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What's Best For Grade One Ptosis: Donut Lift with Augmentation or Augmentation Only?

asked 9 months ago by stb3
Latest answer by Aaron Stone, MD
Question viewed 498 times
Tags: ptosis, options

I am 5'5 and 110 pounds. I am a B cup and have had a pregnancy. I have grade one ptosis and have been recommended by my ps to have a donut lift and augmentation with 325cc. I am very concerned about scars, and my husband also. He wants me to have only the augmentation.

12 answers to What's Best For Grade One Ptosis: Donut Lift with Augmentation or Augmentation Only?

Augmentation Lift

Hello ~ On examination of your breast photograph, you have several options available to you. In general, for a mild ptosis, a breast augmentation with a Benelli breast lift is a viable option, producing excellent results, and the scarring is very acceptable in a majority of the cases. Ultimately, you need to sit down with your husband and plastic surgeon and decide what your non-negotiables are ~ meaning, what are your expectations versus what are you unwilling to accept in terms of... more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

Augmentation for now, lift in a few yeasr

Right now, you have bottom heavy breasts easpcially laterally and a periareolar lift won't help that at all. An implant can be done and i over the years the breasts seem progressivvly lax, a full lift will fix that without having to change the implants as long as they are in good position and soft. So, you can stage this but don't go big with the implants or above the muscle as this will not lift you and will make the laxity worse faster.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast implants or lift with implants

If you like the current shape of your breasts but would like them fuller, I would suggest implants without any type of lift. The "donut lift" will probably blunt the natural projection of your breast without adequately addressing the breast sagging below the areola. If you want to have more fullness of the upper chest wall without the support of a bra, a "lollipop lift" with an implant would be in order - the down side is the presence of... more

Joseph N. Togba, MD
Oakland Plastic Surgeon

Combination mastopexy breast augmentation

The answer to this question depends on your expectations and what you are willing to accept in the way of scars. While I could give you a better idea if I was able to examine you, from your pictures, it appears to me that you have a significant amount of breast tissue inferior to your inframammary crease and a significantly long nipple to inframammary crease distance, thus an augmentation mammaplasty alone will leave a significant degree of residual ptosis with lower breast fullness. The... more

Jack Peterson, MD
Topeka Plastic Surgeon

Grade one ptosis and breast implants

The classical definition of grade one ptosis is a nipple position at the level of the fold under the breast, the center of the nipple and not the areola. You do not have breast ptosis. The donut breast lift will only reduce breast projection or flatten your breast, and result in a scar. You have some pseudo ptosis to be technical, though the bottom line is you will do quite well with an implant alone. Best of luck, peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Donut lift or augmentation only

As you can see from the variety of opinions, there is not a black and white simple answer. I would tend to agree with doing some sort of lift and augmentation - you already have an element of "psuedoptosis", meaning that there is a lot of breast tissue and skin underneath your nipple. A circumareolar mastopexy may not be enough in that it has a tendency to cause the breast to flatten a bit, the areolas and scars can widen significantly if a lot of skin... more

Michelle Spring, MD
Marina Del Rey Plastic Surgeon

Breast 'Droopiness'

Thanks for your enquiry. Judging from your photo, you have grade 1 ptosis - your nipple/ areola complex is slightly above the crease beneath your breast. You also have mild pseudoptosis or bottoming-out of the breast. You do not need a periareolar mastopexy as the risks would out weigh the benefits. I would suggest only an augmentation which would fill the upper pole of your breast and hopefully achieve the result that you are looking for.

Wilfred Brown, MD
Fairfield Plastic Surgeon

Breast Implants or Lift and Implants?

The issue with you isn't as much the position of your implants, its the fact that the majority of breast tissue you have sits on the lower, outer aspect of your breasts. Implants will enhance the upper and lower aspect of the breast, but the ratio will remain the same leaving you with "heavier" breasts - not lifted or full in the upper area - where most patients prefer. An areolar breast lift will result in somewhat of a lift (but you dont need just the nipple/areola... more

Vincent P. Marin, MD
San Diego Plastic Surgeon

www.marinaesthetics.com

You can get augmentation for now

You have mild psuedoptosis and you may get enough lift with high profile imlplant and delay the lift. I do not recommend combined lift and implant and you would a good candidate for implant first and if not satisfied, do lift later on.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast Lift?

The photo you sent is helpful but it is clearly taken from an angle looking up at your breasts- this angle makes the photodifficult to use when asessing the amount of lift that you need. 'Donut' lifts are useful in some cases but the scars are not always better. There are cases where too much of a lift is attempted using this scar only- the result is a widened scar around the areola and flattening. I'm not saying that you'll have this issue- but I am saying... more

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

Breast lift and breast implants

The question you pose is not like what is 1+1. The answer to that is always 2. You have a few options and each has trade off of risk vs. benefit. The questions are what do you currently have, what do you want to have, what needs to be done to get you where you want to go and what are the trade offs in the different options. Not all of this can be answered given a single frontal photo and no measurements. The photo you posted shows some inherent asymmetry with the left breast larger and... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast augmentation with or without lift

I think the augmentation alone would give you the better result. I also think you have more of a pseudo-ptosis than ptosis, meaning that your nipple is not very low but the breast is herniated below the nipple. And because I believe you have more pseudo-ptosis it makes the lift especially a doughnut lift less necessary. I think the implant size of 325 mL is probably too small. I believe an implant without lift in your case would give you a natural appearing augmentation but you would... more