Breast 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.

Breast symmastia is more common among women who have had multiple breast augmentation 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 top plastic surgeons. 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

  • Closes off the space between the breasts
  • Creates new implant pockets
  • Replaces old, outdated implants
  • Restores breast tissue to a more natural form
  • Corrects muscle damage
  • Results in more normal, natural-looking breasts

Good Candidates for Symmastia Surgery

Do you have any of the following concerns?

  • Your breasts look connected
  • Your breasts resemble a loaf of bread
  • Breast implants that have shifted to the middle and now touch
  • Breast skin that is raised causing a “connected” appearance
  • Embarrassment over the appearance of your breasts
  • Bras don’t fit right and are uncomfortable
  • Strong desire to look normal and feel more 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.

The 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 office or Midtown Atlanta office.

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.

Breast Symmastia Procedure Overview

Dr. Rudderman has performed hundreds and hundreds of difficult breast surgeries and he performs them on a regular basis. He always does a thorough assessment and detailed planning before any procedure is decided upon. His careful planning and delicate execution of the correct surgical techniques allow him to restore function and natural beautiful outcomes.

Symmastia surgery involves careful markings before surgery with the patient both in the upright and lying positions. Dr. Rudderman’s advanced techniques enable him to repair damaged pockets, tissue and muscle. After closing off the space between the two breasts, he then inserts the right implants, correctly positioned, to achieve the look you want and deserve.

Breast Symmastia FAQ’s

Will insurance pay for Breast Symmastia Surgery?

Some Breast surgeries are medically necessary, others are considered to be cosmetic and generally not covered by insurance. There may be exceptions so you should check directly with your provider for this answer.

Is financing available for Breast Symmastia Surgery?

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

Does Dr. Rudderman perform the entire Breast Symmastia surgery?

Yes, he performs all of his patient’s surgeries from the first incision to the final closure. Many, if not most, surgeons today use others to assist. Dr. Rudderman believes that you are expecting uncompromised safety and skill.
He understands you have placed your trust and confidence in him…not someone else.

Is Breast Symmastia Surgery done in an accredited facility?

All of our surgeries are performed in a fully accredited surgery facility using state of the art technologies and a world class staff.

Will there be any pain with my Breast Symmastia Surgery?

All surgeries involve some discomfort. Dr. Rudderman is highly skilled and uses advanced techniques and refined instruments that minimize discomfort during and after his surgical procedures.

How long before I can work out after Breast Symmastia Surgery?

You will need to avoid sexual activity and all rigorous, strenuous activities for 2 -3 weeks until healing is complete and Dr. Rudderman tells you it’s ok.

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

Dr. Rudderman will give you this information. This depends upon the extent of correction needed and how you respond to it. Generally patients return to a desk job in 4-5 days

Will I need someone to take care of me after my Breast Symmastia Surgery?

You will need someone to drive you to your surgery, stay there and then drive you home and stay with you overnight. Dr. Rudderman will advise you on this, especially if you have small children.

Will I have a board certified anesthesiologist for my surgery?

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

  • 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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