Genetics & Lifestyle

Asymmetry of the breast is best defined as noticeable differences in breast size, breast shape, imbalance between the breasts, nipple/areola size and a height, variation in inframammary creases and overall contour of the breast. The larger the breast (more volume), the greater often are the differences. Breast asymmetry may be related to genetics and may have developed during puberty or due to life events such as: normal aging and hormonal changes, pregnancy and breast feeding, weight changes, accident or injury causing trauma to the breast, or diseases like scoliosis of the spine. Breast asymmetry causes challenges such as finding bras that fit comfortably, looking good in your clothing, being able to participate in sports or to workout in a gym without embarrassment. Dr. Rudderman is specialized in many surgeries of the breast and can perform the artistically demanding and rewarding surgeries that correct these problems.

Regardless of the causes…breast changes are unpredictable, unavoidable, bothersome, embarrassing & problematic.

Dr. Rudderman is one of Atlanta’s surgeons of choice. He is specialized in many complicated problems of the breast & he employs delicate, advanced techniques to achieve the most natural looking results possible.

Benefits of Breast Asymmetry Surgery

  • Breast Asymmetry surgery creates or restores balance
  • Breast Asymmetry surgery rejuvenates breast shape & contour
  • Breast Asymmetry surgery re-contours the breast after pregnancy
  • Breast Asymmetry surgery elevates & repositions the breast
  • Breast Asymmetry surgery improves nipple/areolar size, shape, position & balance
  • Breast Asymmetry surgery restores a more youthful, balanced & pleasing appearance to the breast(s) after random life events
  • Dr. Rudderman has years of experience & success with Breast Asymmetry surgeries

Good Candidates for Breast Asymmetry Surgery

Do you have any of the following concerns?

  • Noticeably uneven breasts
  • One or both breasts are shaped differently
  • Nipple on one or both breasts are higher or lower
  • Areolar(s) are misshapen & un-proportioned with the breast
  • One or both breasts need more upper breast fullness
  • Breast tissue sags low or at the bottom of the breast
  • Bras fit poorly & are uncomfortable (one or both breasts)
  • Inserts are needed to feel comfortable in clothes
  • You feel conspicuous in workout, sports or swim wear
  • Breasts have changed in shape, size, contour over time
  • Random life events have caused undesirable breast changes:
    Pregnancy, weight change, aging/hormone changes, trauma, illness

Regardless of your reasons, if you answered yes to one or more of these concerns, you could be an ideal candidate for Dr. Rudderman’s Breast Asymmetry surgery. Good candidates should be in otherwise good health, without history of untreated breast disease or untreated illness or medical condition that can impair normal healing.

Breast Asymmetry Consultation

Dr. Rudderman believes the consultation is critical for you and him. The consultation includes the following. From the consultation evolves…trust, respect, mutual understanding and a personalized treatment plan. During your consultation he will assess your anatomy, tissue and skin characteristics, breast volume, breast history, your desires for now and long range, your options…and he will create a personalized treatment plan that can be performed in a safe predictable way. Many times, your may require treatment for one breast that will differ from the other.

After your first consultation with Dr. Rudderman, you will realize that there truly is a difference in how surgeons approach their profession. For Dr. Rudderman…that difference means understanding your desires & goals & providing a level of service that places safety & comfort alongside predictable & pleasing outcomes.

Breast Asymmetry Surgery/Procedures

Each woman’s situation is unique. The goal of corrective breast surgery is to create two breasts that match each other as closely as possible in both size and shape. This may involve augmenting one breast and lifting or reducing the other. Precision planning and skillful surgical execution are required

Breast Augmentation

Involves increasing the breast size and could involve an implant or use of your own natural tissue.

Breast Reduction

Means “subtraction” of breast volume…reducing it in size to create symmetry and balance..

Lifting & Tightening

Involves lifting the breast to a higher position and tightening muscles.

Nipple / Areolar Adjustment / Movement

Can dramatically affect the way your bra fits and functions, and how your breast look . (Nipple/Areolar Reduction)


Surveys show that following corrective breast surgery, women have a greater sense of physical balance, greater self-confidence & self esteem, & in improved body image.

Breast Asymmetry Surgery FAQ’s

What is Breast Asymmetry?

Breast Asymmetry is a common finding in patients. Mild Asymmetry can be associated with volume differences, shape differences, and nipple areolar positioning differences. More noticeable asymmetry can be related to genetics and occur during development with size difference, or shape issues like tubular type breast. Asymmetry can occur after weight changes and pregnancy with or without breastfeeding. Operation options for treatment depend on the shape and desired change.

What is Breast Asymmetry Surgery?

Asymmetry in most patients is mild and breast augmentation alone may be the option chosen to help to achieve a natural improved result. When asymmetry is more pronounced, usually when the size is significantly different between breast, and the areolar size and shape is asymmetric, or the position of the breast on the chest is different enough to cause concern, then there are a range of options used surgically to reposition the breast tissue, and the nipple areolar region. Modifications of breast lift operations can be done to adjust the tissue to improve symmetry. The operations used in our practice do not remove the nipple, and provide a high probable chance for breastfeeding and maintenance of sensation. These operations may be performed with a breast augmentation (placement of implant) but most operations can be managed without placement of an implant.

Will I have a board certified anesthesiologist for my Breast Asymmetry surgery?

Yes. All cases are supervised a Board Certified medical doctor who has specialized in anesthesiology.

Does Dr. Rudderman perform the entire Asymmetry surgery?

Yes, he performs all of his patient’s surgeries. Many surgeons use assistants to suture or perform part of the operations. Dr. Rudderman performs the entire operation on every patient.

Is the surgery done in an accredited facility?

Yes. All of our surgeries are performed in a fully accredited surgery facility using state of the art technologies and a world-class staff with all the comfort and safety factors as a hospital surgery suite.

Will there be any pain with Breast Asymmetry Surgery?

All surgeries involve some discomfort. Dr. Rudderman is highly skilled and uses advanced techniques and refined instruments that maximize comfort during his surgical procedures. Many patients will take some pain medications for several days and often can take Tylenol for relief 1-2 days after surgery.

How will I look after Breast Asymmetry Surgery?

Most patients will look close to normal right after surgery. If a lift or repositioning of breast tissue is performed, breast will have some swelling after surgery that may increase for several days naturally and then begin to resolve. Incisions usually will have a special tape applied to assist in healing. Sports bras or soft bras can be worn after surgery for 1-2 weeks and then regular bras can be worn when confortable. When breast implants are placed, particularly under the pectoral chest muscle, the muscle will have some inflammation for several weeks and the upper margin of the breast may look full. This begins to resolve within the first several days, not because of implants moving or “settling” but due to your tissue relaxing. Patients in 2-3 weeks can look normal in a bathing suit or workout clothes, and most patients feel that at around 3 months that they feel fully natural and are not daily aware that they have had surgery if implants were placed. If mild asymmetry is present before surgery in regards to nipple/areolar position or size, or breast volume and contour, often the noticeable asymmetry improves with implants alone. In cases where additional procedures are desired to achieve an outcome, this will be fully discussed as options during your consult.

Should I massage my breast after Breast Asymmetry surgery with implants?

No. The technique Dr. Rudderman uses with Implant placement is designed to specifically and gently position the implant in a carefully prepared implant pocket. The technique is performed to eliminate the need for massage, and massage specifically should NOT be performed because it can add to inflammation and implant malposition or displacement. You should as well not place ice or heat on your breast after surgery. After your operation, you will be in a soft surgical bra that is changes the following day in our office with a soft sports bra for you to wear as you heal.

How long before I can exercise after Breast Asymmetry surgery?

You will need to avoid all rigorous, strenuous activities for a few weeks until healing is adequate and Dr. Rudderman tells you it’s ok. Aerobic exercise increases your heart rate and blood pressure and can cause the operated area to swell delaying your healing. We will see you frequently during your healing process to help you return to your normal activity as soon as possible. Exercise can be an important part or recovery, and we follow your recovery closely to help you reach your goals.

How long before I can return to work after my Breast Asymmetry surgery?

Dr. Rudderman’s patients most often return to desk jobs in about 4 days. He can give you a time frame specific to you during your consultation.

Will insurance pay for Breast Asymmetry surgery?

Breast Asymmetry surgeries are usually considered to be cosmetic procedures. Cosmetic procedures are not covered by insurance. There may be exceptions so you should check directly with your provider for this answer.

Is financing available for Breast Asymmetry Surgery?

Yes. Financing is available through Care Credit for all the breast procedures Dr. Rudderman performs.

Will I need someone to take care of me after my Breast Asymmetry surgery?

You will need someone to drive you to your surgery, stay there and then drive you home and stay with you overnight after you have had anesthesia. Dr. Rudderman will advise you based on what you have had done and especially if you have small children. Your follow-up visit will usually be within 24 hours, and you will generally need to have someone drive you to this appointment.

  • Dr. Rudderman and his staff made the experience easy and comfortable. They were realistic communicating surgery expectations, expected pain levels and down time from work. Nurses were informative and friendly and wait times minimal. I also liked the fact that Dr. Rudderman does all his own work and doesn't let other less experienced people do parts of the surgery the way other doctors may. I'm only one week out of the surgery, but I am very satisfied with the results so far.

    Susan Parker | Atlanta, GA


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Dr. Rudderman’s unique, integrated approach to plastic surgery employs only safe, effective, predictable surgical techniques that are driven by uncompromising respect for the natural condition of the human form. He understands that the body changes with time – as do desires. His primary goal is to deliver the best possible plastic surgery … specifically matched to each patient…in a safe environment with ultimate respect for every single individual…their concerns and goals. LEARN MORE »

“The best plastic surgery results must give each individual the opportunity to feel comfortable now and in the future…”

Dr. Randy Rudderman


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