Breast Augmentation Q&A

92%

WORTH IT RATING

774 Reviews

Ask a Question

Breast Augmentationbefore & after photos

View Before and Afters

Average Breast Augmentation Cost: $6,200

Learn about Breast Augmentation

3,419 people and 890 doctors are talking about Breast Augmentation

Get Free Email Updates

Donut Lift with Augmentation or Just Augmentation?

asked 9 months ago by stb3
Latest answer by Michael H. Rosenberg, MD
Question viewed 630 times
Tags: 5 ft 4 in to 5 ft 7 in, B cup, doughnut, lift

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!

18 answers to Donut Lift with Augmentation or Just Augmentation?

Breast augmentation with Benelli breast 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

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

Wendell Perry, MD
Miami Plastic Surgeon

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
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

Robert M. Lowen, MD
Bay Area Plastic Surgeon

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

Lori H. Saltz, MD
San Diego Plastic Surgeon

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

Jerry Lugger, MD
Dallas Plastic Surgeon

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

Gary M. Horndeski, MD
Houston Plastic Surgeon

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.

Darryl J. Blinski, MD
Miami Plastic Surgeon

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

William Bruno, MD
Beverly Hills Plastic Surgeon

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
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

Steven Schuster, MD
Boca Raton Plastic Surgeon

Breast lift or augmentation

First you have to define what you or your husband means by "nice." You have normal, nice breasts. Are they too small? Are they too saggy on the bottom? Are they not the shape you want? Are the too far apart? Do you not have cleavage you want? Once you determine what your goals are, and be very specific, the proceudres, and their side effects and risks, will be very evident. If the breast are too small, even when supported in a soft bra, then you need more volumeand a lift. If they... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Donut lift or not

You have mild ptosis. Most of your breast is below the nipple. As long as you accept the more 'mature' look to your breast a simple augmentation would give you decent result without additional scaring

Raj Chowdary, MD
Allentown Plastic Surgeon

Augmentation With/Without Donut Lift

I am usually not a fan of donut lifts as the scar can sometimes widen and become very problematic. It would have been helpful to have had a lateral photo, but, looking at your anterior photo, I think that you can obtain a nice result with an augmentation alone. You can always have a small lift performed later if you are unhappy with the result of an augmentation alone. Perhaps you should obtain a second opinion from another board-certified plastic surgeon to see if he/she... more

John Whitt, MD
Louisville Plastic Surgeon

Breast augmentation plus lift?

Your question is quite common and you may get different answers from different doctors. Obviously, it is in your best interest to be examined by a well trained/experienced board-certified plastic surgeon. Otherwise, side pictures of your breasts may be helpful in determining the benefits of breast lifting in your case. Also, it is important to visualize your goals and discussing the best surgical treatment for you. For example, sometimes a larger implant can “fill out” the... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Donut Mastopexy?

Looking at your photo you have a bit of what is sometimes called 'Glandular Ptosis'- basically, a higher percentage of your breast volume than normal is sitting below your nipple. An implant with a circumareolar mastopexy (scar around the areola only) is a correct choice for you- but, if you are concerned about the scar, it may lead to moderate scar widening and the appearance of an unusally widened areola in your case. There are things to do to avoid this but they... more

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

For my patient with minimal ptosis one option that has worked very well, avoiding

The scars from a mastopexy, is placement off a gel implant in the subglandular position. Although I most commonly place the implants nelow the pectoral muscle (submuscular position), placing the implants above the muscle and below the breasts can give the appearance of a small 1-3 cm lift. Because the implants are gel rather than saline, there is still a natural feel to the implants, and less chance of visible rippling under the skin. Also, I would keep in mind that with a... more

Michael H. Rosenberg, MD
White Plains Plastic Surgeon

plasticsurgeryweb.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