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Breast Surgery

Conveniently located to serve the areas of Maryland, Virginia and Washington, D.C.

Patients elect to have breast surgery at Cosmetic Surgery Associates, with offices in Bethesda, MD for both aesthetic and medical reasons. Some individuals wish to increase the size of their breasts with a breast augmentation, while others choose a breast reduction surgery to alleviate their back pain. Patients who have had negative experiences with a previous breast surgery also seek the help of Dr. A. Dean Jabs, M.D., Dr. Franklin D. Richards, M.D. and Dr. Keshav Magge, M.D., to revise and correct any imperfections or problems that a previous surgeon was unable to resolve.

Breast Surgery Options

Dr. Richards, Dr. Jabs, Dr. Magge and the skillful team at Cosmetic Surgery Associates, are pleased to offer a wide variety of breast surgery options to fulfill your individual aesthetic goals. The breast surgery options offered at Cosmetic Surgery Associates include:

Breast Surgery Procedures

Since 2006, breast augmentation surgery has been the most popular cosmetic surgical procedure in America. Patients elect to have a breast augmentation for a number of reasons. Some individuals believe that their breasts are too small in relation to the rest of their physique, while others choose to have a breast augmentation procedure in order to restore lost breast volume after pregnancy or losing a significant amount of weight. Mastopexy (breast lift) procedures are either performed alone, or together with breast augmentation surgeries, and can correct the problem of ptosis (sagging breasts), by removing the superfluous skin from the breast region, yielding a more raised and firm breast profile. A breast augmentation performed in conjunction with a breast lift simultaneously lifts and increases the size and volume of the breasts.

Breast revision surgeries are performed to correct or enhance the results of a previous breast surgery procedure. The most common reasons for breast revision surgery include: implant deflation or rupture, capsular contracture (complication resulting in the hardening of the implant), the desire for larger, smaller, or a different type of implant (saline vs. silicone), dissatisfaction with the placement of previous breast implants, or the request for complete removal of the implants.

Breast reduction surgery meets the needs of patients who struggle with discomfort and medical issues caused by the large size of their breasts. These problems include: neck pain, back pain, skin irritation, bra strap indentations, and numbness or weakness in the breast region.

General Information

The desire for larger breasts is common among many women. The decision to enlarge your breasts is highly personal and should be made only after you have considered all of the options along with the risks and benefits.

Frequently Asked Questions

What happens at the consultation?

At the initial consultation, history will be taken and we will listen to understand what your desires are. Some women are nervous. We will try to put you at ease. Your brief exam will be conducted in a non-threatening atmosphere where your wants and needs are catered to. We will discuss the various options for you to achieve your goals, including the type of implants, its size, the placement of the incision and what you can expect after the surgery. We will also review pre and postoperative photos of actual patients to give you an idea of what you will look like.

Where is the implant placed?

For the majority of women, placing the implant beneath the chest muscle (pectoralis major) makes the most sense, because it minimizes the “step off” effect of an implant seen at the upper chest and decreases the chance of a capsule (scar) forming around the implant.  Learn more about breast implant placement.

Where is the incision?

The most common incision sites chosen by women are in the crease under the breast or at the junction of the light and dark skin of the areola. Another option is to place the incision in the armpit. All incisions leave a small (1 1/2 inch) scar that fades with time.  Learn more about breast implant incision options.

Can we use gel implants?

Yes, they are now FDA approved.

Is the implant shaped?

Round, smooth breast implants give the most natural appearance and the least amount of postoperative problems. Studies have shown they cannot be differentiated from “anatomical” or shaped implants and have far fewer potential problems.

Where is the surgery performed?

Surgery is performed in a certified surgery center. We feel your safety is enhanced in this environment. Plan on spending 4 to 6 hours from beginning to end. You will need a ride home afterward.

Post-op discomfort?

Your surgery is performed in a precise manner using the latest techniques which include: Tumescent anesthesia infiltration of the surgical site to decrease bleeding and pain, NO blunt dissection, liberal use of long-acting anesthetic placed directly into the surgical site. This last step provides several hours of pain-free recovery while you are awakening from anesthesia.

What are the possible complications?

The following complications, though rare can occur:

  • Hematoma (bleeding within the developed pocket requiring a return to the OR to remove) occurs in less than one percent of cases and is NOT life threatening. Treatment consists of removing the implant, evacuating the blood, finding the bleeding point and replacing the implant. The blood is removed to decrease the chance of a denser scar forming around the implant.
  • Change of breast sensation, either increased or decreased in all or part of the breast can occur.
  • Capsular contracture is a condition in which scar forms around the implant and changes the feel and shape of the breast. This develops over time and often requires removal of the capsule to correct.
  • Asymmetry and noticeable scar are both rare but do occasionally occur and can be corrected.

Take a look at additional breast augmentation FAQ’s.

Our Plastic Surgery Associates team includes Dr. Franklin Richards, Dr. A. Dean Jabs, and Dr. Keshav Magge. Each of our plastic surgeons is board-certified, and together they have over 60 years of combined experience. Drs. Richards, Jabs, and Magge are all highly qualified in procedures for the face, breast, and body, and pride themselves in providing excellent results through our state-of-the-art, Quad A certified operating centers