Can I Have Breast Liposuction and Donut Lift with Implants After?

I am 45 yo,5'4 34D breasts, very nice elastic skin. I've always wanted somewhat smaller breasts with fullness on top. I've recently learned that liposuction is possible in the breasts, and if it works or me it would be ideal because the scarring of traditional reduction was really not a tradeoff I was willing to endure. You can see I have a little indentation on my shoulders and sometimes I get irritation under my breasts. I also want fullness on top. Maybe a small implant after?

Tags:

Comment on this

5 Doctor Answers | Asked by Maggie9825 in USA

Doctor Answers (5)
Community Comments (0)

Reduciton and lift followed by staged implant or fat grafting for upper fullness

Absolutely. This is a reasonable approach. Liposuction with donut lift. Donut lift with lower pole resection and benelli style round block resection and medial to lateral pillar plication. Staged implant or selective fill of upper pole of breasts with fat grafting is an option.

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Breast fullness with reduction?

If you want more fullness and you have large breasts, you may just want a lift without reducing the breasts. Adding an implant later does not make sense.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Wanting more breast fullness with less volume

Many women with larger breasts notice that as they get older, the fullness in the top of the breast diminishes. To restore this, either a breast lift or an implant will suffice. You mention that you would like to be a bit smaller, and I would therefore discourage placement of an implant. The goal is to rearrange the breast tissue you currently have to create the breast you want. Liposuction can reduce the size of a breast but it is best reserved for patients with excellent skin tone and... more

David Bogue, MD

6 reviews

Boca Raton Plastic Surgeon

www.drbogue.com

Addressing Large Breasts with "liposuction and donut lift with implants" is a BAD idea

Regarding: "Can I have breast liposuction and donut lift with implants after? I am 45 yo,5'4 34D breasts, very nice elastic skin. I've always wanted somewhat smaller breasts with fullness on top. I've recently learned that liposuction is possible in the breasts, and if it works or me it would be ideal because the scarring of traditional reduction was really not a tradeoff I was willing to endure. You can see I have a little indentation on my shoulders and sometimes... more

Don't try to invent your own cosmetic breast operation

Your photo did not appear in the question- but based on your description, you've got relatively large and probably sagging breasts- you need a breast lift with a small reduction. While it is true that liposuction will remove volume from your breasts, and that a small implant will enhance upper breast fullness- the combination you describe will not improve the appearance of your breasts. What you are trading for a much nicer breast shape is a set of scars on your breast that will heal... more