Breast surgery can enhance shape, restore balance, or relieve physical discomfort. Dr. James Bruno offers personalized breast procedures in Tysons Corner and Chevy Chase, helping patients achieve natural-looking results that complement their body proportions and aesthetic goals.
Procedure Types for Breast Surgery

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.

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.

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.

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.

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.

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.

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.

