Smoothing of crow’s feet (lines around the corners of the eyes)
Reduced appearance of forehead wrinkles
Restored elasticity of vertical lines between the eyebrows
Reduction of lines in the folds between the nose and lips
Botox Treatment and Recovery
You may have some minor swelling or pain at the injection site, this usually goes away almost immediately after the initial injection. There is no recovery time for this procedure, and the process usually takes between 10-15 minutes. Results can last between 4-6 months in certain areas. Because the risks are minimal, it’s the perfect option for those who are just starting to look into updating their appearance without having to undergo a major surgical procedure or deal with a long recovery process.
Botox should be administered by a trained and experienced medical professional. Specifically, it should be administered by someone who is knowledgeable and experienced in their field, such as the doctors at Bruno | Brown Plastic Surgery.
Someone with limited experience giving Botox could possibly make the injections too deep, too low, or in the wrong spot. This could cause negative side effects, like droopy eyelids or a “frozen look”. Dr. Brown explains further on how he prevents this from happening:
“The tendency to treat fully the forehead lines allows the brow to drop, thereby giving the eyes a tired/droopy and frozen look. I go lighter on the forehead for this very reason; balance it with the elevation from the frown lines and the crow’s feet and it looks more natural.
Although we aim to get a perfect result every time, it’s often better to undercorrect as you can always add more if needed.”
Both the physical and emotional discomfort of loose or hanging labial tissue leads many women to choose labiaplasty. This physical discomfort is most often experienced as pain during athletic activities such as cycling or horseback riding, pain from tight clothes, or pain from intercourse due to the size of the labia. This could even lead to sexual avoidance from anticipating painful intercourse.
Some women also choose a labiaplasty procedure because they feel insecure about the shape, size, or appearance of their labia. Excess tissue can result from a significant weight loss or pregnancy and can cause the labia to be asymmetrical or cause the labia minora to extend well beyond the labia majora.
Labiaplasty can take as little as 45 minutes with minimal recovery time. However it is recommended to hold off on any significant or strenuous lower body exercise for several weeks. While many patients elect to undergo general anesthesia for extra comfort, it is also possible to perform the procedure using a local anesthetic if this is your preference.
The Benefits of Labiaplasty Washington, DC Can Include:
Loose, sagging labia minora shortened so that they no longer hang below the labia majora
Wearing tight clothes without irritation
Horseback riding, cycling, and other activities can be performed without discomfort
Relief of itching or irritation
A more attractive, youthful labia appearance
An increase in self-confidence and self-esteem
A better sexual experience
Increased sexual pleasure if the clitoris becomes more exposed
An end to recurrent yeast infections if they were caused by excessive irritation from elongated labia
According to the American Society of Plastic Surgeons, multiple studies indicate that labiaplasty surgery is associated with a high satisfaction rate of over 90 percent. Choose a surgeon you can trust, like the doctors at Bruno | Brown Plastic Surgery who have significant experience performing labiaplasty surgery. The skills of your plastic surgeon translate directly to your plastic surgery results. The labia are very small, delicate structures so it is particularly important to choose a board-certified plastic surgeon for this procedure like Drs. Bruno, Brown, and Tan.
We look forward to seeing you for your free consultation or Labiaplasty DC procedure soon.
Are diet and exercise just not enough to obtain the weight loss results that you want? Consider a tummy tuck.
A tummy tuck procedure can help you reach your weight loss goals, regain your self-confidence, and feel comfortable in your skin.
What is a Tummy Tuck?
A tummy tuck procedure (or abdominoplasty) is a body contouring procedure that tightens the abdominal muscles and removes excess skin and fat. It can help you target problem areas and re-shape your waistline if diet and exercise alone have not delivered the results you’d like, if you’ve been pregnant, or if you’ve experienced significant weight loss resulting in excess skin.
This procedure only takes 2-4 hours with a recovery time of as little as 2 weeks with no overnight hospital stay required. The American Society of Plastic Surgeons expands upon what you can expect from the procedure step-by-step.
The best candidates for this procedure have realistic and specific goals in mind and are near their ideal weight. Your expert plastic surgeon, like the doctors at Bruno|Brown Plastic Surgery, will work with you to determine which type of procedure is right for addressing your problem areas and individual goals.
Some options Tummy Tuck options include:
Full tummy tuck: An incision around the belly button and across the hip line
Mini tummy tuck: A smaller incision, often accompanied by liposuction
Extended tummy tuck: Incisions around the flank, lower back, and hip line, fitting for patients who have experienced a significant weight loss
A tummy tuck procedure has many benefits, including:
Flattens the stomach area
Reduces and reshapes the waistline
Enhances the overall figure
Tightens abdominal muscles
Removes excess, loose, or hanging skin
Reduces the appearance of stretch marks
Choosing a skilled plastic surgeon is essential to maximizing these benefits. The skills of your plastic surgeon translate directly to the quality of your results, so it is important to choose an experienced, board-certified plastic surgeon for your procedure. The physicians at Bruno|Brown Plastic Surgery take a holistic approach to this procedure to achieve the most natural look. This approach takes into consideration your overall figure and focuses on re-shaping the entire waistline rather than just focusing on the abdomen. This method can completely alter your appearance and help you to drop several pants sizes.
As experienced, board-certified plastic surgeons, we look forward to hearing from you to schedule your tummy tuck procedure or free consultation soon.
Eyelid surgery, or blepharoplasty, can work to improve the vision and appearance of your eyes.
If you are not satisfied with the appearance of your eyes, eyelid surgery may be the right choice.
What is Eyelid Surgery?
During the eyelid surgery procedure excess tissue is removed from the area surrounding the eyelid to create a more youthful appearance. Aging or other natural factors can change the appearance of your eyes over time, but eyelid surgery can work to correct these changes. This procedure targets loose and sagging skin that forms folds which disturb the natural contour of the upper eyelid, fatty deposits that create puffiness around the eyelids, bags under the eyes, drooping or sagging lower eyelids that can reveal white below the iris, and fine wrinkles around the eyelids.
Eyelid surgery takes around 1-2 hours with a recovery period of 2-3 weeks, and no overnight hospital stay is required. Ideal candidates are typically in their early thirties to late sixties, are non-smokers or willing to quit smoking prior to and for the duration of the recovery, and are in overall good health. It is also important for candidates of this procedure to have realistic goals in mind for their expected appearance.
The benefits of eyelid surgery can include:
Reduced signs of aging
May improve vision
Brightened appearance of dark patches under the eyes
Lifted appearance of hollows under the eyes
Smoothed skin and fine lines or wrinkles around the eyes
Unlike many plastic surgeons, the doctors at Bruno | Brown Plastic Surgery take a holistic approach to surgery in which the overall harmony of your facial features is considered first rather than focusing on one isolated area. This ensures the results of your procedure are optimized, and your overall appearance is enhanced in a natural-looking way. The experience and knowledge of your plastic surgeon translates directly into the quality of your results. For your eyelid procedure it is essential to choose a plastic surgeon you can trust like the doctors at Bruno | Brown Plastic Surgery who will be with you every step of the way- from the initial consultation through the recovery process.
We look forward to seeing you for your free eyelid surgery consultation soon.
Neither procedure is meant for weight loss but for shaping and refining problems areas where fat deposits. However, when these procedures are combined with an active lifestyle and healthy diet, they can result in some weight reduction.
What You Need to Know About PAH After CoolSculpting
CoolSculpting, also known as cryolipolysis, has an increased procedure time, and also an increased risk of paradoxical adipose hyperplasia. The manufacturer of CoolSculpting equipment reports that PAH is a rare side effect and only occurs in an estimated 1 out of every 4,000 treatment cycles.
However, according to two doctors of Miami Plastic Surgery, they have experienced 15 PAH events in six patients which represents a much higher incidence of the risk, about 1 out of every 138 cryolipolysis cycles. The doctors at Miami Plastic Surgery stress the need for further study to clarify the incidence of PAH after CoolSculpting.
PAH can be corrected through SmartLipo or liposuction, though this may require a surgery which can defeat the purpose of choosing a non-surgical body sculpting procedure for many patients. Patients also need to wait several months before undergoing liposuction as time is needed for the fat in the areas of PAH to soften.
When deciding between SculpSure and Coolsculpting consult with your expert plastic surgeon at Bruno|Brown Plastic Surgery to determine which body contouring procedure is right for you.
At Bruno|Brown Plastic Surgery our specialists customize a treatment plan that fits your circumstances. This is important because the number of treatments needed for optimal results can vary. For your body-contouring procedure choose a plastic surgeon you can trust to understand your needs and help you achieve your goals.
We look forward to hearing from you for your free SculpSure consultation soon.
Drs. Bruno and Brown are often asked how to choose the best breast implant size by their DC breast augmentation patients.
The first thing that is important for our DC breast augmentation patients to consider when choosing a breast implant size is to understand 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 C cup and D cup 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.
Choosing the Right Breast Implant Size For You
A great place to start your journey to understanding breast implant sizes is with the types of breast augmentation.
There are two main ways we achieve the breast augmentation results you desire:
Implant Augmentation (Silicone, Saline, and IDEAL)
There is a slight variation in size availability for saline and silicone breast implants, however, 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, so 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.
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. The greater the profile of your breast implant, the greater the height of your breast side wall.
Many patients who desire more upper pole fullness, or cleavage, and are less concerned that their implants look natural choose higher, fuller profile implants, as do patients with very narrow breasts.
Tools to Help You Choose a Breast Implant Size
There are many tools Bruno|Brown can provide you with to help you visualize how different breast implant sizes would look after surgery.
Although none of them offer an exact representation, they can still give you a general idea of the look and proportions implants would create.
Implant sizing is helpful to some patients as they struggle 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 be a great 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. Your surgeon will provide you with appropriate context and a brief anatomy lesson during this stage of the decision-making process.
One of the best resources available to patients choosing a breast implant size is their surgeon’s 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. Review as many before and after photos as possible as you make your decision.
Input From Your DC Plastic Surgeons
Drs. Bruno and Brown will certainly 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. While Drs. Brown and Bruno have spent many years helping women in Chevy Chase, Northern Virginia and Washington D.C. choose their breast implants and can offer you invaluable input, you must feel confident in your decision to ensure your expectations for breast augmentation are met.
If you have experienced unwelcome changes to your body after undergoing pregnancy, a mommy makeover can help you regain your self-confidence and feel comfortable in your post-pregnancy body.
A mommy makeover experience can include any number of procedures to restore and enhance your body.
Mommy Makeover Options
As a mom you may be used to putting everyone else first, but it’s important to consider your own needs too. Treating yourself to a mommy makeover can enhance your body and restore your self-confidence. A mommy makeover can be any combination of these procedures:
Breast Augmentation: Improves projection and reshapes cleavage, returning breast volume and improving definition- particularly for women who have lost significant breast volume from breastfeeding
Breast Lift: Improves position and symmetry of the breast, tightening skin and increasing shape
Tummy Tuck: Reduces the appearance of stretch marks, particularly after pregnancy
Liposuction: Removes excess, loose, or hanging skin, which may be the result of weight loss or pregnancy
With a mom makeover you will undergo multiple surgeries at once. This saves on cost and allows you to experience just one recovery period.
It usually takes between five to seven hours with an overnight hospital stay optional, but available to the patient. The recovery period is about two to three weeks. Patients should be at least four to six months post childbirth, not breastfeeding, and close to their ideal body weight.
With your lifestyle and goals in mind your expert plastic surgeons at Bruno | Brown Plastic Surgery will help you determine which combination of procedures is right for your circumstances. It is particularly important to choose an experienced plastic surgeon for your makeover as it includes multiple procedures which can dramatically alter your body.
Our physicians are experienced, board-certified plastic surgeons that you can trust for your mommy makeover surgery.
We look forward to seeing you for your free consultation of mommy makeover experience soon!
A non-surgical nose job using dermal fillers works to adjust any irregularities and improve the appearance of the nose.
Often one of the first things people notice about you is your nose, so it’s no wonder rhinoplasty is such a popular procedure. Dermal Filler procedures are gaining popularity as a less permanent alternative to the traditional surgical rhinoplasty as a way to adjust the appearance and shape of your nose.
Using Dermal Fillers Around the Nose
During the procedure, small amounts of filler are injected into problem areas to improve volume, adjust irregularities, and smooth out the bridge of the nose. The procedure has no recovery time and only takes about 10-30 minutes. Since filler is non-surgical it is becoming a popular alternative to nose jobs, often for women who are still determining how they want to alter their nose.
If this procedure is right for you, it’s essential to find an experienced DC plastic surgeon like Drs. Bruno and Brown for your non-surgical nose job. The experience of your surgeon translates directly to the quality of your results, and the nose is a particularly delicate feature. The blood supply to the nose is quite weak (even more so if you have undergone a previous surgery) so it is particularly important to choose a qualified surgeon for the best results.
In addition to a nonsurgical rhinoplasty, fillers are also used to reduce the appearance of fine lines, especially between the eyes, fill out hollow cheeks and eyes, plump the lips, restructure receding chins, and generally increase facial volume.
What Types of Dermal Fillers are Available at Bruno | Brown Plastic Surgery?
There are a few different types of fillers available and your surgeon will work with you to determine which best fits your circumstances and how this procedure can work to address your problem areas.
Juvederm – An injectable gel that immediately smooths lines and wrinkles around the nose with results lasting up to 1 year. Juvederm is the filler the doctor is using on a patient on the photo displayed.
Vollure– Softens moderate to severe lines and wrinkles by adding volume to the lines around the nose, producing subtle and long-lasting results for up to 18 months.
Voluma– Instantly adds contour and a subtle lift for smooth, natural-looking results and a more youthful profile lasting up to 2 years.
We look forward to seeing you for your dermal filler procedure or free consultation soon.
Labiaplasty is a revolutionary procedure that has recently grown in popularity.
There are many reasons labiaplasty is on the rise: The most notable is the increase in comfort many women report experiencing after undergoing the procedure.
What is Labiaplasty?
Labiaplasty is a surgical procedure in which the labia minora and/or the labia majora are sculpted and reshaped. Often the goal is to reduce the size of the labia and create more labial asymmetry.
This procedure typically takes less than an hour and the recovery time is minimal, but it’s recommended to hold off on any significant lower body exercises for several weeks. The labia are very sensitive structures, so it is important to choose an experienced plastic surgeon like Drs. Bruno and Brown. The American Society of Plastic Surgeons further explains the procedure.
Comfort: After surgery, many women often experience increased comfort during athletic activities such as cycling or horseback riding. Also, there is typically a decrease in irritation from tight clothing like yoga pants or bathing suits. Reducing the length of the labia prevents it from being twisted or tugged on by tight clothing or irritated by rigorous workouts.
Appearance: Over time the appearance of the labia can change dramatically particularly after undergoing significant life events such as childbirth. Labiaplasty allows women to reshape their labia to increase self-confidence, aesthetic appeal, and create a more youthful look.
Increased sexual pleasure: After surgery, there is often an increase in sexual pleasure as excessively large labia can cause pain during intercourse or even lead to sexual avoidance due to the anticipated pain of intercourse. Additionally, the clitoris can become more exposed leading to an increase in sexual pleasure.
Add us on SnapChat:drs.brunobrown for your chance to win!*
The winner will be announced Friday, June 22nd! Good luck to everyone!
*Contest runs until June 21st. All entries must be following brunobrownplasticsurgery on Instagram, have tagged two people on the post and follow drs.brunobrown on SnapChat. One entry per person. Winner will be randomly chosen on Thursday the 21st. The winner can choose either a round of sculpsure(2 sessions on one area) or 2 Juvederm dermal-fillers of their choice.
Disclaimer: This website provides information about popular plastic surgery procedures in the DC area, such as breast augmentation, tummy tucks, mommy makeovers, body contouring, skin care and more, and is for informational purposes only. It is not intended to be medical advice. Schedule your plastic surgery consultation today.