Creating Your Signature Silhouette

Breast surgery includes a range of procedures designed to reshape, enhance, or restore the breasts. Our patients pursue these treatments for many reasons, including improving proportions, correcting asymmetry, restoring volume after pregnancy or weight loss, or relieving physical discomfort caused by overly large breasts. We are also a proud partner to many women who are looking to reconstruct and feel whole again, after successfully besting breast cancer.

At James Bruno Plastic Surgery, breast procedures are approached with careful attention to anatomy, balance, and long-term outcomes. Every surgical plan is customized based on the patient’s body structure, lifestyle, and personal goals. During your private consultation, Dr. Bruno discusses available techniques, implant options when applicable, and the expected recovery process so patients can make informed decisions. Our Tysons Corner, Virginia, and Chevy Chase, Maryland, and greater Washington D.C. area patients benefit from a thorough consultation process that prioritizes safety, education, and natural-looking results.

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Procedure Types for Breast Surgery

Doctor and patient during consultation
Breast Augmentation

Breast Augmentation

This procedure enhances breast volume and shape using implants. Patients often seek this procedure to increase fullness, improve symmetry, or restore volume lost after pregnancy or weight changes. A variety of implant sizes and profiles are available, allowing results to be customized to each patient’s body proportions and aesthetic preferences.

Doctor and patient during consultation
Fat Transfer Breast Augmentation

Fat Transfer Breast Augmentation

Breast augmentation with fat augmentation uses a patient’s own fat to subtly increase breast volume. Fat is carefully harvested from areas such as the abdomen or thighs through liposuction, purified, and then transferred to the breasts. This technique offers modest enhancement while also contouring donor areas, creating natural-looking improvements in both shape and proportion.

Doctor and patient during consultation
Breast Lift

Breast Lift

Also called a mastopexy, a breast lift raises and reshapes breasts that have dropped lower than desired due to aging, gravity, pregnancy, breastfeeding, or weight fluctuations. By repositioning the breast tissue and nipple, the procedure restores a firmer, more youthful mound. A breast lift may also be combined with augmentation to achieve additional volume.

Woman smiling
Breast Reduction

Breast Reduction

When a smaller cup size is desired, breast reduction removes excess breast tissue and skin, creating lighter, more proportionate breasts. Many patients pursue this procedure to relieve neck, shoulder, and back discomfort caused by overly large breasts. The surgery can also improve posture, clothing fit, and overall physical comfort while maintaining a natural breast shape for your frame.

Woman and doctor during consultation
Breast Implant Exchange & Removal

Breast Implant Exchange & Removal

The exchange or removal of breast implants addresses concerns related to aging implants, changes in aesthetic goals, or complications such as implant rupture or capsular contracture. Some patients choose to replace implants with newer models, while others opt for complete removal with or without additional reshaping procedures such as a breast lift.

A doctor in the OR
Male Breast Reduction

Male Breast Reduction

Gynecomastia, a condition in which excess breast tissue develops in men, is handled during a male breast reduction. The procedure removes glandular tissue, fat, or excess skin to create a flatter, more masculine chest contour. Treatment may involve liposuction, surgical excision, or a combination of both techniques, depending on the patient’s anatomy.

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Combining Your Treatments for Greater Results

Breast procedures are often combined with other surgeries to achieve comprehensive results. Patients who have experienced changes after pregnancy or weight fluctuations may benefit from combining breast surgery with body contouring procedures such as a tummy tuck or liposuction. Certain breast procedures can also be combined.

What would that look like? Patients who want to restore fullness while correcting sagging may choose a breast lift with augmentation. Implant removal can also be paired with a breast lift to maintain a natural shape after implants are taken out. Please discuss your interests and concerns with Dr. Bruno during your initial personal consultation.

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Why Choose James Bruno Plastic Surgery Results, Results, Results.

Dr. James Bruno brings decades of experience and a meticulous surgical approach to every procedure performed. Patients have called him thoughtful, professional, kind, and caring, but most of all, they praise him for the results. The way a positive surgical outcome can boost a person’s self-confidence, making them feel happy and comfortable in their own skin, is life-changing for so many. It is this positive transformation that is so satisfying, not only for the patient but also for Dr. Bruno and our entire team of dedicated, highly-trained staff who make it a reality. Helping you achieve your goals is what we do. 

Frequently Asked Questions Breast Surgery in Tysons Corner & Chevy Chase

How do I know which breast procedure is right for me?

The most appropriate procedure depends on your anatomy, concerns, and goals. During the consultation, Dr. Bruno evaluates breast shape, skin quality, and existing tissue to recommend a treatment plan that delivers balanced, natural-looking results.

Are breast implants the only option for enhancement?

No. While implants remain a popular option for increasing breast size, fat transfer breast augmentation offers a more subtle enhancement using the patient’s own fat. This option may be suitable for individuals seeking modest increases in volume.

Will breast surgery leave scars?

All surgical procedures involve some degree of scarring, but incisions are carefully placed to minimize visibility whenever possible. Over time, scars typically fade and become less noticeable as healing progresses.

How long is the recovery after breast surgery?

Recovery varies depending on the procedure performed. Most patients resume light activities within a week or two, though strenuous exercise and heavy lifting are usually limited for several weeks to support proper healing.

Can breast surgery improve symmetry?

Yes. Many breast procedures can address natural asymmetry by adjusting size, shape, or position. It is not uncommon for even standard breast augmentation procedures to use two different implant sizes for the right and left chest to compensate for natural differences in breast tissue. Treatment plans are customized to create a balanced appearance that complements your body proportions.

From the moment I walked in the door, I had such a great experience!

“From the moment I walked in the door, I had such a great experience! Everyone I spoke with was super friendly and very knowledgeable. I felt like I was heard, and all the...

“From the moment I walked in the door, I had such a great experience! Everyone I spoke with was super friendly and very knowledgeable. I felt like I was heard, and all the services I’ve had so far have been top-notch. I did a ton of research before choosing James Bruno Plastic Surgery, and I’m so glad I finally came in.”

J.S.

I highly recommend him. His work is impeccable.

“My daughter had a rhinoplasty with Dr. Bruno. The office staff is friendly and very accommodating. Dr. Bruno did a wonderful job. My daughter is very particular and was v...

“My daughter had a rhinoplasty with Dr. Bruno. The office staff is friendly and very accommodating. Dr. Bruno did a wonderful job. My daughter is very particular and was very nervous. He gave her the nose she always wanted, and she could not be happier. I am so thankful we found him. I highly recommend him. His work is impeccable.”

T.T.

Stop searching! Dr. Bruno is the VERY best.

“Stop searching! Dr. Bruno is the VERY best. He exceeded my expectations. I am a month post-op from having a breast lift and tummy tuck. I look amazing! The entire office ...

“Stop searching! Dr. Bruno is the VERY best. He exceeded my expectations. I am a month post-op from having a breast lift and tummy tuck. I look amazing! The entire office is fantastic, highly professional, and so caring. Do yourself a favor and go here!”

J.S.

Dr. Bruno and his staff are AMAZING.

“Dr. Bruno and his staff are AMAZING. From the moment I walked in, everyone was very professional, friendly, made me feel comfortable and not feel judged at all. I was so ...

“Dr. Bruno and his staff are AMAZING. From the moment I walked in, everyone was very professional, friendly, made me feel comfortable and not feel judged at all. I was so happy and confident with my consultation that I decided to do the booking right there and then! Dr. Bruno was very patient with me and took his time in answering my million questions, going over every step, explaining options, from the first consultation to the day of the surgery, and the follow-up appointment. He assured me he would take good care of me, and he definitely did. Go book your consultations with Dr. Bruno! I 100000% recommend :) You're in great hands!”

J.P.

I could literally trust him with my life!

“After having my consultation with Dr. Bruno, I had never been so sure of wanting to do something in my life! He has the best bedside manners and made me feel at ease, lik...

“After having my consultation with Dr. Bruno, I had never been so sure of wanting to do something in my life! He has the best bedside manners and made me feel at ease, like I could literally trust him with my life! He always asked if everything seemed okay with what he was suggesting. I am so thankful to Dr. Bruno and his staff for making this surgery the best and easiest process I could ever imagine. If I had known that I would feel so much better after my surgery, I would have gone to him years ago!”

F.L.

Incredible experience!

“Incredible experience! Highly recommend at any age!! I had SmartLipo with Dr. Bruno on two separate occasions. I was pleasantly surprised by his professional yet personal...

“Incredible experience! Highly recommend at any age!! I had SmartLipo with Dr. Bruno on two separate occasions. I was pleasantly surprised by his professional yet personal approach to what I wanted to achieve, which I thought was nearly impossible! However, it was possible! It’s been the best years of my life post-surgery, and the results still show! I would highly recommend him for SmartLipo, Botox, fillers, and lip injections. I've had all of them done in his state-of-the-art facility.”

E.

I knew that he was the best person to do the surgery.

“I have been a patient of Dr. Bruno’s for several years now. He’s not only a talented surgeon, but he has a very gentle, comforting manner. I broke my nose rec...

“I have been a patient of Dr. Bruno’s for several years now. He’s not only a talented surgeon, but he has a very gentle, comforting manner. I broke my nose recently, which would have been extremely traumatic if it weren’t for the calm and confident way he handled the situation. Based on past experience with him, I knew that he was the best person to do the surgery. The surgery was easy and painless, and my nose looks great.” 

C.G.

The results blew my mind.

“Dr. Bruno was such an amazing doctor, and his staff was excellent also. I can’t express enough! If you’re looking for a plastic surgeon, Dr. Bruno is the man ...

“Dr. Bruno was such an amazing doctor, and his staff was excellent also. I can’t express enough! If you’re looking for a plastic surgeon, Dr. Bruno is the man to make it happen. The results blew my mind. He has such a good bedside manner, and accommodated me with anything I needed. Even after surgery, he responded very promptly to any concerns. They make you feel so important from the time you walk in to the time you leave. If I decide to have any other procedures done, I will be calling him. So don’t look any further. Call Dr. Bruno for great results.” 

P.S.

The care has been 5 stars, and the results are fantastic!

 “My breast surgeon suggested Dr. Bruno’s practice for my reconstructive surgery. I am SO thankful she did! Facing a breast cancer diagnosis in your 30s is such...

 “My breast surgeon suggested Dr. Bruno’s practice for my reconstructive surgery. I am SO thankful she did! Facing a breast cancer diagnosis in your 30s is such a tough thing on many levels. I met with Dr. Bruno, and after taking some pictures and discussing what type of mastectomy I had planned, he explained not only what he felt would be the best approach, but why some of the other types of surgery really were not recommended. He was very professional and polite, and I appreciated that he was not pushy. In the weeks after the surgery, he and the entire office staff took great care of me. I recently had the tissue expander swapped out for the silicone implant. The care has been 5 stars, and the results are fantastic! My oncologist and breast surgeon were also very impressed. I highly recommend Dr. Bruno for any type of cosmetic procedure."

H.M.

He is not your typical plastic surgeon; he is so much better!

 “Dr. Bruno is in a class by himself. He is not your typical plastic surgeon; he is so much better! Talented, thoughtful, always professional (with a super bedside ma...

 “Dr. Bruno is in a class by himself. He is not your typical plastic surgeon; he is so much better! Talented, thoughtful, always professional (with a super bedside manner). He has seen several members of our family in the past decade for various surgeries and treatments. He never pushes any procedures or products; he will give you his honest opinion, and he will work with you to achieve whatever result you need or want. After my breast surgery, the other surgeon said that she loved performing surgery with Dr. Bruno. ‘You would never know he was a plastic surgeon, except for the way he dresses. He is always impeccably dressed.’ Thank you, Dr. Bruno!”

P.P.

“Dr. Bruno is a stand-up, patient, honest guy. I had three surgeries with him, and he has a great bedside manner—quick, kind, and ultra professional. I cannot say en...

“Dr. Bruno is a stand-up, patient, honest guy. I had three surgeries with him, and he has a great bedside manner—quick, kind, and ultra professional. I cannot say enough positive things about his staff. From the front desk to the folks assisting with procedures, everyone is dedicated, kind, professional, extremely respectful, and willing to answer any question or concern.”

F.B.

I highly recommend.

“I had a great experience with Dr. Bruno. I had to have cosmetic work after a breast cancer diagnosis, and at the same time as a partial mastectomy. I am very happy with t...

“I had a great experience with Dr. Bruno. I had to have cosmetic work after a breast cancer diagnosis, and at the same time as a partial mastectomy. I am very happy with the result and my experience there. He did a terrific job, and he couldn’t have been nicer. He even returned one of my calls at 9 pm at night. I highly recommend.”

K.G.

The entire experience was pleasant.

“I recently had a labiaplasty with fat grafting to the labia performed by Dr. Bruno. The entire experience was pleasant. Everyone in the office was warm, wonderful, and ve...

“I recently had a labiaplasty with fat grafting to the labia performed by Dr. Bruno. The entire experience was pleasant. Everyone in the office was warm, wonderful, and very caring. I really felt like Dr. Bruno listened to what I wanted and made sure all my questions were answered. I am beyond pleased with the results and feel more confident than ever.”

P.D.

I’m so happy with my tummy tuck procedure.

“My waist size went from size 14, down to a 10–11, from an XL to a medium. My stomach is flat. I’m so happy with my tummy tuck procedure.”

A.P.

I could not be happier.

“My in-office lipo results are incredible. I’m thrilled to have banished the saddlebags at last and added some balance to my body shape. I could not be happier.&rdqu...

“My in-office lipo results are incredible. I’m thrilled to have banished the saddlebags at last and added some balance to my body shape. I could not be happier.”

J.P.

He has a caring demeanor and made me feel whole again.

 “Dr. Bruno is fantastic. During a tough time in my life, he made sure that I was able to get back to feeling normal. He has a caring demeanor and made me feel whole ...

 “Dr. Bruno is fantastic. During a tough time in my life, he made sure that I was able to get back to feeling normal. He has a caring demeanor and made me feel whole again.”

S.M.

I am absolutely pleased with the results.

“I recently received Juvederm lip fillers by Dr Bruno. I am absolutely pleased with the results. They are perfect and not overdone, but very natural looking. Thank you for...

“I recently received Juvederm lip fillers by Dr Bruno. I am absolutely pleased with the results. They are perfect and not overdone, but very natural looking. Thank you for your professionalism and pleasant service.”

T.D.

I couldn’t be happier with the process

“I couldn’t be happier with the process, surgery, or results from my breast reduction. This was my first surgery, and it went as smoothly as I could have hoped for. ...

“I couldn’t be happier with the process, surgery, or results from my breast reduction. This was my first surgery, and it went as smoothly as I could have hoped for. Every step of the way was well explained, well done, and they always checked up on me.”

T.M.

I would not hesitate to recommend him to anyone for major surgery or minor procedures.

 “Dr. Bruno is a very skilled plastic surgeon, but also a caring and compassionate doctor. I have had several procedures with him as a result of my mastectomy and bre...

 “Dr. Bruno is a very skilled plastic surgeon, but also a caring and compassionate doctor. I have had several procedures with him as a result of my mastectomy and breast reconstruction. I would not hesitate to recommend him to anyone for major surgery or minor procedures.”

G.K.

...what you do makes a profound difference in a person’s life.

“You need to know that what you do makes a profound difference in a person’s life. I will never be able to adequately express my gratitude for what you have done for...

“You need to know that what you do makes a profound difference in a person’s life. I will never be able to adequately express my gratitude for what you have done for me. From my heart, I thank you.”

Anonymous

The skincare specialist with Dr. Bruno is awesome.

“The skincare specialist with Dr. Bruno is awesome. She's full of insight and helpful tips to help you get your skin in its best shape. (Not to mention, she's generous wit...

“The skincare specialist with Dr. Bruno is awesome. She's full of insight and helpful tips to help you get your skin in its best shape. (Not to mention, she's generous with product samples and incredibly personable.) She makes me feel comfortable and pampered - I'd highly recommend you seek her out for a facial, chemical peel, or IPL session. The secret's out!” 

A.M.

Brilliant. Skilled. Caring.

“Brilliant. Skilled. Caring. I can’t think of a more competent or compassionate surgeon than Dr. Bruno. I have been a patient since my mastectomy in 2008. I later ha...

“Brilliant. Skilled. Caring. I can’t think of a more competent or compassionate surgeon than Dr. Bruno. I have been a patient since my mastectomy in 2008. I later had reconstruction and now visit for cosmetic dermatology. He is discreet and, above all, a quality surgeon and person.”

C.C.

Dr. Bruno is a highly skilled surgeon who treats his patients with the utmost care.

“Dr. Bruno is a highly skilled surgeon who treats his patients with the utmost care. I have personally undergone multiple procedures with Dr. Bruno and could not be happie...

“Dr. Bruno is a highly skilled surgeon who treats his patients with the utmost care. I have personally undergone multiple procedures with Dr. Bruno and could not be happier with the care and results I received. I would highly recommend Dr. Bruno to anyone considering the services of a plastic surgeon.”

P.

I am so happy with the results

“Oftentimes, people fail to express their gratitude for excellent work, so I definitely wanted to make sure you know that you are amazing at what you do! I can’t exp...

“Oftentimes, people fail to express their gratitude for excellent work, so I definitely wanted to make sure you know that you are amazing at what you do! I can’t express how grateful I am to have chosen you to be my plastic surgeon. I am so happy with the results—you made my dream come true.”

L.

You’ve Done the Research. Now Meet the Surgeon.

Schedule a private consultation with Dr. Bruno in Chevy Chase or Tysons Corner.

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