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Enhance Your Natural Shape and Confidence

For many women, breast size and shape are central to how they feel in their own skin. When you look in the mirror or get dressed and feel frustrated instead of confident because of the size, symmetry, or proportion of your breasts, it may be time to consider breast enhancement. Breast augmentation is ideal for women seeking fuller, more balanced breasts that enhance their natural form and boost their overall confidence, comfort, and well-being.

At Dr. Rudderman Plastic Surgery and Medical Spa, Dr. Randy Rudderman and our compassionate team are dedicated to helping you reach your aesthetic goals. Each breast lift procedure is designed to enhance your natural form and help you feel comfortable and beautiful in your own skin.

Are you interested in learning how breast augmentation 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.

What Is a Breast Augmentation?

Breast augmentation, also called augmentation mammoplasty, is a cosmetic surgical procedure designed to enhance the size, shape, and symmetry of the breasts by inserting implants to restore breast fullness. The right implant shape, size, and placement can address concerns related to naturally small breasts, volume loss after pregnancy or weight changes, or asymmetry between breasts.

Breast augmentation surgery is designed to:

  • Add volume and fullness to achieve your desired breast size
  • Create a more proportionate, balanced figure
  • Enhance breast shape and projection for improved contour
  • Improve breast symmetry when one breast is naturally smaller than the other
  • Restore a youthful appearance following pregnancy or aging

Most women who explore the option for breast augmentation feel their breasts are too small and want to look more proportional in and out of clothing. Many feel their breast never really “actually developed” and can not comfortably fit in bras or bathing suits, regardless of the cup size. Many of our patients are moms, athletes, or working women who want to reclaim control over their appearance or restore lost volume. You know what you need to feel amazing in your body; we know how to make your vision a reality.

Contact Us For a Consultation

678-509-7633

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Before and After Photos

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

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

Choices made in the selection of breast implant, shape, projection, fill, size, and surgical approach and implant pocket creation are neither trivial nor obvious when your objective is to achieve as natural as feasible result.

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

What Technically Contributes to More Predictable Long-Term Results?

The assessment of your anatomy includes specifics of breast footprint and soft tissue characteristics (skin, subcutaneous tissue, skeletal contour asymmetries, and musculature), which are carefully considered in the treatment plan. This approach does not eliminate risks but can manage these by awareness of known and unknown variables in genetics and healing. Our intent is to guide your choices for your appearance with these critical factors for a highly satisfactory and successful outcome.

Selection of the specific approach used requires experience, judgement, technical skill, and artistry. The choices made impact long-term shape, potential need 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.

Real Patient Story

D’lynne, a 45-year-old woman, shares her life-changing experience with breast augmentation surgery, Dr. Rudderman and his team.

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

At Dr. Rudderman Plastic Surgery and Medical Spa, 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 breasts impact 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 comprehensive exam of breast tissue, breast volume, skin elasticity, tissue quality, chest wall anatomy, and symmetry
  • A discussion about incisions, placement, your desires regarding breast volume, desired appearance, and ideal body balance
  • 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 breastbone
  • A comprehensive discussion about your implant options, incision placement, and breast volume goals

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. It is important to note that many women can achieve the appearance they want by reshaping their natural breast tissue during a breast lift without an implant.    

What Are My Implant Options?

Implant Types

Material: Implants are all made of a silicone shell and may be filled with:

  • Saline (saltwater): Fully adjustable, with a silicone shell filled with saline,  may be firmer to the touch depending on how much natural tissue you have.
  • Silicone gel: Filled with soft silicone for a natural look and feel. Current silicone gel implants used are all cohesive gel and come in variable firmness for a custom use, depending on the client’s tissue and desired outcome. These implants tend to provide a more natural look and feel.

Shape: Implants come in multiple diameters and projections. Round implants are available with different profiles, or projections, ranging from a low profile to a high profile. The specific profile is selected to complement your tissue to achieve the most natural outcome desired.

Smooth surface breast implants are considered the safest product on the global market and are not impacted in breast cancer. For your safety, we exclusively use smooth implants. Textured implants have been associated with a very rare type of lymphoma called BIA-ALCL (breast implant-associated anaplastic large cell lymphoma). There are textured implants available in the U.S. market that are “shaped.” These implants are associated with specific additional risk considerations that can impact appearance long-term. Some “microtectured” implants are available in the US, and like other implants, may have their own specific risk profile.

Implant Position

Breast implants can be placed either above or below the pectoral muscle. Dr. Rudderman will make the best recommendation for you based on the volume and consistency of your breast tissue and your desired outcome.

  • Subglandular (above the pectoral muscle): Somewhat less postoperative discomfort, similar recovery in return to work and exercise.
  • Submuscular (below the pectoral muscle): Often a more natural contour in patients with smaller breasts, reduced risk of rippling; may be more convenient for mammograms

There are variations of implant placement, including dual-plane and subfascial pockets.  Most breast augmentations are performed using a variation of submuscular placement. There are clients who are better candidates for subglandular or subfascial implant placement depending on their anatomy and lifestyle. Dr. Rudderman will discuss the benefits and considerations that should be made during your consultation. Clients who are more extreme athletes may be better candidates for subglandular placement, and occasionally, clients with prior augmentation who experience too much breast movement during exercise or pectoral activation (called animation deformity) will have implant pocket revisions and subglandular placement (above the muscle).

Incision Placement

This is one of the most-asked-about aspects of any breast surgery. There are three incision options that are conventional for breast augmentation:     

  • Inframammary (crease under the breast): Most common and well-hidden
  • Periareolar (around the areola): Scars along the edge of the areola
  • Transaxillary (armpit): No scars on the breast

Dr. Rudderman most commonly uses the breast crease incision for implant placement. This incision tends to heal with the most predictable minimal scar. It allows for the most direct approach to the implant pocket, whether above or below the muscle, and avoids dissection through the breast tissue, reducing long-term risks of damage and scar tissue. There are also additional theoretical advantages of avoiding breast glandular tissue that may harbor microbes that have been implicated in capsular contracture.

The periareolar incision in many patients may be more visible than the inframammary incision. This approach requires additional dissection that impacts both breast glandular tissue and the pectoral muscle. There is a greater potential for impact on sensation change to the nipple, and there may be an increased risk of capsular contracture due to contact of the implant with breast tissue during insertion. This incision often can retract over time, resulting in a visible depression and thinning at this insertion site, and may complicate revision, replacement, or removal in the future.

The transaxillary incision eliminates a scar on the breast, but it can be quite visible when the arms are raised in clothing and bathing suits, and this approach is implicated in a higher long-term risk of lateral breast implant displacement, which may require additional revision surgery due to discomfort and visual changes.

During your consultation, Dr. Rudderman will recommend the best approach with the least potential risk for you and your goals.

How Do I Choose the Right Implants?

Implants don’t have to be extreme to be extremely effective. Breast enhancement is a long-term investment, and we will work with you to help ensure you are choosing an implant that will serve you for decades to come.

During your consultation, you and Dr. Rudderman will discuss your implant options and choose the best implant for you based on:

  • Your anatomy and body type/proportions
  • The specific characteristics of your tissue, including volume, symmetry, and chest wall shape
  • Desired appearance outcomes
  • Current and preferred lifestyle

Your body type (anatomy), genetics (how you will age), and 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 education clears away misconceptions and empowers women to make great choices that result in beautiful, natural-looking outcomes. Dr. Rudderman is committed to ensuring you have the appropriate information you need to make a choice about your appearance and health that serves you today and for decades down the road.

How Do I Know Breast Augmentation is Right for Me?

Women seek breast enhancement for many reasons, including:

  • Difficulty finding bras that fit comfortably
  • A gap at the top of the bra or visible in clothing
  • Trouble filling out bathing suits or dresses
  • Frustration with “off the rack” clothing
  • Wanting to feel comfortable and confident without padding

Our patients include young professionals, moms, and athletes who share a common goal: feeling great about their bodies and achieving natural-looking results. If you are bothered by small breasts and want to feel better in your body, in your clothes, and during your daily life, scheduling a consultation is the best way to determine whether breast enhancement is actually right for you.

Ideal breast augmentation candidates in Alpharetta and Atlanta, GA:

  • Are generally healthy enough for surgery
  • Have a positive outlook for their surgery and a realistic idea of what it can accomplish
  • Feel your breasts are too small for your frame
  • Notice volume loss after pregnancy, weight changes, or aging
  • Have noticeable asymmetry between breasts
  • Want to restore balance to your figure
  • Understand the surgical risks and benefits

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

Preparing for your breast implant 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, depending on your age and medical history.
  • Consider your medication: During your consultation, Dr. Rudderman will review your medications, vitamins, and supplements. You will need to discontinue anything that increases the risk of bleeding or bruising for 2 weeks before and after surgery, for example, ibuprofen, Motrin, Advil, aspirin, fish oil, turmeric, garlic, ginseng, vitamin E, vitamin C, and any other anti-inflammatory medications. Our staff will speak with you and provide a more complete list to avoid prior to scheduling your surgery.
  • Quit smoking: : Nicotine use negatively impacts healing and can increase your risk of complications. Dr. Rudderman recommends that all patients discontinue nicotine use of any type at least 3 weeks prior to and after 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 augmentation 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.

All breast augmentation 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 augmentation procedures take 1 to 2 hours and are performed on an outpatient basis.

The operation and artistry involved in breast augmentation procedures are specific to each woman. During your consultation, you will receive extensive education regarding your anatomy, 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.

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, and bring you in the day after surgery for your post-operative visit. In general, you can expect the following during your Atlanta breast augmentation 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.

Fortunately, you will be able to see immediate improvements in your breast appearance following surgery. A brief overview of a realistic timeline of results is as follows:

  1. You will notice measurable results immediately 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 to 1 year, you will be able to enjoy your final result.

It is important to note that breast implants are not lifetime devices. At some point, your implants may need to be removed or replaced. Breast revision surgery is something you should factor into your long-term care plan. Additionally, your breasts, like any part of your body, will age, and gravity and skin changes will alter the appearance of your breasts. Dr. Rudderman carefully factors in long-term outcomes to make sure your contours will age gracefully with you.

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 and Medical Spa for your breast enhancement is a partnership with a knowledgeable team of experts who are as committed to your quality of life as you are.
Learn about breast augmentation options near me by calling Dr. Rudderman at 678-566-7200 or request your consultation online to get started with your transformation. You are worth it.

Atlanta Breast Enhancement FAQs

Breast implants are medical devices made of biocompatible material. An implant is a sac (an implant is a silicone shell that is filled with saline or silicone gel), that is surgically implanted into your breast for enlargement and enhance the overall volume, projection, and shape.

Yes, he performs all his patients’ 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.

Most women return to desk jobs in about 4 to 5 days. Swelling and mild discomfort are normal for the first 1 to 2 weeks. Light activity can resume within days, while strenuous exercise should be avoided for 3 weeks. We will provide personalized recovery guidelines.

You will need to avoid all rigorous, aerobic, and strenuous activities for 3+ weeks until healing is adequate and Dr. Rudderman tells you it’s okay. 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, and typically, you can return to begin your usual athletic activity in 4+ weeks, such as yoga, tennis, pilates, or swimming. Exercise can be an important part of recovery, and we follow your recovery closely to help you reach your goals.

All surgeries involve some discomfort. Dr. Rudderman is highly skilled and uses advanced techniques and refined instruments that minimize discomfort during his surgical procedures. Many patients will take some pain medications for several days, and often can take Tylenol for relief in 1-2 days after surgery.

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. 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 will be changed the following day in our office with a soft sports bra for you to wear as you heal.

No. Both heat and ice can damage tissue and cause tissue loss, severe wound healing issues, and scarring. You will be in a soft bra without compression, and we will give you specific instructions to care for the operative site to promote an uneventful post-operative recovery.

Incision scars are carefully placed and typically fade over time. Most patients find that scars become faint and well-hidden in natural breast contours or under clothing. It is unlikely that you will require any additional scar revision after healing.

Yes. Modern implants are FDA-approved and widely studied. Over 30 million women worldwide have implants. While no medical device lasts forever, breast implants are considered safe, with rare complications like capsular contracture or implant rupture, and implant displacement. Smooth implants are commonly recommended today because textured implants have been linked to a rare condition (BIA-ALCL).

Most women are still able to breastfeed after augmentation. The incisions and pocket placements we use do not interfere with the ducts and breast/nipple relationship. However, no one can accurately predict if you will be able to breastfeed in a subsequent pregnancy.

Breast implants are not lifetime devices, but many last 10 to 20 years or more without issues. Some women choose to replace or remove them later due to natural changes in breast tissue, lifestyle, or personal preference. It is common to see women with stable implants even 30 years after surgery, using products that are older technology.

You may choose to exchange implants for a different size, remove them altogether, or combine revision surgery with a breast lift. Dr. Rudderman can help you plan safe options when the time comes.

As with any surgery, there are risks such as infection, bleeding, implant rupture, or changes in nipple sensation. Serious complications are rare, especially when surgery is performed by an experienced, board-certified plastic surgeon in an accredited facility.

You will need a responsible adult to drive you to your surgery, stay there, and then drive you home and stay with you overnight after you have had surgery and anesthesia. We will advise you based on your operation, and especially if you have small children or pets. Your follow-up visit will usually be within 24 hours, and you will need to have someone drive you to this appointment and back home.

Breast augmentation for cosmetic purposes is not covered by insurance. However, procedures done for reconstructive purposes (after mastectomy, trauma, or congenital conditions) may be covered. Check with your provider for details.

Yes. Most practices offer financing plans through medical lending companies, making it easier to fit surgery into your budget.

Board certification ensures your surgeon has advanced training, proven expertise, and meets the highest safety standards. An experienced surgeon brings both technical precision and artistic skill, ensuring results that look natural and balanced.