your face and top part of your neck, then a facelift is usually a good choice. For a facelift in Chevy Chase, our board-certified plastic surgeons makes incisions on the hairline, beneath the earlobe, behind the ear, and back up to the hairline, making it easy to conceal and heal quickly.
Sometimes people might even do a combination of both if they’re looking to address multiple areas on their face and a smoother, natural look around their neck. Our doctors customize the procedure to fit each individual patient, their goals, and their anatomy to ensure natural looking results
Results and Recovery
Both procedures have a similar recovery process. The initial swelling and bruising will resolve between 2-3 weeks and fully visible results can be seen over several months. You can ask your surgeon for necklift before and after images to better visualize the final outcome and make your final decision on the right procedure for you.
Take a look in the mirror and see where the sagging skin or excess fat is most pronounced. Is it only your cheeks and jaw or do you see extra fat under your chin, too? Then consult with your surgeon to see what they would recommend. At Bruno Brown Plastic Surgery, we tailor each procedure to the individual’s needs, wants, and anatomy to ensure the best looking, natural results that will leave you feeling confident!
If you’re considering liposuction in Chevy Chase MD, then you likely have a lot of questions. How much will it cost? What is the recovery period like? We’ve got you covered!
What is Liposuction?
Liposuction is a cosmetic procedure that removes fat deposits in specialized areas on the body. This kind of procedure is used when diet and exercise can’t get rid of stubborn fat in areas like the abdomen, thighs, back, arms, and neck. Ideal candidates for this are people at or near their ideal body weight and are in good health with no uncontrolled medical conditions.
Liposuction costs can range depending on the treated area and the complexity of the procedure. A number of factors can affect the cost such as:
Number of areas treated
Volume of fat being removed
Technique being used (traditional, laser, etc.)
Facility and anesthesia fees
Surgeon’s experience and reputation
Follow-up care
BEFORE the Procedure
It’s important to note this is not a weight-loss procedure and you should be close to your ideal body weight. You should have a full consultation with your surgeon where they check your skin quality, body proportions, medical history, and to plan the precise areas that will be treated and with what technique. Here’s two important steps to take leading up to your surgery:
1. Mind your health! Stop vaping or smoking, hydrate more than you think, and eat anti-inflammatory foods (vegetables, nuts, berries, eggs, etc.) to prepare your body for the adjustment.
2. Stock up! Go grocery shopping and plan your meals for a week after your procedure. Pick meals that are quick, easy to make, and fulfilling. You can also buy frozen ready-made meals to pop in the microwave or meal-prep some of your comfort foods and stack them in the freezer. It can be hard having the time or effort to make a nourishing meal after this procedure, and eating is one of the best ways to recover faster!
AFTER the Procedure
Remember, it can take up to 6 months to see the full, visible results because of all the swelling and muscle adjustments your body is making. Here’s some easy tips for a more comfortable post-procedure:
Compression garments. Wear these a lot to help control the swelling and better shape the results you’re expecting.
Massage. We want to keep all the fluids in your body moving where they should be and prevent any build up. But don’t just massage around the treated area. Everything in your body is connected, so be kind to yourself and massage every part of your body even for a few seconds a day.
Easy movement. Give yourself a break and take short, frequent walks to help with circulation and reduce blood clots. Avoid any high intensity workouts until you’ve been cleared.
Hydration. Drink lots of water and eat plenty of healthy foods and protein. Let’s build up those muscles!
Rest, rest, rest. Your body heals faster when it’s resting. This is the exact time you should be prioritizing your sleep.
Hygiene. Avoid soaking in baths until cleared and double check with your surgeon when you’re allowed to take a shower (usually 24-48 hours post-procedure).
Avoiding smoking and alcohol. Both of these impede circulation and oxygen to your healing muscles. They also increase complication risks.
Follow-up visits. Keep all your schedule check-ins and follow-ups so your surgeon can monitor your progress
When performed by a qualified surgeon and paired with diligent recovery, liposuction can have long-lasting results that leave you feeling confident and comfortable in your own skin. Choosing an expert provider and taking care of yourself before and after the procedure set you up for success to see smooth, natural results.
At Bruno|Brown Plastic Surgery, we understand that choosing to undergo facelift surgery in Washington DC is a deeply personal decision. For many patients, it’s about regaining confidence, refreshing their appearance, and feeling like their outer look reflects how they feel inside. With advanced techniques like the deep plane facelift, our award-winning surgeons help clients achieve natural, long-lasting results, but a common question remains: When is the right time for a facelift?
The deep plane facelift is one of the most sophisticated surgical options available today. Unlike traditional methods that only lift the skin, this technique repositions deeper facial structures, offering a more youthful and natural result without a tight or “pulled” appearance. Our team specializes in the deep plane facelift in Washington DC, providing results that are refined, subtle, and transformative.
There’s no one-size-fits-all answer. While many patients consider a facelift in DC between ages 45 and 60, others in their late 30s or early 40s choose a proactive approach to aging. Factors like genetics, lifestyle, and skin elasticity all play a role. Whether you’re seeking a subtle refresh or a dramatic rejuvenation, the surgeons at Bruno|Brown will tailor your treatment to your unique needs.
Our practice is proud to be a trusted destination for facelift surgery in DC. Known for natural results and patient-centered care, the Bruno|Brown team uses the latest surgical methods and years of experience to help you achieve a more youthful appearance without sacrificing your identity.
If you’re exploring what a deep plane facelift could do for you, we provide compassionate guidance every step of the way.
Start with a Personal Consultation
Every journey begins with a personalized consultation at Bruno|Brown Plastic Surgery. We’ll discuss your facial anatomy, skin condition, and goals to develop a tailored treatment plan. Ready to take the next step toward confidence and balance? Trust the top-rated facelift surgeons in DC to help you look and feel your best.
Washington DC residents are increasingly looking for effective, science-backed solutions to support long-term weight loss. One treatment gaining attention is semaglutide, a medication originally developed for type 2 diabetes that is now being used to aid in weight loss. As more people seek alternatives to extreme dieting and invasive procedures, semaglutide weight loss in DC has become a popular option for those aiming to lose weight under medical supervision.
Semaglutide works by mimicking a hormone that regulates appetite and digestion. When used in combination with a healthy diet and increased physical activity, it can lead to consistent and gradual weight loss. Patients typically experience reduced hunger, improved portion control, and better energy levels as their metabolism adjusts. With FDA-approved dosages and monitored treatment plans, semaglutide in Washington DC is providing patients a safe and structured path toward better health.
For semaglutide results, check out this transformation.
Who Might Benefit From Semaglutide in Washington DC?
Semaglutide is generally recommended for individuals with a body mass index (BMI) of 30 or above, or 27 and above with weight-related health issues like high blood pressure or cholesterol. If you’ve tried multiple methods without lasting success, semaglutide DC providers can determine whether you’re a good candidate through a personalized consultation.
We’re proud to announce that Dr. Bruno of Bruno | Brown Plastic Surgery has been recognized in Newsweek’s “America’s Best Plastic Surgeons 2025” rankings! This prestigious annual list spotlights the nation’s foremost plastic surgeons across key procedure specialties, including breast augmentation, facelift, liposuction, and more.
What This Recognition Means
Being featured among America’s best surgeons underscores Dr. Bruno’s exceptional skill, dedication, and commitment to excellence in plastic surgery. Newsweek’s rankings are based on a rigorous evaluation and distinguish those who provide the highest standard of surgical care.
This honor further highlights the standard of care at Bruno | Brown Plastic Surgery. Dr. Bruno consistently brings compassionate care, technical expertise, and beautiful, natural-looking results to every patient.
A Top DC Plastic Surgeon
From breast augmentations and facelifts to liposuction and reconstruction, Dr. Bruno delivers personalized treatment plans in a state-of-the-art setting. Discover more about how Bruno | Brown can support your aesthetic goals.