Breast Augmentation: Q&A

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Breast Augmentation with Circle Lift 6 Month Post Op Saggy Not Happy Expected More Lift?

I had BA W/circle lift initially only wanted implants no lift I didn't want the lolly pop scar my Dr explained that a circle lift would be fine I really didn't mine a little sag because I had small D's before & just wanted them fuller & natural looking I asked the Dr repeatedly if the circle lift would be efficient enough & if it would last. He said it would last but eventually gravity like always would catch up but I never thought 6mths later what are my options

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scarring 6 months post-op

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15 Doctor Answers | Asked by Birthing The New Me in California Inland Empire

Doctor Answers (15)
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Not Happy Expected More Lift?

A lift using only incisions around the areola is quite limited in the results that can be obtained. Only small amounts of ptosis can be successfully treated. Without seeing photos it is not possible to comment on the current status nor the choice of operation. A revision to a vertical lift is most likely to solve the problem, again based only on your comments and without photos. Discuss this with your surgeon and review the options available. Best wishes. Thanks for your... more

Donut Lift or Bennelli Lift Plus Implants Often Disappointing

Thank you for your question. I am sorry to hear of your unhappiness after a Donut Lift or Bennelli Lift plus Breast Augmentation with Implants. Unfortunately your experience is not uncommon. The Bennelli Lift or Donut Lift just does not provide enough lift for breasts with significant sagging or Ptosis. The good thing is that the hard work is done and a revision with a vertical Lift or Lollipop Lift should be easy to achieve. See your surgeon and discuss your dissatisfaction... more

Bennelli lifts (or circle lifts) do not give much lift

Bennelli lifts (or circle lifts) do not give much lift, and even worse can often fail to control areolar spread. It sounds like you need a revision with a vertical mastopexy - I would discuss this with your surgeon - this is most likely to be your most cost-effective way of obtaining your revision.

Breast lifts of different types for different degrees of sagging

The lift you had is called a Binnelli or peri-areolar lift. This maneuver is helpful when the breast tissue needs to be lifted one to two centimeters. More lift than that usually requires a vertical or lollipop lift. I’m sorry that you did not get an adequate outcome with the smaller lift, but the good news is that further lifting with the lollipop incision is easy to perform at your current stage and will likely get you what you are looking for. Try not to be... more

Donut Lifts/Circle Lifts

Sorry to hear that you are not satisfied with your results. A Donut Lift/Circle Lift seems to be a good option if you have symmetry differences where one areola is slightly lower than the other or if both areolas are 1-2 cm lower than you would like. This procedure coupled with a breast augmentation tends to work well for the right candidate. If you have more significant ptosis/drooping, you may want to re-visit the possibility of a Vertical Lift/Lollipop Lift with your... more

Breast Lift Result

It is not uncommon to hear patients on this forum ask about circle lift or peri-areolar lift. It sound tempting to only have an incision around your areola. However, in the vast majority of people, a vertical and possibly a horizontal incision is also necessary (the traditional mastopexy) to achieve the best overall size and shape to the breast. If you still feel that you need more of a lift, I would recommend scheduling a conversion to a traditional mastopexy. The... more

Lift and implants

If the donut lift was not adequate enough, then you need a more involved breast lift either using a Lollipop incision or an Anchor type incision.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Unhappy with "circle" breast lift and Augmentation

The Benelli lift is "OK" for a small degree of sag or ptosis. It is also good for making the nipples round and symmetrical, and yes, larger (they tend to stretch over time). Although this procedure is commonly used, I don't favor it generally, as I find it is not that effective. That said, you can't have your cake and eat it too. A more aggressive lift may be needed along with the scars that accompany it. Have a discussion with your doctor, and from there decide... more

Unhappy After Donut Lift #breastimplants

The lift you describe was originally written about by Dr. Benelli. It however does not usually provide enough skin tightening to achieve the desired results. I almost never use this lift unless the only issue is moving a nipple about 1-2 cm's when it does not match the other nipple. It is unfortunate, but you will likely require additional tightening with more of a lift procedure. I tell all of my patients to think of an augmentation mastopexy procedure as two operations even though lots of... more

Donut or circle lift does not create enough lift

As so many others here have expressed, the lift with a scar just around the nipple is frequently dissapointing. I have rarely seen good long term results with this particular surgery, in my hands and from the work of many other surgeons. The idea is to minimize the amount of scar, but the poor results are not worth the trade off. The good news is that doing a formal breast lift at this point is relatively straight forward. The compromise you will need to consider is... more

Not enough lift

You are trying to accomplish two goals in a breast lift - to elevate the nipple to its "ideal" location and to tighten up the "sling" of skin under the breast so you have a perkier look to your breast. The circle lift (aka, donut, peri-areolar, or Benelli lift) only accomplishes the first objective, elevating the nipple/areola. Sometimes the extra, loose skin can be filled out with an implant, but often some sort of vertical scar is necessary if you want to get more of a lift... more

Correction of a breast position issue requires proper marriage of the operation and the problem.

A doughnut mastopexy is seldom indicated for truly droopy breasts. If your breasts were significantly ptotic, a more formal mastopexy would be indicated.

Unhappy after Circumareolar Breast Augmentation/Lifting?

I'm sorry to hear about your dissatisfaction after breast augmentation/lifting surgery. As you can imagine, it is not possible to get you precise advice without direct examination. Based on your description, however, it is probable that you may benefit from additional breast lift surgery. Generally speaking, the circumareolar/Benelli breast lift provides for minimal breast lifting and may be an overly utilized operation. Patients and surgeons may opt for this operation to decrease... more

Breast Augmentation and Circumareolar Lift

It sounds like the surgeon tried to do what you wanted or what you thought you wanted. This lift seems like a compromise between what you wanted (no lift) vs a more complete lift. The circumareolar lift can remove very little skin compared to the vertical or full lift pattern and frequently leave patients less than satisfied. Whether or not something is adequate is frequently in the eye of the beholder. I have found that most women want the... more

Circle or Donut Lift with poor result?

Hello, and thank you for your question. A circle lift (aka donut or circumareolar lift, aka Bennelli lift) is a term that can be used in many ways. There are many techniques in doing this general type of lift. Some are more successful than others. Also, the heavier the breast that is being lifted, the harder it is for this technique to work. You initially stated that you did not want much of a lift. If this is still true, I recommend no further surgery... more