Genetics and lifestyle both play an important role in determining which type of implant…which shape and size implant is right for you? There are many to choose from today and it can get quite confusing. When you get the right education about implants, the correct implant procedure for your needs and the understanding of how this procedure could impact your life…decision making will be easy!

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. A mistake women often make is thinking that the implant they can hold in their hand mimics the shape and contour after implant surgery. Our bodies change and many 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.

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.

How Women Benefit from Breast Implants

  • 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
  • Breast Implants can be replaced as the body ages & changes

Breast Implant Consultation

Dr. Rudderman believes the consultation is critical for you and him. The Breast Augmentation consultation includes the following: a thorough education of your options, complete overview of today’s breast implants, 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 include the contour of you chest wall and chest wall muscles including the pectoral muscle, the contour and position of your ribs and breast bone and more. 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. Schedule a Consultation Now »

Breast Implant Overview

Understanding where you start & knowing about today’s safe, reasonable options for predictable outcomes…helps you make well informed decisions for now & your future.

Saline Vs. Silicone Gel

Now that women can choose from saline & silicone breast implants, the biggest question is: “Which one is right for me?”

What are Breast Implants?

Breast implants are medical devices made of biocompatible material. An implant is a sac (implant shell), which is surgically implanted into your breast for enlargement and to enhance the overall width, projection and shape. Implants have either a smooth or textured silicone shell that may be round or contoured to more closely mimic the shape and slope of a natural breast. The implant is placed either under your breast tissue or under your chest muscle.

Breast Implant Types

Dr. Rudderman uses medical grade, biocompatible, silicone shell implants…either saline or silicone gel by Mentor and Allergan.

Saline Implants are silicone elastic shells filled with saline solution similar to your body fluid. Saline implants are inserted into a special pocket in your breast during surgery and are then filled with the saline solution.

Silicone Gel Implants are silicone elastics shells filled with cohesive silicone gel and mimics human body fat. Fat is a large component of female breast tissue. Silicone has become the implant of choice because it creates a natural looking breast contour. RESEARCH HAS SHOWN: there is no known link between breast cancer and use of silicone gel implants.

Implants Smooth or Textured
Implants can be smooth or textured to prevent shifting within the breast pocket pocket. With Saline implants – the smooth surface seems to reduce rippling that could occur.

The following chart further explains:
Fill type: a safe cohesive silicone gel that has been studied in over 10 million women worldwide.
Feel: Cohesive gel that is soft to the touch. Feels more like natural breast tissue.
Size: Profiles include: Moderate, Midrange, High,
Incision: Usually requires a 4-5 cm incision
Age: 22 years or older (exceptions may include reconstruction)
Safety: FDA approved 2006
Price: A premium option at a higher price

Fill Type: A salt-water solution, similar to the saline found naturally through the body and identical to IV fluid.
Feel: Feel less like natural breast tissue due to liquid filling. May feel more firm if fully filled. A higher risk of wrinkling and rippling.
Size: Profiles include: Low, Moderate, High
Incision: Usually allows the smallest incision possible, 3-4 cm.
Age: 18 years or older (exceptions may include reconstruction)
Safety: FDA approved 2001
Price: A great choice at a lower cost.

Breast Implant Incision

There are multiple incisions used for placement of breast implants including:

Inframammary crease, (the fold under your breast),
Areolar (around the dark area that surrounds your nipple),
Axillary (incision in the arm pit region) and umbilical (through an incision made near he navel

Dr. Rudderman most commonly uses the inframammary crease incision for implant placement for these reasons:

It heals the best of any of these incisions
It is well hidden in a crease that disguises visibility
It allows for a direct approach to develop the “pocket” that accurately matches the size, shape and contour of your selected implant
It protects the breast tissue from unnecessary scarring.

Breast Implant Placement

Dr. Rudderman uses an implant placement technique that is technically specific, respectful to the tissues & provides a precise implant pocket without trauma to those tissues. There is less swelling, less pain & little to no bruising…healing is faster.

Above or Below the Muscle

Breast implants can be positioned either under or above the pectoral muscle of the chest wall. In a sub pectoral (usually called sub muscular) breast augmentation , the breast implants are positioned under the muscle and are generally mostly covered by muscle and partially covered by breast tissue.

Sub glandular technique places the breast implant in a pocket deep to the breast tissue and above the pectoral muscle. The decision on breast implant positioning depends on the volume and consistency of breast tissue and skin, and desires for outcome. Potential for capsular contracture is usually greater when the implant is placed above the pectoral muscle. These issues will be discussed during your consultation. Dr. Rudderman uses the sub-pectoral approach most often for breast implant placement.

Patients with significant breast droop may require a breast lift options particularly when a sub pectoral implant position is selected.

Breast Implant FAQ's

What is Breast Augmentation surgery?

Breast Augmentation surgery involves placement of a breast implant to increase the volume and modify the contour of the breast. Breast Implants are most commonly placed below the pectoral chest muscle to achieve a natural aesthetic outcome and may be placed above the muscle in patients depending on their desires and clinical exam.

Does Dr. Rudderman perform the entire Breast Augmentation 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. You should ask during any consultation to know who will be your operating surgeon.

How will I look after Breast Augmentation Surgery?

Most patients will look close to normal right after surgery. Some patients may look nearly fully normal within a few days. 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, nor 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 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.

Will there be any pain with Breast Augmentation Surgery?

All surgeries involve some discomfort. Dr. Rudderman is highly skilled and uses advanced techniques and refined instruments that minimize 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 do I know which implant is best for my Breast Augmentation surgery?

There are several reputable companies that provide the safest known products for use today. There are dozens of shape options available because every patient has unique characteristics that we consider to achieve your desired outcome as naturally as possible, including chest contour, breast volume, rib and chest wall shape, height, weight, bra diameter, history of pregnancies, and other factors. Dr. Rudderman will explain which implants are most likely appropriate for your specific needs, and review their characteristics, warranty information, and general risks of use.

Should I massage my breast after Breast Augmentation 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 Augmentation 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.

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

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

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.

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

Breast Augmentation surgeries are considered to be cosmetic procedures. Cosmetic procedures are not covered by insurance.

Is financing available for Breast Asymmetry Surgery?

Yes. Financing is available today for all the breast procedures Dr. Rudderman performs. Please check in our business office for information about it.

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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