Donut Lift with Augmentation or Just Augmentation?

I am 5'5 and 110 pounds. I am a B cup and have grade one ptosis post pregnancy. My ps recommended a donut lift with augmentation (325cc). I am quite concerned with scars and so is my husband, so much that he would only wants me to get an augmentation. I want nice looking breasts but I don't really know which way to go...Please help!

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5 ft 4 in to 5 ft 7 in B cup doughnut lift

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18 Doctor Answers | Asked by stb3

Doctor Answers (18)
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Breast augmentation with or without lift

I think the augmentation alone would give you the better result. I also think you have more of the 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... more

Breast augmentation

Fromt he photos you posted, you do have some glandular ptosis( or sag). This can be improved somewhat with implants, but a better procedure would be to combine it with either a circumareola lift or vertical mastopexy.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Donut Lift vs Augmentation without Lift

A donut or periareolar mastopexy is only indicated if the nipple/areola needs elevation. Best results are achieved when the lift is accompanied by an implant and the elevation is under 4 cm. Some guidelines are helpful in achieving a good shape when doing a periareolar lift with implants. The periareolar lift is accompanied by an augmentation in which the volume of the implant is significantly greater than the existing breast volume. For example, the breast is an A and the... more

To lift or not to lift

Circumareolar skin excisions will raise your nipples and flatten your breasts. Your nipples are already high on the breast. Your breasts will still be too heavy in the lower aspects. Using large implants will not change that much unless you use very large ones which is never a good soution and can make the problem worse. Your best option for balancing your breasts is with a true mastopexy; either vertical or Wise (small) pattern. If more... more

Breast augmentation and limited lifting

This is a common question, and difficult to answer with photos. I would recommend getting several opinions with board-certified plastic surgeons, and you might involve your husband during the discussions. The clinical exam will help, but this problem always involves a lot of discussions regarding the pros and cons of various procedures. To avoid the scar issue altogether, you could just have the augmentation, then a lift later if needed. I an not a big fan of... more

Breast augmentation with or without donut mastopexy

Dear STB, I've been doing this for many years now and judging from your picture, you will definitely need a lift of some kind. Placing implants alone to 'take up the slack' does not work well. I've seen too many women come in to my office in tears claiming that if they had been 'told this was going to happen in the long run, they would have never done it!' Implants with time stretch tissue and make matters worse. I have performed many donut mastopexy lifts without... more

Donut Lift with Augmentation or Just Augmentation?

Thanks for the posted photo. If you are ABSOLUTELY against a scar or incision around your areolar than have just the augmentation. Allow 2 to 3 months healing and if you need the donut lift it could be done as a secondary operation under local anesthesia. If you are asking my direct opinion, I would do at least a 400 cc HP implant + donut lift.

No need for the donut breast lift

The "donut" or circumareolar breast lift will not add much at all to your final breast shape. It can in fact create a thickened scar in the areolar region. If you are very concerned about scars you could get breast implants alone. If after a few months you then feel like you need improvement in your overall breast shape you can consider a vertical breast lift ( lollipop incision). I realize this is more of a scar then a donut lift, but it gives a much better overall contour. Based... more

Donut lift or just augmentation

From one photo it is difficult to tell. the one thing I will suggest, is not going to large of implant to save a lift. My experience has been that that does not work well. Pick a good surgeon, trust his judgement. The scars in my opinion usuallly do well, except in smokers and there are scar lasers that can help if necessary.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

You can go either way

Without sounding like a psychiatrist tell me what you want, because you could go either way. If you want to be higher and fuller then go with a lift plus implants. If you are willing to accept some drooping and not willing to accept a scar, go with the augmentation. Remember, if you opt just for the augmentation there is no reason why you couldn't have a lift 1,2,3...years down the road. This is something that must be discussed between you and your plastic surgeon... more