Breast Augmentation

Boost. Restore. Fit.

Breast Augmentation

Women choose breast augmentation for a variety of reasons – to boost their self-confidence, restore their figures after pregnancy or breastfeeding, or fit into more flattering clothes.  The scars tend to fade quickly, becoming very faint a year after surgery.

Breast augmentation is one of Dr. Berman’s signature surgeries and among his top three most popular major procedures.

Dr. Berman’s patients come from all over the Northern Virginia and the Washington, D.C. area, including Ashburn, Fairfax, Sterling, Manassas, Reston and Western Loudoun.

What happens during a breast augmentation?

The surgery is carried out under general anesthesia. You cannot eat or drink after midnight, the night before surgery.

All implants are placed under the muscle using either an inframammary, meaning the lower portion of the breast above the breast crease, incision or along the lower half of the areola.

If saline breast implants are used, Dr. Berman will use a very small incision that is approximately 1-½ inches. The saline breast implants are empty and they are filled once they are placed inside the patient. The only dressing is a small steristrip or piece of special tape. You can shower in 24 hours.

If silicone breast implants are chosen, I can often place the silicone breast implant through the lower half of the areolar with the use of an Inplant funnel, which I am certified in the use of. Other women, prefer to use the inframammary incision.

What’s the difference between saline and silicone breast implants?

There is no “right” choice. Both will give an excellent results for a breast enhancement. Each one has specific advantages.

The silicone breast implants have a more natural feel, because the density of the silicone is closer to that of the fatty tissue that gives breasts their soft feel. Silicone breast implants are also more expensive and often require a larger incision. For the past several years, Dr. Berman has been using the Keller Funnel technique, allowing a much smaller incision.

Women must be at least 22 years of age before they can receive a silicone breast implant according to Food and Drug Administration regulations. The FDA recommends that women obtain MRIs every 2 years if they have silicone breast implants.

Dr. Berman will personally go over with you the advantages of saline versus silicone implants.

Where would the surgery take place?

Dr. Berman performs the surgery at Loudoun Hospital, Fair Oaks Hospital, and Countryside Ambulatory Surgery Center. You will need someone to drive you, as you cannot take a taxi home.

Dr. Berman’s patients come from all over the Northern Virginia and Washington, D.C. area, including Ashburn, Fairfax, Sterling, Manassas, Reston and Western Loudoun.

Are there drains?

Dr. Berman has never used drains with his breast augmentation patients. He uses internal dissolving sutures, meaning nothing has to be removed afterward. The wound is covered with a single steristrip. All patients can shower the day following surgery.

What kind of postoperative care is required?

Dr. Berman’s patients usually experience little or no bruising afterward, but it is common to have some swelling. Swelling most often occurs in the upper pole of the breast and will take some time to fully go away. For swelling, we recommend applying ice to the upper breast for 24-72 hours. Bags of frozen peas or corn work best. 

Dr. Berman recommends that patients bring a sports bra to the operating room, and we will put you in this bra in the recovery room. You will feel more comfortable if you wear the bra day and night, except in the shower, for at least a week. Dr. Berman will let you know exactly how long you will need to wear the bra.

Avoid heavy lifting for one month. Dr. Berman will discuss massaging the implants at your first post-operative visit, usually within five to seven days after surgery. It isn’t helpful and is generally painful to begin this massage process earlier than this.

Our staff will also direct you to begin stretch exercises in the recovery room, one of the key tricks for preventing post-operative discomfort.

How long does recovery take?

Most patients will take about five to seven days off from work to recover, although Dr. Berman has had patients return to work as early as three days after surgery. 

Dr. Berman advises that patients who keep themselves comfortable for the first two to three days have a very smooth postoperative recovery.

What is the post op follow-up schedule?

You will generally return to see Dr. Berman at weeks 1, 3, 6, and 12, and then at 6 and 12 months.

Are there any activities you should avoid?

No. After 6 weeks, you can do anything you want.

One of Dr. Berman’s breast augmentation patients is a martial artist who fights in the ring, so it is possible to perform all of your normal activities after surgery.

How long will my breast implants last?

No one knows exactly, and it varies from patient to patient. If they remain soft and intact, there is no reason to remove them. Dr. Berman has patients that have had their implants more than 18 years. Some women have had their implants more than 30 years. If you suffer from breast implant deflation from a previous procedure or in the future, Dr. Berman is a skilled surgeon and has experience removing and replacing deflated implants.

What if my breasts are two different sizes now?

Dr. Berman has had several cases and was able to make the breasts very similar in size. There will always be small differences between each, but you will see a big improvement.

What if I get pregnant afterward?


How long does recovery take?

Most patients will take about five to seven days off from work to recover, although Dr. Berman has had patients return to work as early as three days after surgery. 

Dr. Berman advises that patients who keep themselves comfortable for the first two to three days have a very smooth postoperative recovery.

Disclaimer: Results may vary for different individuals.


A Great Experience

As someone new to this and a bit unsure Dr Berman and his staff were excellent through the entire process. Didn't feel rushed or pushed, they were very accommodating and helped answer all my questions. The procedure itself couldn't have gone better. Highly recommend his services.


Better Than I Imagined!!

I had searched for 3 years for the right surgeon to perform my breast augmentation, and when I met Dr. Berman I knew immediately that I could trust him. He performed my surgery through a nipple incision with EASE. No one can see my scars as they are barely even there! I feel like my breasts finally look the way I always wanted them, my friends all want to get breast augmentations after seeing mine, and I always tell them they MUST go to Dr. Berman! He did an outstanding job and the results are beyond better than I ever dreamed of. They look and feel natural and I highly highly suggest that anyone looking for a breast augmentation only go to Dr. Berman. He has years of experience and is an extremely smart , tasteful, and caring man!! I cannot thank him enough!!


Three Years Later….

Three years later and I'm still in love with my results. I was determined to pursue happiness in 2017 and that meant being selfish for once (I was a single mom of two at the time). When a friend referred me to Dr. Berman, I didn't think twice espeially since she achieved great results. A month after my consultation I was able to schedule my surgery by 3 months post op, I knew I made the right choice. Dr. Berman and his team has been awesome through this journey. They were there if I had any question and never pushed or tried to "up-sell" me on additional procedures. My incision are unnoticeable and still hard to see if I point them out. I couldn't more please with my results and highly recommend Dr. Berman and his team if you are considering the same. About me: I'm a 36 year old black female. Mother of two (both breastfed for at least a year).


Exceeded Expectations

I reviewed before and after photos from several prominent plastic surgeons in the DC-Maryland-Virginia area and it was clear that Dr. Berman performed the best work. Upon our first meeting, he provided honest, thorough information about the procedure. Dr. Berman and the staff at the surgery center were absolutely phenomenal on surgery day. Dr. Berman provides his personal contact information so you're able to ask any questions throughout the recovery, which was much faster than I expected. As someone who has never had stitches or broken a bone, I was nervous about the recovery - but I was back to life as normal after three days. I love the results, and plan on posting pictures later on. I highly recommend Dr. Berman, his staff, and the surgery center.


Dr. Berman and his team could not have been more amazing

Treating my self to Breast Augmentation for my milestone birthday gift was the best decision! Surgery can be intimidating for anyone but Dr. Berman and his team could not have been more amazing! From personal check ins from Dr. Berman post surgery to the smiling faces of his staff and the fastest recovery I could have imagined it all ended in the most superb results!

Chelsea Brown

He’s Absolutely Wonderful !

If I had to do it all over again, I wouldn't change a thing. When you're going through the process of deciding that you want some sort of body altering procedure it's not a decision that you take lightly. I had three other breast augmentation consultations before I stumbled upon Dr Berman. I was actually referred to him by a family member and I'm so glad that I did. Most times when you go in for these consultations you're pretty self-conscious and nervous beyond belief. Dr Berman immediately made me feel comfortable and like I could take a breath to relax and ask the questions that I wanted to ask, really have the conversation that I wanted to have. Every step of the way he was so supportive, comforting, understanding, and just freaking amazing. When I decided that this was something that I really wanted to do he was all for it! Gave me all of the tools and information that I needed went over everything super thoroughly. The ladies that work with him in his office also are absolutely irreplaceable. All of those women have been over the top generous with smiles, hellos, and how are yous. The entire experience beforehand was what you could only pray for when undergoing something like this. After my procedure, same thing. The consistency and true thoughtfulness doesn't stop after you've given them lots of money! I am currently about 6 weeks post-op and I'm very happy with the plastic surgery team that I chose. Dr Berman is so attentive and caring, going out of his way to check on you after hours and on weekends, and his staff always answer the phone/emails & greet you by name and smile when you walk through the doors. I can't brag enough about all of them. I don't plan on having any more work done anytime soon, but I 100% guarantee should I find myself being curious Dr Berman is the only one I will talk to about it!

Taylor Edwards
RealSelf Q&A with David E. Berman, MD

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