When it comes to breast augmentation, technique and artistry make all the difference. With his board-certified experience and Keller Funnel™ certification, Dr. Bruno combines advanced surgical techniques with an unmatched understanding of natural breast aesthetics. He takes time to understand your unique vision—whether you’re seeking subtle enhancement, dramatic transformation, or restoration after pregnancy. From consultation to recovery, Dr. Bruno’s 21+ years of experience mean you’ll receive personalized care, cutting-edge techniques, and natural-looking results at our West Hollywood practice. Your dream breast augmentation isn’t just possible—it’s waiting for the right surgeon to bring it to life.

| william bruno plastic surgery

What Is a Breast Augmentation?

Breast augmentation is a transformative procedure that uses saline implants (filled with sterile saltwater) or silicone implants (made of cohesive gel) to enhance your breast size and shape.

It’s designed to help women who:

  • Want larger, fuller breasts for better proportion
  • Have lost breast volume after pregnancy or breastfeeding 
  • Desire improved breast symmetry
  • Want enhanced curves both in and out of clothing
  • Seek better-fitting bras and clothing options

Breast Augmentation Benefits

Some of the key benefits of breast augmentation surgery include:


Is a Breast Augmentation Right For You?

Dr. Bruno prioritizes your safety above all else. During your consultation, he’ll carefully evaluate:

Physical Health Requirements:

  • Overall good health and realistic expectations
  • Fully developed breasts (18+ years old)
  • Stable weight for at least 6 months
  • No active breast infections or cancer history

Emotional Readiness Factors:

  • Clear understanding of the procedure and recovery
  • Realistic expectations about results
  • Surgery for yourself, not to please others
  • Financial preparation for procedure and aftercare

Breast Augmentation Before and Afters

| william bruno plastic surgery

*Individual results may vary


Breast Augmentation Implant Options

Silicone Implants

  • Pros: Most natural feel, less rippling, quieter movement
  • Cons: Requires larger incision, MRI monitoring recommended
  • Ideal for: Patients 22 years or older, prioritizing natural feel and appearance

Saline Implants

  • Pros: Smaller incision, adjustable sizing, FDA-approved for age 18+
  • Cons: Higher rippling risk, less natural feel
  • Ideal for: Younger patients, those wanting adjustable volume

Learn more about silicone breast implants for breast augmentation from Dr. Bruno himself.


Breast Augmentation Incision Options

Inframammary (Breast Crease) 

  • Pros: Best for future breastfeeding, lower complication rates
  • Cons: Small scar in natural breast crease
  • Ideal for: Most patients, especially first-time mothers

Periareolar (Around Nipple) 

  • Pros: Scar hidden along natural areola border
  • Cons: Potential impact on nipple sensitivity
  • Ideal for: Patients with larger areolas

Transaxillary (Armpit)

  • Pros: No scars on breast area
  • Cons: May create “too far apart” appearance  
  • Ideal for: Patients wanting no breast scarring

What To Expect: Your Breast Augmentation Journey

Pre-Surgery Consultation

During your consultation, Dr. Bruno will:

  • Complete breast examination and measurements
  • Asses of your unique anatomy and skin quality
  • Discuss your lifestyle, activity level, and medical history
  • Have an in-depth conversation about your desired outcomes
  • Review of before/after photos from similar cases
  • Go over incision placement recommendations based on your goals
  • Explain saline vs. silicone implant options
  • Recommend implant sizes and profiles

Surgery Day Experience

Surgery Details:

  • Duration: 1 to 2 hours (depending on incision option)
  • Anesthesia: General anesthesia for comfort and safety
  • Location: Dr. Bruno’s accredited surgical facility
  • Same-day procedure: Go home the same day

What happens during surgery:

  1. Incision placement using your chosen approach
  2. Pocket creation under breast tissue or chest muscle  
  3. Keller Funnel™ insertion for optimal implant placement
  4. Careful positioning for natural, symmetrical results
  5. Meticulous closure with advanced suturing techniques

Keller Funnel Advantage

Dr. Bruno utilizes the innovative Keller Funnel system to enhance the safety and precision of your breast augmentation procedure. This specialized medical device offers significant advantages over traditional implant placement methods.

  • Reduces infection risk by 50%
  • Minimizes capsular contracture
  • Smaller incisions = less scarring
  • 95% gentler on implants
  • Faster recovery time
  • More precise placement
| william bruno plastic surgery

Dr. Bruno is a Keller Funnel™ Certified Surgeon. Learn more about the benefits of using the Keller Funnel™.

Recovery & Aftercare

Immediately After Surgery (0-2 hours)

In the Recovery Room:

  • Wake up gradually under careful monitoring
  • Pain management begins immediately  
  • Initial bandage and surgical bra placement
  • Light refreshments will be available when ready

First 24-48 Hours at Home

  • Pain level: Moderate, easily managed with prescribed medication
  • Activity: Rest, gentle walking only
  • Care: Keep surgical bra on continuously
  • Help needed: Assistance with daily tasks recommended

Days 3-7

  • Return to work: Desk jobs typically okay after 3-5 days
  • Driving: When off pain medication and comfortable
  • Showering: Gentle showers usually permitted (follow Dr. Bruno’s instructions)
  • Activity: Light activities, avoid lifting over 10 pounds

Weeks 2-6

  • Exercise: Gradual return to lower body workouts
  • Upper body: Still restricted, no lifting or pushing
  • Results: Swelling decreases, shape begins to settle
  • Follow-up: Regular appointments with Dr. Bruno’s team

2-3 Months

  • Full activity: Return to all normal exercises and activities
  • Final shape: Implants settle into natural position
  • Scars: Begin to fade and soften significantly
  • Confidence: Enjoy your new silhouette!

Long-Term Results & Maintenance

Your breast augmentation results are designed to enhance your confidence for years to come. With Dr. Bruno’s skilled technique and proper care, most patients enjoy their results for 15- 20+ years without needing replacement. 

You only need a breast implant replacement if: 

  • You develop complications (rare with modern implants) 
  • You want to change size (bigger or smaller) 
  • Implant deflation occurs (more common with saline) 
  • You choose to have them removed 

With proper care and regular check-ups, your implants may last decades without needing replacement.

Immediate Care (First 3 Months)

  • Wear supportive bras as recommended by Dr. Bruno
  • Choose well-fitted, quality undergarments
  • Avoid underwire bras until cleared by your surgeon
  • Gradually return to exercise as approved
  • Avoid high-impact activities until fully healed
  • Listen to your body and don’t rush the process

Long-Term Maintenance (Years 1+)

  • Routine breast exams by your primary care physician
  • Mammograms as recommended (usually starting at age 40 or per family history)
  • MRI monitoring for silicone implants (every 2-3 years after age 40)
  • Maintain stable weight – significant fluctuations can affect results
  • Wear supportive sports bras during exercise and high-impact activities
  • Use sunscreen on chest area to prevent premature aging
  • Practice good posture to showcase your enhanced silhouette

Our Patient Reviews


Breast Augmentation FAQs

| william bruno plastic surgery

Breast sagging is a natural occurrence that occurs over time as the added weight and gravity affect the connective tissue. This is completely normal after breast implant surgery and nothing to be concerned about.

Your Options:

  • Breast revision surgery can reposition and enhance appearance
  • Professional enhancement addresses tissue changes
  • Customized solutions for your evolving needs

Dr. Bruno specializes in breast revision and enhancement with extensive experience serving Hollywood clientele. His proven track record of successful transformations includes ongoing support as your body changes over time, ensuring your results continue to meet your expectations.

Your breast augmentation journey doesn’t end after surgery. Dr. Bruno provides continuous care and enhancement options to maintain your desired results as your body naturally evolves.

Rippling occurs when the implant shows through the skin, appearing as visible ripples near the bottom of the breast. This can affect the natural appearance of your breast augmentation.

Common Rippling Factors:

  • Implant type: Saline implants ripple more than silicone
  • Placement: Over-the-muscle placement increases rippling risk
  • Size: Larger implants have greater rippling chances

Dr. Bruno’s extensive surgical background and meticulous technique help minimize rippling risk from the start. He takes time to ensure optimal implant selection, placement, and sizing for each patient’s unique anatomy, delivering natural-looking results that meet your expectations.

The size of your breast implants is completely dependent on your personal preference and desired outcome.

Size Reference Guide:

  • Average implant size: 350cc to 400cc
  • Cup size equivalent: Small to large C cup
  • Individual variation: Every body type requires personalized sizing

Dr. Bruno discusses every aspect of your breast augmentation before the procedure, ensuring you have a clear vision for your results. He takes time to understand your goals and works with your unique body type to achieve proportionate, natural-looking results that match your expectations.

Capsular contracture is the term for hard scar tissue that can form around breast implants. This occurs in about 10% of all patients who undergo breast augmentation. The implants can feel hard to the touch and may look asymmetrical or distorted in severe cases. It occurs more frequently with implants inserted through the areola and those placed in front of the pectoral muscle. In addition to massaging your implants after surgery, Dr. Bruno may recommend certain medications to help reduce capsular contracture.

Most patients can still breastfeed after having breast implants, depending on the incision and the location of the implant. Just remember, you’ll want to avoid that incision around the areola if you plan to breastfeed in the future. Dr. Bruno will discuss this in more detail during your consultation.

The only definitive way to know if a silicone breast implant is ruptured is by way of a specialized imaging study called an MRI. The FDA recommends getting an MRI three years after breast augmentation surgery in order to evaluate the state of the breast implant. Deflation or rupture with a saline implant is much easier to detect, as you’ll instantly notice that the breast has deflated.


Transform Your Beauty in the Heart of West Hollywood

Your dream breast augmentation awaits at Dr. Bruno’s West Hollywood practice, where 21+ years of board-certified experience meet cutting-edge techniques like the Keller Funnel™ system. Schedule your personalized consultation today and discover how Dr. Bruno’s artistic approach and meticulous attention to detail can transform not just your figure, but your confidence. Let’s bring your vision to life; contact our West Hollywood office now at (310) 461-3855 or request a consultation