Understanding Breast Augmentation, Implants, and Enhancements

Breast augmentation is often the procedure of choice for women who desire larger and often more symmetric breast. The operation and recovery allow for the return to most work in 4 days and is generally way easier than most realize.

There are many reasons women seek breast enhancement: the challenge with bras to fit comfortably, the gap that occurs at the top of the bra, visible in clothing, difficult to fill in bathing suits, the issues with dressing off the rack, and just being comfortable without clothing.

Our clients include young professional women, moms, and athletes, with the most common concern that they want to look good, natural, and not obvious or overdone. It’s not just surgical technique, but artistic ability and experience that make the difference in patient outcomes. No surgery is magic, but careful consideration before surgery will lead to the best reliable outcomes

Genetics and Lifestyle

Nearly everyone has some breast asymmetry. Genetics and just simply how you developed can result in differences between breasts that complicate even simple clothing options. Implants don’t have to be extreme to really be effective. And changes in breast size and shape almost always follow pregnancy and weight changes. Simply aging changes breast contour even when weight remains stable based on hormonal changes.

How to Make the Decision

“Where do I start, which implant do I need, what incision, what pocket position (above or below the muscle), could fat be used instead, where should my surgery happen, and who will do the entire operation” all need to be answered. And of course, the web is filled with advice in determining which type of implant…which shape and size implant is right for you? There are so many to choose from today and it can get quite confusing. When you get the right education about implants, the correct procedure for your needs and the understanding of how this procedure could impact your life…decision making will certainly be easier!

Implants are all made of a silicone shell filled with saline (saltwater), silicone gel, or a variant of silicone gel called cohesive gel. The shape is either round with different profiles (projection) ranging from low (flatter implant) to high profile (very prominent hight), and teardrop-shaped. Teardrop-shaped implants ALL are textured because the texture helps the implant adhere to your tissue keeping the implant properly positioned to look good. A complication associated with these implants is that those that become separated from the tissue can rotate causing asymmetry and discomfort. These textured implants have been associated with a very rare type of lymphoma called BIA-ALCL,(breast implant-associated anaplastic larger cell lymphoma). We currently do not use textured surface implants in our practice due primarily to the availability of current technology for smooth surface implants to accomplish the needs of our clients.

Your body type (anatomy), genetics (how you will age), your current and projected lifestyle (our lives and ideas change) are all carefully examined and factored into choosing the correct type, size and shape implant. An implant you hold in your hand does not mimic the shape and contour after implant surgery. And our bodies change and many other factors impact your body shape after surgery. The correct implant information/education clears away any misconceptions and empowers women to make great choices that result in beautiful, natural-looking outcomes. Dr. Rudderman has helped guide many hundreds of women through this process and is proud to offer his patients only the safest, most reliable implants available today.

Breast Implant Safety

Are implants safe? Can you trust that your decision to use this device makes sense for you? What do we know?

Today there are approximately 30 million women globally that have breast implants. Implants are used for simple augmentations to breast reconstruction. There are currently no reported cases of breast implant-associated with breast cancer. There is an extremely rare association of textured surface implants associated with a type of lymphoma that has a very high cure rate (to date no data confirms only smooth surface implants associated with BIA-ALCL).

And many patients have had implants for decades without changes in breast, breast discomfort, or any symptoms of concern, using technology that would seem quite old compared to today’s implants.

Changing Existing Implants

No implant lasts forever. Implants are not considered lifetime devices and at some point will need to be replaced. Some women over time decide to have implants removed, even decades later because their bodies and breast have changed, or their lifestyle and clothing needs have changed. Many of these women enjoyed their breast after implants for years and desire a change. And some keep implants for life.

The most common reasons for the desire to revise a breast augmentation include the hardening of a breast – called capsular contracture, the desire to reposition breast that has gradually relaxed laterally or down, and sometimes the incidental finding on a mammogram that is suggestive of implant rupture. There are some women who feel that implants of any type don’t agree with their bodies and their health and decide to have implants removed. All of these issues should be considered BEFORE surgery and discussed.

There are other issues that may arise over time after implants have been placed that would have you consider implant exchange, revision, or removal. All breast tissue will change with aging, pregnancy, weight change, and your lifestyle and personal “style” may change so that your comfort with your appearance if the future may have you consider additional modifications to match your personality and comfort.

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 and safe results possible.

Breast Implants Benefits

  • Breast Implants enhance the breast size
  • Breast Implants today both look & feel natural
  • Breast Implants carefully chosen can last for years
  • Breast Implants enhance the overall width, shape & projection of the breast and may create cleavage and improve symmetry
  • Breast Implants can be replaced or removed as the body ages & changes



Post-Surgery Expectation

  1. You will wake up with a small dressing over the treated area and a surgical bra –
  2. Mild swelling, & some discomfort is normal & to be expected – this resolves on its own and often requires some pain medication for 24 hours then only acetaminophen
  3. You will be seen in the office 24 hours post-surgery and given a more comfortable bra
  4. Swelling generally is mild and resolves in 2-3 weeks
  5. Sutures are absorbable and do not need to be removed
  6. You will have a type of brown paper tape on the incisions to protect the area and help with minimal scar formation
  7. Most patients who have surgery on Thursday can return to desk work Monday
  8. Avoid strenuous activity for 3 weeks…Dr. Rudderman will tell you when you can start to exercise again
  9. Measurable results are typically visible immediately…but be patient…healing and stabilizing takes time. It can take months for the “new you” to be clearly seen.

The results of this procedure are long-lasting. The breast can and will naturally age over time but it is not common to need additional surgery for many years. Breast like all areas of the body is subject to change over time due to skin changes and the effects of gravity and aging. All breast augmentations and surgeries need good long term follow-up for evaluation of breast disease by your practitioner of choice.


Dr. Rudderman believes the consultation is critical for you and him. The Breast Augmentation consultation includes the following:

  • Thorough education and review of your breast augmentation options.
  • A complete overview of today’s breast implants and safety considerations.
  • A discussion on incisions, placement, your desires regarding breast volume, desired appearance and body balance, careful, comprehensive examination to evaluate breast volume tissue, skin characteristics, and position.
  • Other factors and discussion points will include the contour of your chest wall and chest wall muscles including the pectoral muscle, the contour and position of your ribs and breast bone and more.

These treatments are not an emergency, and plenty of time will be allowed to have a full conversation to consider options. Additional visits can be provided until you feel confident that you are making the best decision for yourself in health, safety, and outcome.

Dr. Rudderman has done hundreds of breast surgeries and can project your likely outcomes. From the consultation evolves…trust, respect, mutual understanding and a personalized treatment plan.

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.

Contact us at 678.566.7200 to meet with Dr. Rudderman in our Alpharetta or Midtown Atlanta offices.

Written and reviewed by:

This article was written by Dr. Randy Rudderman, who is board certified by the American Board of Plastic and Reconstructive Surgery (1994). He practices medicine at his offices in Alpharetta and Atlanta.
Learn more about Dr. Rudderman, his medical training, and credentials.

  • 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


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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