Introducing SkinVive to Bruno | Brown Plastic Surgery: The Injectable Skin Conditioning Hyaluronic Acid Gel
We’re excited to say SkinVive by Juvederm will be available at Bruno | Brown Plastic Surgery soon! SkinVive by Juvederm is the first and only FDA-approved hyaluronic acid (HA) microdroplet injectable in the US to improve skin smoothness of the cheeks and overall skin quality for up to 6 months.
This product is a skin conditioning Hyaluronic acid (HA) gel that is injected into the middle layers of the dermis to nourish it from the inside out. SkinVive hydrates the skin with its high water-binding capacity, increases elasticity through stimulating collagen production, and smoothes the skin by reducing the appearance of fine lines.
Similar to other injectables, this product requires no downtime. Following the injection, you may experience redness, bruising, or swelling around the injection site but this should go away within a week. Results will be seen immediately after injection with full effectiveness showing within a month.
SkinVive is beneficial for all skin types across all ages. According to clinical trials, 91% of patients were more satisfied with their skin, 96% had smoother cheeks after treatment, and patients still saw improvement 6 months after the initial treatment. Talk with our doctors and skin care specialists to learn how it can benefit you!
Stay up to date with our socials and website for more information about SkinVive!
Dr. Brown talks all things plastic surgery with Nikki Noya on The Jet Set
Nikki Noya hosts The Jet Set where she interviews some of the “most interesting people in the world”. The Jet Set offers viewers a weekly dose of travel news, lifestyle trends, inspiration, interesting and informative guests and destination features shot on-location. Nikki asked Dr. Brown to come on the show to chat with her about some interesting topics in the plastic surgery industry, how Bruno | Brown Plastic Surgery came to be, and a little about Dr. Brown himself.
Fight the Signs of Aging with Botox in DC at Bruno | Brown Plastic Surgery
As we age, our faces develop wrinkles and lines from the various facial expressions we make over our lifetime. Botox is one of the most popular cosmetic procedures in the United States to reduce the appearance of these age marks.
Botox works by injecting botulinum toxin into the muscle to block its nerve signals. By blocking this signal, the muscle is not able to contract. This relaxed muscle diminishes unwanted facial wrinkles by preventing movement so that your face remains smoother.
Botox is most effective when used as a preventative treatment. If a patient starts to get Botox before developing deep lines or wrinkles, they are less likely to develop them in the future because the skin will be protected by low muscle movement. The less movement of the skin and muscle, the less wrinkle.
If a patient waits to start Botox once deep lines and wrinkles have already settled in, the Botox is not only working to prevent future wrinkles, it is also working to lessen the appearance of current wrinkles. Listen to what Dr. Brown has to say about preventative Botox in Washington, DC:
Botox can help your aesthetic goals in a number of ways. Here are a few:
Botox is a minimally invasive, quick procedure. Botox injections typically take around 5 to 15 minutes, depending on how much your doctor is injecting. The procedure consists of multiple small injections, which most patients say they don’t feel. No downtime is required for this procedure.
Quick results. You should start to notice your Botox kicking in within the first few days. By the end of the first week, you should both feel and see a difference in your skin. By the end of the first month, you should see full results.
Botox enhances your natural beauty. Botox helps bring back a smoother, more youthful appearance to help highlight and enhance your natural beauty!
Lasting Results. Botox can be a great investment and prevent the need for more invasive cosmetic procedures further down the line.
What does the process of getting DC Botox look like?
You and your doctor will discuss your areas of concern and what will work best for you specific anatomy and facial structure. From there, the doctor will define the injection points and begin injecting using a fine needle. Following the injection, the doctor or nurse may use an ice pack to relieve any irritation.
Swelling, redness, or bruising surrounding the injection points is normal and will likely resolve within a week. Depending on the patient, it can take anywhere from one week to up to one month to see full effectiveness of the Botox. Over this period, you will start to feel the product slowly start to work and settle in.
Botox can last anywhere from 3 to 6 months. Depending on your goals, you may want to consider a maintenance schedule to stay on top of wrinkle prevention. Most of our Washington, DC Botox maintenance patients return every 3-4 months.
The Difference Between a Facelift and a Deep Plane Facelift in DC
As we age, our skin becomes less structured. Because of this laxity, we notice more sagging and drooping, especially in the face. Jowling occurs when the face loses elastin and collagen, creating excess skin around the jawline and chin. The lack of tightness in the skin can makes us appear older.
A facelift is a surgical procedure that aims to help your face regain firmness. The procedure combines surgical and non-invasive techniques to reduce the signs of aging and reshape your facial features for a natural, youthful appearance. Depending on your situation and desired outcome, you may be fit for a facelift, mid-facelift, deep plane facelift, brow lift, or just a neck lift.
Each patient is different and has anatomy that requires a personalized approach. That’s why it’s vital to have a consultation with one of our doctors to discuss your lifestyle, concerns, problem areas, and goals.
A facelift is a facial procedure that aims to reduce overall laxity and loss of structure in the face and neck region. This procedure is beneficial for those who experience dissent of the cheek area, excess skin around the jaw or chin, and/or drooping in the upper face region.
Incisions for this procedure are located in the hairline, along the tragus, beneath the earlobe, behind the ear, and back into the hairline. They are relatively easy to conceal and tend to heal quickly.
A mid-facelift is a type of facelift that focuses on the middle regions of the face. This may be beneficial for patients of any age who experience dissent or lack of fullness in the cheek area, without concern of the upper face.
This procedure involves one incision in the hairline and one incision in the mouth. Once incisions are made, the cheek tissue can be lifted up. Incisions may take around 2 weeks to heal but are easily concealed.
A deep plane facelift is a type of facelift that aims to reduce tension with scarring. This may be beneficial for patients who want overall improvement in their skin laxity and a longer lasting result.
This procedure works by creating a fascial flap underneath the skin, releasing all tension, and lifting the skin and muscle. The lack of tension allows incision scars to heal thin and discreet. Results from this procedure are longer lasting due to lifting the entire fascia rather than just the skin.
An endoscopic brow lift is a type of facelift procedure that focuses on the forehead, brow, and eyelid region. This may be beneficial for those who have heavy brows, brows that sit lower on their face, fullness in the eyelid, or overall sagging in the upper face.
A neck lift is in the same family as a facelift but specifically focuses on laxity within the neck region. This may be beneficial for someone who feels as though their neck is aging faster than their face, for someone who has always had excess skin in the neck regardless of age, or for someone who isn’t ready to commit to a full facelift.
This procedure requires minimal incision points including one just below the chin and, in some cases, behind the ear. Once the incisions are made, the neck muscle is dissected and tightened.
Defy Time at Bruno | Brown Plastic Surgery with Neck Lifts, Facelifts, Browlifts, and Forehead Lifts in Chevy Chase, MD
We spend our lives looking at each other’s faces and studying our own. Because of this, we notice some of the first signs of aging in our face. This could be wrinkles, hollowness, discoloration, sagging skin, or more, which may make you appear older than you actually are. When performing any sort of surgical lift on the face, you are able to rewind the clock.
Neck lifts, facelifts, browlifts, and forehead lifts all help to reduce the most common signs of aging by tightening the skin. By doing this, the skin appears fuller, more youthful, and smoother. Depending on your situation, you may only need one small adjustment to bring a world of difference. Continue reading to learn about the benefits of each one.
A neck lift is a surgical procedure specific to the neck and jawline to reduce the signs of aging. This procedure is common for people who don’t necessarily have problems area on the face itself but experience fullness in the neck, lack of jawline definition, or extra skin.
Neck lift recoveries often take about 2 to 3 weeks. You will notice swelling and bruising start to subside around 2 weeks and you will begin to resume normal activity around 3 weeks.
A facelift is a surgical procedure on the face and neck region to reduce the signs of aging. These signs may include:
Relaxation of the skin of the face causing sagging
Deepening of the fold lines between the nose and corner of the mouth
Fat that has fallen or disappeared
Jowls development
Loose skin and excess fat resulting in a double chin or “turkey neck”
During your consultation, you and your doctor will discuss your current situation and desired outcome. From this, your doctor will decide if you need a full face lift or a mid-facelift.
Mid-facelifts are performed when the patient is experiencing dissent of the cheek area with little to no problem around the upper face region. Incisions are placed in the hairline and inside the cheek to pull the tissue up and regain fullness. The incisions will take about 2 weeks to heal but are easily concealed. Fullness will be more aggressive immediately after surgery but will subside as you recover. This procedure is appropriate for many different patients regardless of age.
Facelifts are a combination of many different “lifting” procedures to give you the overall refreshed look. Multiple areas may be addressed at once which can make the recovery process slightly longer. More incisions may be involved but are easily concealed.
A brow lift, also known as a forehead lift, concentrates on the eyebrows specifically to reduce the signs of aging. Despite focusing on the brow, many patients see improvements to the upper eyelid, crow’s feet, and forehead as well. Benefits of this procedure include:
Reduces the wrinkle lines that develop horizontally across the forehead, as well as those that occur on the bridge of the nose, between the eyes
Improves frown lines, the vertical creases that develop between the eyebrows
Raises sagging brows that are hooding the upper eyelids
Places the eyebrows in an alert and youthful position
It’s important to have a discussion with your doctor about what is bothering you. You may feel as though your eyelids are the problem when you might just need your brow lifted to relieve the heaviness affecting the eyelid. If you’re interested in more information about getting a brow lift in Chevy Chase, MD, schedule a consultation today.
At Bruno | Brown Plastic Surgery, we specialize in body contouring procedures like mommy makeovers and tummy tucks. These procedures help to tighten and restore your core to give you a slim waist and lifted appearance.
Having a baby is one of the most exciting moments of your life. Your body has just done an incredible task, but now may be feeling the after-effects. Loose skin and sagging are extremely common after pregnancy. Some people are able to bounce back, while some may need extra help.
“I had cosmetic surgery with Dr. James Bruno and Dr. Coleman Brown in July. I had liposuction 360 and a breast lift. I can’t thank you both or your staff enough for your professionalism, hard work, and excellent care. -VJ, Google Review”
The tummy tuck procedure can be included in a mommy makeover but is also popular by itself. Many patients opt to include this in their mommy makeover because it specifically focuses on restoring your abdomen, but you don’t have to have a baby to have this done. Tummy tucks are also common after significant weight loss. A tummy tuck, also known as abdominoplasty, addresses your problem areas by removing unwanted stubborn fat and tissue around the waistline and stomach.
There are various types of tummy tucks. Your doctor will discuss which tummy tuck will be right for you when you discuss your current situation and desired outcome.
Mini Tummy Tuck: Patients in need of only a small amount of excess fat and skin removed may only require a mini tummy tuck, requiring a smaller incision and less surgery time.
Regular Tummy Tuck: The most common tummy tuck ranges from hip to hip, removing excess fat and loose skin from an individual’s entire abdominal area.
Extended Tummy Tuck: While this procedure is extremely similar to a regular tummy tuck, the targeted area extends beyond the hips, often including a liposuction contour within the desired area. Individuals who want to remove excess skin and fat in the lower back and hips may be recommended this procedure for best results.
Circumferential Tummy Tuck: A 360-degree tummy tuck removes excess skin and fat from the entire torso, generally most suitable for individuals who have faced significant weight loss, resulting in excess skin and fat in the abdomen, hips, and back.
If you’re looking to get a tummy tuck in Maryland, the team at Bruno | Brown Plastic Surgery will take care of you every step of the way.
The mommy makeover rejuvenates your body and restores your pre-pregnancy figure. This popular cosmetic surgery reverses the undesirable physical effects of pregnancy and childbirth through a combination of procedures. These procedures could include:
a tummy tuck
breast lift
liposuction
breast enhancement
and other body contouring techniques
Your specific mommy makeover will depend on what unique goals you and your doctor establish during the consultation. In order to know if you’re a good candidate for this procedure, you will have a consultation with our doctors to discuss your:
medical health
ideal body weight
outlook and expectations
future of childbearing
If you’re looking to get a Chevy Chase mommy makeover, our doctors will ensure confidence in every aspect of the procedure. This includes your consultation, procedure, and recovery.
“During the consultation, Dr. Brown listened to my concerns and took the time to thoroughly explain the procedure, addressing any doubts or questions I had. Dr. Brown’s surgical expertise is truly remarkable. The whole procedure was flawless. I was told step by step how everything would go, and Dr. Brown made the entire experience so easy and comfortable. I was given detailed instructions about the post-procedure and saw Dr. Brown for follow-ups during the recovery. I could not have been more pleased with the results, and I am forever grateful for the care I have received.” – Google Review
Recovery for these procedures can range between two and three weeks. No overnight hospital stay is required for either procedure. Activity will be minimal the first week and you may need assistance during your daily activities. After the first week, you will gradually increase your activity as you start to feel better. You can expect a slightly longer recovery from a mommy makeover as you are recovering from multiple procedures at the same time compared to just one.
Every patient is different and will require different recovery processes. Listen to your doctor and follow the guidelines given to you for the best results.
Looking for a rhinoplasty in DC but wanting the Beverly Hills look? Bruno | Brown Plastic Surgery can help
Beverly Hills is known as the leader in plastic surgery. When you think of Hollywood movie stars and LA influencers, you often wonder what they have had done to stay looking so young and flawless. Plastic surgeons have been working with celebrities for decades to help achieve the “camera ready” look.
Dr. Suma Yalamanchili has joined the Bruno | Brown Plastic Surgery practice all the way from California. Dr. Yalamanchili is unique in that she is one of only a handful of plastic surgeons who are also fellowship trained in facial plastic surgery. She is the only plastic surgeon in the nation to have completed this fellowship in Beverly Hills, California.
Her experience in California has given her the skills and ability to bring the Beverly Hills look to anywhere in the world, including the nation’s capital.
There are a number of different ways to improve the shape and appearance of your nose. The “Beverly Hills Nose Job” does not refer to one specific size or shape, but rather the way with which we approach nose surgery. Listed below are some of the different techniques our doctors may use:
Open Rhinoplasty: used for major nose reshaping, allows doctor to fully see nasal anatomy
Closed Rhinoplasty: used for minor nose reshaping and minimal incisions
Full Rhinoplasty: used when reconstructing the bone
Tip Rhinoplasty: used when only needing to reconstruct the soft tissue
Reconstructive Rhinoplasty: used as a result of damage or injury
Revisional Rhinoplasty: used when revising a previous rhinoplasty
Filler Adjustment: used when making minor adjustments and a surgical procedure is not necessary
Each patient is unique and requires a personalized approach. During your consultation, you will discuss your current situation, desired outcome, and factors that may contribute to the success of the procedure. From there, your doctor will be able to recommend the best technique to achieve your goal.
When discussing what your desired outcome is, it’s important to make sure you and your doctor are on the same page. You may have a general understanding of what you are looking for but your doctor will be able to guide you in the right direction. They will help blend your idea of the perfect nose with what will look perfect on your face.
It can be helpful to bring photos in of the nose you are thinking of. This way, you and your doctor can have a clear visual of what you are describing and avoid miscommunication.
A rhinoplasty will typically involve a 2 to 3 hour procedure with no hospital stay and around a 3 week recovery until you can resume normal activities.
In the first week, you should avoid most activity that will increase your heart rate. When you heart rate increases, it can cause your nose to swell even more. The goal for this month of recovery is to reduce swelling as much as possible.
During your second week, you can increase your activity slightly. This could include a light walk or non-aggressive movement. You will start to feel better in between the second and third week during which you can continue to ease back into your regular activities.
After the third week, there are little to no activity restrictions. You may want to monitor your swelling as you increase activity to ensure you don’t disrupt the healing process.
Having a baby is one of the most exciting moments of your life. Your body has just done an incredible task, but now may be feeling the after-effects. Loose skin and sagging are extremely common after pregnancy. Some people are able to bounce back, while some may need extra help.
At Bruno | Brown Plastic Surgery, we specialize in body contouring procedures like mommy makeovers and tummy tucks. These procedures help to tighten and restore your core to give you a slim waist and lifted appearance.
We offer the mommy makeover to rejuvenate your body and restore your pre-pregnancy figure. This popular cosmetic surgery reverses the undesirable physical effects of pregnancy and childbirth through a combination of procedures. These procedures could include a tummy tuck, breast lift, liposuction, breast enhancement, and other body contouring techniques. Each patient is unique, so your specific mommy makeover will depend on what goals you and your doctor establish during the consultation.
In order to know if you’re a good candidate for this procedure, you will have a consultation with our doctors to discuss whether you:
are in good medical health
are at your ideal body weight
have a positive outlook and realistic expectations
The tummy tuck is a procedure that can be included in a mommy makeover, but is also popular by itself. A tummy tuck surgery, also known as abdominoplasty, addresses problem areas by removing unwanted stubborn fat and tissue around the waistline and stomach. Many patients opt to include this in their mommy makeover because it specifically focuses on restoring your abdomen, but you don’t have to have a baby to have this done. Tummy tucks are also common after significant weight loss.
There are four different types of tummy tucks. After discussing your current situation and desired outcome, your doctor will recommend which tummy tuck will be right for you
Mini Tummy Tuck: Patients in need of only a small amount of excess fat and skin removed may only require a mini tummy tuck, requiring a smaller incision and less surgery time.
Regular Tummy Tuck: The most common tummy tuck ranges from hip to hip, removing excess fat and loose skin from an individual’s entire abdominal area.
Extended Tummy Tuck: While this procedure is extremely similar to a regular tummy tuck, the targeted area extends beyond the hips, often including a liposuction contour within the desired area. Individuals who want to remove excess skin and fat in the lower back and hips may be recommended this procedure for best results.
Circumferential Tummy Tuck: A 360-degree tummy tuck removes excess skin and fat from the entire torso, generally most suitable for individuals who have faced significant weight loss, resulting in excess skin and fat in the abdomen, hips, and back.
If you’re looking to get a tummy tuck in Washington, DC, the doctors at Bruno | Brown Plastic Surgery will take care of you every step of the way.
Recovery for these procedures can range between two and three weeks. No overnight hospital stay is required for either procedure. Activity will be minimal the first week and you may need assistance during your daily activities. After the first week, you will gradually increase your activity as you start to feel better. You can expect a slightly longer recovery from a mommy makeover as you are recovering from multiple procedures at the same time compared to just one.
Every patient is different and will require different recovery processes. Listen to your doctor and follow the guidelines given to you for the best results.
Are you considering using Ozempic in Washington, DC for weight loss or type 2 diabetes management? Ozempic, also known as semaglutide, was approved for use in adults with type 2 diabetes in 2017 by the U.S. Food and Drug Administration (FDA). As defined on the Ozempic website, it is a “once-weekly medicine for adults with type 2 diabetes used to improve blood sugar, along with diet and exercise, and reduce the risk of major cardiovascular events such as heart attack, stroke, or death in adults with type 2 diabetes and known heart disease.”
Although not made specifically for weight loss, studies have shown weight loss can be seen as a result of taking the medication. When a patient experiences weight loss like they do on Ozempic, they may notice changes in their body. In an American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) survey, 60% of facial plastic surgeons reported seeing an increase in patients with complaints of “Ozempic Face.”
Ozempic Face happens when patients experience rapid facial weight loss resulting in facial deflation and a prematurely aged appearance. This is due to your skin not having the time or ability to accommodate for that rapid weight loss. Because of this, patients in DC have turned to corrective procedures to bring youth and fullness back to their faces. It is reported that around 25% of patients opt for corrective surgery and 25-50% of patients opt for injectables to mitigate the problem.
Plastic and cosmetic surgeons have adapted to this demand and offered insights on what they think is best. In total, 15% of facial plastic surgeons surveyed recommend treating this situation exclusively with facial filler, 12% recommend face and neck lifts, and 2% recommend fat grafting. However, it is crucial to remember that each patient’s body is unique, and what works for one person may not yield the same results for another. This is why consulting with an expert is essential in ensuring you receive the best, personalized treatment plan. A skilled plastic surgeon will evaluate your specific needs, facial structure, and desired outcomes to tailor a solution that ensures the most natural and satisfying results. Individualized care is key to achieving optimal aesthetic outcomes and maintaining the health and integrity of your skin.
At Bruno|Brown Plastic Surgery, we understand the unique challenges posed by Ozempic Face and are dedicated to providing personalized solutions to restore youthfulness to your face. Our experienced team offers a range of treatments, including dermal fillers, facelifts, and fat grafting, tailored to meet the specific needs and unique face structure of each patient. Dermal fillers are an excellent, non-invasive option to quickly add volume and smooth out deflated areas, giving you a fuller appearance without surgery.
For those seeking a more dramatic transformation, our facelift procedures reposition and tighten facial tissues to achieve a natural and refreshed look. Whichever service is determined to provide you with the best results, our goal is to help you regain confidence and maintain the health and integrity of your skin. Schedule a consultation today to learn more about combating the effects of Ozempic Face.
Gaining Weight Back After Ozempic
It is important to note that due to the nature of Ozempic, patients may experience weight gain once they stop using the medication. This could interfere with the corrective procedures mentioned above. Patients may feel as though their filler is being pushed out or their surgical results have been distorted. This can be avoided with extreme precision and strategic placement by your doctor at the time of the corrective procedure, but doctors have also recommended making changes in diet and lifestyle to maintain their results as best as possible.
Ozempic and its effects are relatively new to plastic surgeons in Washington, DC. The more patients use it and the longer it stays around, the more doctors will be able to understand and address problems such as Ozempic Face.
Watch Bruno|Brown Plastic Surgery’s Dr. Yalamanchili discuss Ozempic Face and the approaches that plastic surgeons are using to restore fullness to the face, as well as the unique challenges that it presents:
Consult with your doctor when deciding to start this medication.
For more information about how to treat Ozempic Face in Washington, DC, schedule a consultation to speak with a Bruno|Brown plastic surgeon today!
Considering Getting a Labiaplasty in DC? Here’s All the Information You Need to Know
Every woman deserves to feel confident and self-assured, especially in the most intimate areas of your body. At Bruno | Brown Plastic Surgery, we’re committed to delivering results and giving you the body you’ve dreamed of.
The labiaplasty procedure surgically sculpts and reshapes the labia minora and/or labia majora. For women who are uncomfortable, embarrassed, or have pain during sexual intercourse, know that you have the power to decide how your body should look and feel, including in the vaginal area. Labiaplasties typically result in shorter labia that no longer hang down below the level of the hair-bearing labia majora.
Every patient’s body is different and requires its own personalized plan of action. Before the procedure, our doctors will talk to you about the following considerations:
Labia asymmetry
Labial sagging
Labial reshaping
Labial resizing
Lifestyle and activity levels
The Procedure
Once you and your doctor have outlined what you want your results to look like, you will discuss which procedure is right for you. You may either move forward with a labia majora or labia minora labiaplasty. The labia majora procedure involves reducing the size and shape of the outer lips of your vagina. The labia minora procedure reduces the size and shape of the inner lips.
In both procedures, these reductions are typically made using the trim technique or the wedge technique. During the trim technique, the plastic surgeon removes excess skin around the outer edge of the labia. During the wedge technique, a v-shaped “wedge” is cut out of the labia at the widest point then the edges are stitched together. Your doctor will determine which technique is best for you during your consultation.
A labiaplasty may take as little as 45 minutes to an hour. 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 Recovery
Recovery from labiaplasties are considered minimal, but it is recommended to hold off on any significant or strenuous lower body exercise for several weeks. This procedure involves delicate tissues that require being well cared for during the healing process. Healing may take up to 4 to 6 weeks. At-home remedies like ice packs, elevation, and OTC or prescribed medications will help with the discomfort and pain.
Choosing to get plastic surgery can be a difficult decision, especially when it comes to your intimate areas. Finding the right plastic surgeon for your labiaplasty procedure is critical. Our doctors are considered some of the area’s top-rated plastic surgeons, serving the greater Washington, DC metropolitan area, including Maryland and Northern Virginia. They have decades of experience making each and every patient feel confident with the latest, most innovative practices.
Dr. Bruno, Dr. Brown, and our staff will ensure that you feel comfortable at every step in the process. Not only do we want you to feel confident post-surgery, we want you to feel confident throughout the whole thing.
As we age, our skin becomes less structured. Because of this laxity, we notice more sagging and drooping, especially in the face. Jowling occurs when the face loses elastin and collagen, creating excess skin around the jawline and chin. The lack of tightness in the skin can makes us appear older.
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