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Achieve Beautiful, Balanced Breasts for Greater Comfort and Confidence

Breast asymmetry is a common concern for many women. While mild differences in breast size and shape are normal, noticeable asymmetry can impact how you feel about your appearance and even make everyday activities like finding a well-fitting bra frustrating. When breast size, shape, position, or contour differs significantly between breasts, it can affect your confidence, comfort, and quality of life. Breast asymmetry correction surgery in Atlanta, GA, is the ideal solution for women seeking to balance their natural figure.

At Dr. Rudderman Plastic Surgery, Dr. Randy Rudderman and our compassionate team are dedicated to helping you achieve balanced, natural-looking breasts that enhance your overall silhouette. Each breast asymmetry correction procedure is carefully tailored to address your unique concerns and help you feel comfortable and beautiful in your own body.

Are you interested in learning how breast asymmetry surgery can enhance your overall physique and boost your confidence? Contact us at 678-566-7200 or request your consultation to begin your plastic surgery journey today! We are located in Alpharetta and Atlanta, GA, and proudly serve patients from around the country.

Asymmetry is common in the breast. Very few women consider their breast symmetric, and most of the time, a little asymmetry is no issue. However, when breast shape differs too much, simply wearing a bra and getting it to fit comfortably becomes a challenge. Asymmetry with droop can be more annoying when bras just don’t give the support, look and control you desire.

Dr. Rudderman sheds light on the causes and addresses common concerns.
Dr. Rudderman talks about congenital breast asymmetry, who is good candidate for surgery and the surgery.

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678-509-7633

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Before and After Photos

A gallery of images to assist in finding the sample results you might be looking for in surgical, injectables, and med spa.

What Is Breast Asymmetry?

Breast asymmetry means that one breast looks different from the other in size, shape, or nipple position. Breast asymmetry is very common, and a modest amount is generally not a problem. Very few women consider their breasts symmetric. When substantial differences and asymmetries are present, though, it can be difficult to even find a bra that fits, let alone feel comfortable and confident in your own body.

Differences may include:

  • A difference in the fold under the breast (inframammary crease)
  • Uneven breast volume
  • Changes in breast contour or droop
  • Variations in nipple or areola size and height

Congenital and Lifestyle Impact on Breast Asymmetry

Breast asymmetry may be related to genetics and may have become noticeable during puberty, or due to life events such as normal aging and hormonal changes, pregnancy and breastfeeding, weight changes, and accident or injury causing trauma to the breast.

Genetic or developmental breast asymmetry is common, with 1 in 8 to 9 women describing their breasts as asymmetric following puberty. Some younger women feel as well that their breasts developed too low or droopy in their teens, and feel their breasts look like they belong on a body much older than they are. These are common, and treatments are typically low risk with highly predictable results.

Genetic or congenital conditions that cause breast asymmetry are not uncommon, and can include breast development issues like tubular breast, Poland syndrome, congenital breast droop (breasts that are droopy when developed regardless of size), and a variety of skeletal conditions like scoliosis of the spine, pectus excavatum (depressed center breastbone), and other developmental conditions.

Breast asymmetry can occur as a result of prior breast surgery, such as biopsy, implant placement, lift, or reduction. Breast asymmetry causes challenges such as finding bras that fit comfortably, looking good in your clothing, being able to participate in sports or work out in a gym without concern or embarrassment, and wearing bathing suits with comfort at the pool without requiring constant “repositioning” of your breasts and clothing. And breast asymmetry may simply be disconcerting just due to appearance.

Regardless of the cause, breast asymmetry changes are unpredictable, usually unavoidable, bothersome, challenging, often uncomfortable, embarrassing, and problematic.

What Causes Uneven Breasts?

Breast asymmetry can develop at any stage of life and may worsen with time. Common causes of breast asymmetry include:

  • Genetics & puberty – natural differences in breast development
  • Hormonal changes – adolescence, pregnancy, or menopause
  • Pregnancy & breastfeeding – breasts often change in size, shape, and fullness
  • Weight fluctuations – losing or gaining weight can alter breast volume
  • Aging – natural changes in skin elasticity and breast tissue
  • Prior surgery or injury – biopsies, breast lifts, reductions, or trauma
  • Medical conditions – scoliosis, pectus excavatum, or Poland Syndrome

The breast can develop with asymmetry during puberty and persist through life, and asymmetry can gradually occur with weight changes, hormone changes, after pregnancy, and with aging. Breast asymmetry can occur as a result of prior surgery of the breast from biopsy, prior implant placement, prior lift, or reduction as well.

Becoming more symmetric can make you look better, and more importantly, it can, in many women, make you physically feel more comfortable in and out of clothing. Regardless of the cause, breast asymmetry can be both physically uncomfortable and emotionally discouraging.

Surgery is often much easier and much less painful than many think. Usually, women can drive in 2 days, go out to dinner in 3 days, return to light work in 4 days, return to exercise in 3 weeks, and be in the pool or beach in 1 month.

How to Make the Decision

Few patients know where to start when considering surgery for asymmetry. The best way is to explore options during a consultation.

You may feel alone in these concerns. However, the challenges you may be experiencing are almost always shared by many others. Options for treatments will depend on the amount of breast tissue you have, your skin characteristics, and your desire for a specific outcome.

Many women who think implants are required to have a well-proportioned breast find that techniques for breast reshaping and lifts often result in a great appearance without implants. Many who feel that they are too small often find that with repositioning breast tissue into a more symmetric and better space, they appear to have more projection and a more aesthetically pleasing breast that works more comfortably with bras and clothing off the rack. Sometimes breast implants are considered as an option for volume enhancement as well.

No surgery is magic, and yet achieving improved symmetry with your breast can result in comfort and confidence in and out of clothing.

Dr. Rudderman Plastic Surgeon in a headshot with a blue shirt and darker blue tie wearing glasses

What Does Dr. Rudderman Do That Allows for Better Potential Outcomes?

Breast asymmetry is treated using a variety of surgical techniques. Success depends on awareness and assessment, then treatment of multiple factors, including timing (when the initial and subsequent operations were performed), symptoms, soft tissue characteristics, life events (age, pregnancy, specific health), activity requirements, and personal desires.

What Technically Contributes to More Predictable Long-Term Results?

Developing a plan is not trivial, particularly one that clearly describes potential risk and both short- and long-term considerations for results. Our approach includes critical evaluation of your anatomy and attention to detail, matching the technical aspect of surgery to the specifics of clinical findings, and your desires for the outcome. With extensive asymmetry, you may require significantly different surgical approaches to each breast. Additional consultation visits can be provided until you feel confident that you are making the best decision for yourself in terms of health, safety, and outcome.

Why Does the Approach to Treatment Matter?

Selection of the specific approach used requires experience, judgement, technical skill, and artistry. The choices made impact long-term shape, potential for additional surgery, and both appearance stability and clinical and financial future risks. The goal is to select an approach that provides a higher probability of a predictable long-term outcome.

What Should I Expect During My Atlanta, GA Breast Asymmetry Consultation?

At Dr. Rudderman Plastic Surgery, we value collaboration and partnership. You should plan for your consultation to take at least one hour. During this time, you will meet with Dr. Rudderman and other members of our team to situate and integrate yourself into our practice. A partnership with Dr. Rudderman is a collaborative relationship with the entire team.

Our goal at every consultation is to meet you, learn about who you are, what lifestyle you lead, and your goals for not just surgery but the next phase of your life. Understanding the way your condition impacts your daily life, physically and emotionally, is an essential component of effective treatment planning. Once we have a complete picture of what you are looking for, we can tailor a treatment plan for long-term results and sustainable beauty.

During your consultation with Dr. Rudderman, you should expect:

  • A full exam of breast tissue, volume, characteristics, position, and skin elasticity
  • An evaluation of your body frame and chest anatomy
  • Extensive education regarding techniques used to modify breast form
  • A discussion of your goals, lifestyle, and desired outcome
  • A personalized surgical plan that is designed to meet your long-term goals
  • Education about your condition, treatment options, risks and benefits, recovery, and long-term expectations

Dr. Rudderman specializes in breast surgeries and understands the artistry and surgical complexity that they demand. His advanced technique and delicate, precision surgical skills achieve the most natural-looking results possible. Occasionally, you may require treatment for one breast that will differ from the other.

How Is a Breast Asymmetry Treatment Plan Designed?

Most breast asymmetry correction procedures are technically demanding. These are accomplished with surgical incision placement that appears similar to breast lift operations. During the procedure, Dr. Rudderman elevates the superficial skin and soft tissue to reshape the breasts to a more normal anatomic appearance, often including repositioning on the chest wall. This complex procedure is meticulously designed for your unique anatomy, factoring in the best possible balance between:

  • Breast volume
  • Skin and soft tissue
  • Chest wall shape
  • Nipple and areolar size and position

All of this is done after taking into consideration your height, shape, weight, age, lifestyle, and desires.

Am I a Candidate for Breast Asymmetry Correction Surgery?

Breast asymmetry candidates often experience:

  • Noticeably uneven breasts
  • One or both breasts are shaped differently
  • The nipple on one or both breasts is higher or lower
  • Areolae are misshapen or disproportional to the breast (often too large)
  • One or both breasts need more upper breast fullness
  • Breast tissue sags low or at the bottom of the breast
  • Bras fit poorly and are uncomfortable (one or both breasts)
  • Inserts are needed to feel comfortable in clothes
  • You feel conspicuous in workout, sports, or swimwear
  • Breasts have changed in shape, size, and contour over time
  • Random life events have caused undesirable breast changes:
    Pregnancy, weight change, aging/hormone changes, trauma, illness

If you experience one or more of these concerns, you could be an ideal candidate for Dr. Rudderman’s Breast Asymmetry surgery in Alpharetta, GA. Good candidates should be in otherwise good health, without a history of untreated breast disease or untreated illness or medical condition that can impair normal healing.

Breast Asymmetry Surgery Benefits

  • Creates or restores balance
  • Rejuvenates breast shape and contour
  • Recontours the breast after pregnancy
  • Elevates and repositions the breast
  • Improves nipple/areolar size, shape, position, and balance
  • Restores a more youthful, balanced, and pleasing appearance to the breast(s) after life events

Can I See Dr. Rudderman’s Breast Asymmetry Correction Surgery Before and After Results?

View our gallery to see Dr. Rudderman’s outstanding and natural-looking results of real patients’ breast asymmetry correction before and after photos.

How Should I Prepare for Breast Asymmetry Correction Surgery?

Preparing for breast asymmetry correction surgery involves a few steps, but mostly, you should get excited about your upcoming transformation. In general, you should:

  • Prioritize nutrition: It can be helpful to prepare balanced, nutritious meals or arrange for a meal delivery service. During recovery, getting optimal nutrition is essential to ensure your body has everything it needs to heal.
  • Plan for help: You may need to arrange childcare, pet care, or help around the house during your immediate recovery. Plan for 3 to 4 days of help with children and household tasks.
  • Medical review: Dr. Rudderman may recommend running routine medical tests to ensure you are healthy enough for surgery. These tests may include routine blood tests, an EKG, or a mammogram.
  • Consider your medication: During your consultation, Dr. Rudderman will review your medications, vitamins, and supplements. You may need to discontinue anything that increases the risk of bleeding or bruising for 2 weeks before and after surgery, including fish oil, garlic, ginseng, vitamin E, Ibuprofen, or other anti-inflammatory medications.
  • Quit smoking: Nicotine use negatively impacts healing and can increase your risk of complications. Dr. Rudderman recommends that all patients discontinue nicotine use at least 4 weeks before and following surgery to help ensure optimal outcomes and the best possible recovery.
  • Focus on a healthy lifestyle: Maintaining a healthy lifestyle is one of the best things you can do to prepare for any surgery. Develop or continue a sustainable exercise routine that will support a stable weight, long-term health, and a higher probability of a smooth recovery.
  • Drink plenty of water: Staying hydrated is essential to your recovery. Drink plenty of water during the days leading up to your surgery to support recovery.
  • Get excited: Your breast asymmetry surgery is an investment in your quality of life. Get excited about who you will be, what you will wear, and what you will get to do once you have fully recovered. Reclaiming your body and self-confidence is always something to be proud of.

How Is Breast Asymmetry Correction Surgery in Alpharetta, GA Performed?

All breast procedures take place in a fully accredited surgical center with state-of-the-art technology, hospital-level safety standards, and an experienced medical team dedicated to your care. Additionally, Dr. Rudderman takes pride in performing every single aspect of your surgery himself. As you go into surgery, you can feel confident knowing you are being cared for by the most qualified professionals available at every step of the process.

  • 1. Day of Surgery Prep: On the day of your surgery, you will arrive at the surgical center and meet with Dr. Rudderman to review your treatment plan and ask any last-minute questions you may have. He will then mark your breasts for surgery, and you will meet with a board-certified anesthesiologist.
  • 2. Incisions: When you are sedated and prepped in the surgical suite, Dr. Rudderman will make the appropriate incisions that may be around the areola, vertically from the areola to the breast crease, and along the crease, to access the underlying breast tissue.
  • 3. Reshaping: Once he has access, Dr. Rudderman will carefully reshape and reposition the breast tissue to achieve improved symmetry. This may involve lifting the tissue, tightening the skin, repositioning the nipple, adjusting areola size, and modifying the inframammary crease. It is important to note that the nipple will remain attached to the underlying ducts and nerves during surgery.
  • 4. Incisions: After surgery is complete, Dr. Rudderman will close your incisions with sutures, apply a light surgical dressing, and fit you with a soft bra to support your incisions and your new breasts. Dr. Rudderman’s delicate approach to tissue care and suturing helps promote optimal healing of the breast tissue and incisions.

Most breast asymmetry procedures take 1.5 to 3 hours and are performed on an outpatient basis.

The operation and artistry involved in breast asymmetry correction procedures are specific to each woman. During your consultation, you will receive extensive education regarding your condition, your concerns, your options, your risks and benefits, and your probable outcome. The goal of every procedure is a safe surgery, excellent appearance, normal anatomic redistribution, and an outcome that lasts for years and ages appropriately.

What Should I Expect After Breast Asymmetry Correction Surgery?

Immediately after surgery, you will be wearing a surgical dressing and a bra. As you will have been put under anesthesia, you will need a responsible adult to drive you home and stay with you for at least 24 hours.

In general, you can expect the following during your Atlanta breast asymmetry correction recovery:

Physical Recovery

  • You can expect mild swelling and some discomfort. Dr. Rudderman will prescribe pain medication for comfort management, but this should resolve on its own. After 24 to 48 hours, you should be able to manage discomfort with over-the-counter pain relievers like acetaminophen.
  • Swelling is generally mild and begins to resolve on its own in 2 to 3 weeks.
  • Sutures are absorbable and do not need to be removed.
  • You will have brown paper tape on the incisions to protect the area and help with minimal scar formation.
  • You may have a drain tube placed that needs to be checked several times a day. This drain is commonly removed 24 hours later during your first follow-up visit.

Return to Normal Activities

  • Most patients can return to desk work in 3 to 4 days. If your job requires physical activity, you may need to take more time off or request modified duties while you recover.
  • Women with children often can return to full childcare within reason in 3 to 4 days, including carpool and driving.
  • Avoid aerobic exercise for 3 weeks or until Dr. Rudderman has cleared you to do so. Most clients may begin more aggressive physical activity at 4 weeks, including yoga, tennis, swimming, boot camp, and Pilates. We will help guide your return to activity at each post-operative visit.

Post-Surgical Follow-up Visits

  • You will be seen in the office 24 hours post-surgery and given a more comfortable bra.
  • Regular follow-up appointments will be scheduled for:
    • 1 week post-op
    • 2 weeks later (3 weeks post-op)
    • 1 month later (7-8 weeks post-op)
    • 3 months later (6 months post-op)

Follow-up appointments are essential to ensure you’re healing as expected and are satisfied with your natural, age-appropriate results.

When Will I See My Breast Asymmetry Correction Results in Atlanta, GA?

Immediately after surgery, you will see your results. While your final results will be obscured by swelling, your breasts will be balanced, symmetrical, and proportional once you wake up from surgery. A brief overview of a realistic timeline of results is as follows:

  1. You will notice an immediate improvement in your breast appearance following surgery.
  2. Significant changes are visible a few weeks post-surgery.
  3. By 6 weeks, most of the swelling will be gone, allowing you to have a better idea of what your final result will look like.
  4. Between 6 months and 1 year, you will be able to enjoy your result.

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.

Partner with Georgia’s Premier Plastic Surgeon, Dr. Randy Rudderman

Dr. Randy Rudderman is one of Alpharetta’s most trusted plastic surgeons. As an expert in breast procedures, he understands the complexities and artistry required to give his patients the balanced, natural-looking results they deserve. A partnership with Dr. Rudderman Plastic Surgery is a partnership with a knowledgeable team of experts who are as committed to your quality of life as you are.

Learn about breast asymmetry treatment options near me by calling Dr. Rudderman at 678-566-7200 or requesting your consultation online to get started with your transformation. You are worth it.

Atlanta Breast Asymmetry FAQs

Search our list of FAQs for the answers you are looking for.

Not necessarily. Many women achieve excellent results through breast lifts or reshaping techniques without implants. For women seeking more volume, implants may be considered, but they are most often NOT necessary. Many women start with breast reshaping and may consider volume enhancement in the future.

 

Yes. When performed by an experienced board-certified plastic surgeon like Dr. Rudderman, breast asymmetry correction is safe and predictable. Risks are reviewed during your consultation.

Yes. Dr. Rudderman personally performs every part of your surgery, including all suturing. Unlike some practices that use assistants, he handles the entire procedure to help ensure consistency, precision, and natural results.

Some discomfort is normal after surgery, but Dr. Rudderman uses advanced techniques and refined instruments to maximize comfort. Most patients only need prescription medication for a few days and transition to Tylenol within 1 to 2 days. You’ll wear a soft surgical bra immediately after surgery, followed by a sports bra during healing.

Yes. Financing is available through CareCredit, making breast procedures more accessible with flexible monthly payment options.

  • Breast Lift (Mastopexy): A breast lift reshapes and repositions breast tissue, removes excess skin, and balances nipple height. It’s an ideal solution if one breast droops more than the other or if your nipples are uneven.
  • Breast Implants (Augmentation): Implants add volume to the smaller breast (or both breasts if desired). They may be recommended if you want more fullness, cleavage, or projection that cannot be achieved with your natural tissue.
  • Combination Lift & Implants: For women with both size differences and mild sagging, a lift and implant together can restore both volume and position. These operations, however, may be staged to achieve the best long-term results.

Results can be long-lasting, but breasts continue to age naturally over time.

Usually no. Most breast asymmetry is normal. If you notice a sudden change, a new lump, skin dimpling, redness, or nipple discharge, see your doctor for evaluation.

No. Exercise can strengthen chest muscles, but won’t change breast tissue. Lasting correction typically requires surgical options such as lift, reshaping, implants, or a combination.

Tubular breasts, sometimes called tuberous breasts, are a developmental condition where the breast tissue doesn’t form normally during puberty. This often results in:

  • Breasts that are narrower or elongated in shape
  • A high breast fold or tight skin at the base of the breast
  • Enlarged or puffy areolas, or low positioned nipple
  • Commonly, one breast looks different in size or shape from the other

Because tubular breast development usually affects each side differently, it often causes noticeable breast asymmetry. Many women with tubular breasts seek surgery not only to correct the unique breast shape but also to restore balance between the two breasts.

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 in a soft surgical bra that is changed the following day in our office with a soft sports bra for you to wear as you heal.

No. The technique Dr. Rudderman uses with breast surgery is designed to specifically and gently position the breast tissue and implant when used 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 also not place ice or heat on your breast after surgery. After your operation, you will be in a soft surgical bra that is changed the following day in our office with a soft sports bra for you to wear as you heal.

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

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

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 of a hospital surgery suite.

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.