Symmastia is a condition that is generally caused by over-aggressive implant surgery. Uniboob or Breadloafing are other common names for this condition in which breast implants have shifted and are now positioned so they touch each other to form one breast.

Overly aggressive dissection during surgery, in an attempt to create cleavage in women with a wider gap, is the most common cause of this unwelcome condition. If too much dissection is performed during implant placement, the muscle can detach allowing the implants to shift toward the midline. This elevates the skin resulting in the appearance of a connected breast or loaf of bread. This can occur when the implant is placed above or below the pectoral muscle.

Symmastia is more common among women who have had multiple implant surgeries, when implants were not properly sized or were perhaps too wide, or where tissue and muscle structure was not properly assessed and other reasons. Anatomy and genetics may also play a role in the development of Symmastia.

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

How Women Benefit from Symmastia Surgery

  • Symmastia Surgery closes off the space between the breasts
  • Symmastia Surgery creates new implant pockets
  • Symmastia Surgery replaces old, outdated implants
  • Symmastia Surgery restores breast tissue to more natural form
  • Symmastia Surgery corrects muscle damage
  • Symmastia Surgery requires special, precise planning
  • Symmastia Surgery results in normal, natural-looking breasts

Good Candidates for Symmastia Surgery

Do you have any of the following concerns?

  • Breasts that look connected
  • A condition that resembles a loaf of bread
  • Breast implants that have shifted to the middle & now touch
  • Breast skin that is raised causing a “connected” appearance
  • Embarrassment over the appearance of your breasts
  • Bras don’t fit right & are uncomfortable
  • Strong desire to look normal and beautiful!

If you answered yes to one or more of these, you could be an ideal candidate for Dr. Rudderman’s Breast Symmastia Surgery. Good candidates should be in otherwise good health, with no history of breast disease and no untreated illness or medical condition that can impair normal healing.

Breast Symmastia Surgery Consultation

Dr. Rudderman believes the consultation is critical for you and him. The consultation includes the following: a thorough education of your condition, your options, desires, realistic expectations, and a personalized treatment plan. All of your questions will be answered and your concerns addressed. Dr. Rudderman has done hundreds of breast surgeries and can project your likely outcomes. This is done in an embracing, relaxing environment. From the consultation evolve a sense of 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 and goals while providing a level of service that places safety & comfort alongside predictable and 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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