Our Philosophy
We offer both saline and silicone implants. However, 95% of our patients desire silicone implants. They both have their merits, but we find that there is a greater chance of rippling with saline implants, which is why we prefer silicone. Further, silicone implants are more natural feeling than saline.
At Cosmetic Surgery Associates, located in Bethesda, MD, Dr. Franklin Richards, M.D., Dr. Dean Jabs, M.D., and Keshav Magge, M.D. have years of extensive experience working with silicone implants, and will work with you to ensure that you select the perfect size and type of implant to achieve the results you desire.
What are Silicone Implants?
Silicone implants come pre-filled with silicone gel, a dense gel that closely simulates the texture and feeling of human breast tissue. Implant insertion techniques have improved, so breast augmentation using silicone implants uses a small incision, similar to augmentation with saline implants.
The use of silicone implants in breast augmentation and reconstructive surgeries has continued to rise over the past six years. In 2012, 62% of the breast-augmentation procedures performed in America utilized silicone implants. Many surgeons and patients believe that silicone implants are the most authentic type of implant, and that silicone implants look and feel more like natural breast tissue than saline implants.
Implant Sizes
The majority of silicone implants today have three layers of shell surrounding the silicone gel in order to decrease the amount of potential gel bleeding. In recent years, breast augmentation technology has made significant advances, and silicone implants are now less likely to rupture or leak. Silicone implants have a range of widths (smaller implants are generally narrower) and a volume (size) range of 175cc (cubic centimeters) to 800cc.
Keshav Magge, MD, FACS
Board-Certified Plastic Surgeon
Honored as a Top Doctor by Bethesda Magazine and Washingtonian in both 2024 and 2025, Dr. Magge is recognized for his exceptional surgical skill, artistic precision, and patient-centered approach. A leading plastic surgeon in Bethesda, Maryland, he completed a fellowship in Craniofacial and Pediatric Plastic Surgery at Children’s National Medical Center in Washington, D.C., where he gained advanced expertise in facial rejuvenation and aesthetic surgery innovations.
Meet Dr. Magge
A. Dean Jabs, MD, PhD, FACS
Board-Certified Plastic Surgeon
Dr. Jabs is an award-winning, board-certified plastic surgeon recognized nationally for his expertise in creating natural-looking results and his warm, compassionate approach to patient care. Trained in NY at Columbia University, he served in the US Army and has special expertise in facial rejuvenation. He has over 35 years of experience and has consistently been voted a top plastic surgeon by Washingtonian and Bethesda magazine.
Meet Dr. Jabs
Franklin D. Richards, MD, FACS
Board-Certified Plastic Surgeon
Dr. Richards has been recognized as a Top Doctor by several prestigious organizations, including Castle Connolly, Consumers’ Research Council of America, and Washingtonian magazine. A leading plastic surgeon in Bethesda, Maryland, Dr. Richards is the past Chief of Plastic Surgery at Johns Hopkins Suburban Hospital. His expertise is in achieving natural results in facelift and eyelid surgery, with additional interests in cosmetic surgery of the breast and abdomen.
Meet Dr. RichardsPatient Photos
View our gallery to see photographs of real patient results at Cosmetic Surgery Associates.
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Patient education is one of our primary goals. Check out our educational video series to learn more about specific procedures and view real results.
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