Contact Us

Breast Augmentation

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

Is Breast Augmentation Right For You?

Breast augmentation (augmentation mammaplasty) procedures have remained the most popular cosmetic surgery procedure in America for the past seven years, with a total of 286,694 breast augmentation surgeries performed in 2014 alone. Breast augmentation enhances the symmetry, size, and overall aesthetic appeal of the breasts through the surgical insertion and precise placement of silicone or saline breast implants.

At Cosmetic Surgery Associates, located in Bethesda, MD, Board Certified plastic surgeons Dr. Franklin Richards, M.D., Dr. Dean Jabs, M.D., and Dr. Keshav Magge, M.D. have more than 50 years combined medical experience. For individuals in Washington, DC looking for great care, these doctors have successfully performed countless breast augmentation procedures on patients all over Maryland with a variety of aesthetic goals.

A bigger bust can make you feel sexier, confident, and more approachable to others.

Reasons to Choose Breast Augmentation

  • To improve body contour
  • To correct a reduction in breast volume after pregnancy
  • To balance out a difference in breast size
  • Reconstruction following breast surgery

Breast augmentation, augmentation mammoplasty or breast enlargement, is a surgical procedure to enhance the size and shape of a woman’s breasts. A breast implant is a silastic plastic shell filled with a salt water (IV) solution, also known as saline, or a gelatinous form of silicone gel, known as memory gel. Breast Augmentations are done on an outpatient basis. The procedure takes approximately one and one half hours. You will usually feel tired and sore for a few days following the surgery. The swelling in the breasts may take three to five weeks to disappear. You will likely be able to return to work one week after surgery.

Dr. Jabs, Dr. Richards and Dr. Magge understand that the decision to undergo breast augmentation surgery is a highly personal one, and will work in close collaboration with you to safely bring your breast enhancement goals to fruition.

There is a lot of information one needs to know before undergoing breast augmentation and your surgeon wants you to be completely informed about the procedure. That is why consultations are so important to the breast augmentation process. Consultations provide the best way to get complete answers to specific questions that relate to your individual needs.

Choosing Your Breast Implants

Breast augmentation currently ranks as the second most popular cosmetic surgery procedure in the US after liposuction.

As breast implant technology has progressed, patients now have a multitude of implant shapes, textures, profiles, sizes, and materials to choose from. While having a variety of implants to select from is a positive development, the plethora of implant choices may feel overwhelming at first. However, you can rest easy knowing that Dr. Jabs, Dr. Richards and Dr. Magge will patiently guide you throughout the implant selection process, helping you to choose the most flattering implants for your physique.

Breast Implant Types

Women in the US will usually have a choice between FDA approved saline-filled breast implants and silicone gel-filled breast implants. Even among silicone gel implants, a new advanced quality called form stable or gummy bear implants with an ultra-cohesive silicone gel, is becoming a fantastic option for many women.

Silicone Implants

Consistently deliver results that look and feel completely natural. Silicone implants are less likely to ripple, or to cause undesirable changes in the breast tissue. Silicone implants are offered in moderate through ultra-high profiles, and range in pre-determined sizes from 175cc to 800cc. Cosmetic Surgery Associates utilizes the Keller Funnel for insertion. This is a funnel-shaped device that allows the surgeon to insert the silicone implant into the pocket with a “no touch” technique.

Saline Implants
Filled with sterile salt water that is naturally reabsorbed by the body should a leak occur. Unlike silicone implants, saline implants can be custom-filled to a precise size. The profile of a saline implant is moderate to high, and although this type of implant is easier to remove and requires a smaller incision, saline implants are more prone to rippling over time.


The profile of a breast implant refers to the distance the implant will project from your body. Lower profile implants create less prominent silhouettes than those with higher profiles.


Some women want a fuller, more spherical look to their breasts—round implants may be the best option for these patients. Round implants are offered in many different profiles and are currently the most popular silicone implant shape in the United States.

Implant placement

Breast implant placement can significantly impact your breast augmentation results and the overall profile of your upper torso.

Breast implants can be placed submuscularly, which means in a breast pocket created below the pectoral muscle, or subglandularly, which means in front of the pectoral muscle, right behind the breast tissue. The invasiveness of the procedure is likely to differ in both cases.

  • Submuscular placement — underneath the chest muscle
  • Subglandular (a.k.a. submammary) placement — between the chest muscle and breast tissue

Incision Placement

There are two options for incision placement during breast augmentation.

To insert the implants, the options for the location of incisions may include an inframammary incision below the breast crease, a periareolar incision along the border of the lower half of areola, a transaxillary incision in the armpit, or in a few cases, a transumbilical incision where the implant is placed through the navel.

  • Periareolar (incision encircles the lower half of the areola)
  • Inframammary (incision is made just below the curve of the breast)

After helping you to select the optimal implants and choosing the appropriate incision and placement options, Dr. Richards, Dr. Jabs and Dr. Magge will create a custom-tailored treatment plan designed to safely fulfill your aesthetic goals and complement your physique.

Results And Recovery

The American Society of Plastic Surgeons released the results of a survey in 2008, which revealed that 99 percent of the respondents would go breast augmentation again. Overall, the respondents gave a satisfaction rating of 9.2 out of 10 following breast augmentation.

The May 2013 issue of Plastic and Reconstructive Surgery published the results of a five-year study, which revealed that 98 percent of the respondents reported that the results of breast augmentation met or exceeded their expectations. Only one percent expressed dissatisfaction with their post-op scarring, while 92 percent reported an improvement in self-esteem.

Patient Reviews

Dr. Richards did an amazing job on my breast augmentation. He was able to create volume & symmetry I didn’t think was possible. He was also very attentive to all of my concerns and made the decision to proceed with surgery an easy one! I highly recommend Dr. Richards!

Read More

Breast augmentation surgery is generally performed under general anesthesia as an outpatient procedure, and is typically completed in about an hour (if performed in conjunction with a breast lift, the surgery may take longer). After your breast augmentation, you will be released to a friend or family member. Your initial results will be visible immediately after your surgery, and will continue to improve over the next 2-4 weeks, as any residual swelling and bruising subside.

Discomfort after breast augmentation surgery is usually mild to moderate. All sutures are dissolvable, so your follow-up appointments will be scheduled at one-week, one-month, and three-month intervals to ensure that you are healing properly.

Schedule a Consultation

If you are seriously considering breast augmentation surgery, we strongly recommend setting up a consultation with one of our board certified plastic surgeons.  Our office is only 11 minutes away from Potomac and 10 minutes away from North Bethesda & Rockville. Schedule your consultation appointment today!