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Donut Lift with Augmentation or Augmentation Only?

asked 9 months ago by stb3
Latest answer by Robert N. Young, MD
Question viewed 476 times
Tags: after pregnancy, ptosis, doughnut, scar

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.

16 answers to Donut Lift with Augmentation or Augmentation Only?

Breast augmentation plus lift?

I think breast augmentation alone will work just fine. Mastopexy can be done if necessary in the future. It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Pseudoptosis of breasts

Most women after having babies indeed have a " pseudo ptosis" like you. It means cleavage and upper fullness decrease. Implants alone will fill the "envelope" of your breast, lift your nipple sligthly and give you cleavage and upper fullness back. If not enough for you (or your husband) a ptosis procedure can be done later and would depend how your surgeon and you feel about it. With implants the "bigger the better" is not the solution but a size... more

Guido P. Gutter MD
Evansville Plastic Surgeon

Breast augmentation with or without lift

Hello, If you and your husband have significant reservations about breast scars you can proceed with breast augmentation only and reassess later on about undergoing a breast lift. As others have already mentioned you have something called pseudoptosis, where your nipple and areola are above the breast fold but the lower portion of your breast is drooping excessively below your fold. If you underwent a breast lift its the vertical incision that would be the most powerful.... more

Remus Repta, MD
Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

Donut Lift with Augmentation or Augmentation Only?

With every operation there are as number of things to be considered and weighted. In your case the amount of improvement vs how much scarring you can tolerate. i would suggest that you have the breast augmentation alone as both you and your husband are (quite rightly) concerned about scars. If you are not happy with the shape following the breast augmentation then consideration could be given to doing some type of lifting operation (Mastopexy). The size of the implant... more

Donald M. Brown, MD
San Francisco Plastic Surgeon

Silicone breast implants over the muscle with internal lift will correct mild sagging.

Hi. 1) Going by your pictures you do not need a breast lift with external scars. Implants over the muscle will give you a nice result. But implants under the muscle do not correct sagging, and can lead to a "double bubble" in a woman with your anatomy. 2) 325 cc's looks reasonable, but it is best to make the final decision about implants during surgery. Sterile implant sizers are inserted into your breasts, and then the surgery can actually see... more

George J. Beraka, MD
Manhattan Plastic Surgeon

You would do better with augmentation now

You have pseudoptosis and would have good result with high profile augmentation, You may need to have lift later on. The nipple lift will make your pseudoptosis more pronounced.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Recommend doing augmentation first

From your preoperative photos, it appears that your ptosis is relatively minor. I believe that implants under the pectoralis muscle of at least 300 cc's will most likely give you the fullness that you want. Also, it would give your breasts some lift, very likely enough for you. If you develop more sagginess later or decide you still want more firmness afterwards, you can always go back for a breast lift. But you do not need to do that now.

James Tang, MD
Houston Plastic Surgeon

Lift or no lift with augmentation?

I am in agreement with Dr. Laverson. With your current breast shape (pseuoptosis, empty upper pole, adequate nipple position) I would not recommend a peri-areolar lift. It would further flatten your breast and leave you with a scar. I think that it is very likely that you will have an acceptable appearance with an implant alone. The implant will help fill the upper pole of your breast, although your breast will still appear somewhat "mature" because of the... more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

www.seplasticsurgery.com

Augmentation only Vs lift and Augmentation

I agree with the comments made. However, you have to see photos of patients with and without lift. Since you are concerned about the scars, I suggest you go with an augmentation only. But, you will need a larger implant to fill the skin envelope. I prefere the preiareilar incision and submuscular placement of the implant. If you agree to have a lift, than the type of lift will depent on how big of an implant you want. The bigger the implant the less skin needed to be taken out. I... more

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Breast Lift/Augmentation or Just Augmentation

As you have been told, your breasts would be defined as having pseudoptosis, in which the nipple position is fine but you have significant breast tissue below the breast fold. This is not a terrible problem to have and you would probably be happy with a breast augmentation alone, but the implants would not lift this breast tissue above the fold. Instead, you would have more volume and fullness above and below the breast fold. If you were disappointed, you could have a breast lift later but... more

Joseph Fata, M.D.
Indianapolis Plastic Surgeon

www.breastsurgeryindianapolis.com

Donut mastopexy or augmentation

Often what you should have is driven not only by your anatomy but by what your goals are. This means defining exactly what you are lookking for in size, shape, contour, and scars. This might be a situation where you will have to make major compromises in expectation since, in general, your anatomy suggests the need for a lift more than a donut type. Specific recommendations can not be made without an extensive consultation and examination. Roibn T.W. Yuan, M.D.

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

Treatment after pregnancy

It is impossible to state what would be the optimal treatment without a physical exam. I would not that it appears your nipples are above the inframamary crease that would indicate the issue is not ptosis but pseudo ptosis which is common after pregnancy.Pseudo ptosis is typically treated with an augmentation.

Jay M. Pensler, MD
Chicago Plastic Surgeon

Breast Lift?

I too believe that what you have is 'pseudo-ptosis'. Your nipple height is fine on your breast, but you have more breast volume below your nipple than I would expect. A circumareolar (donut) breast lift will indeed give you a slightly better shape, but with a scar that you may not want. One choice you have is to do the surgery without the lift and just see. My sense is that you will be happy 'enough' not to proceed with the lift. It's important... more

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

Breast Implants with or without breast lift, breast scars

Without in person exam, this recommendation is not as worthwhile, but your photos are good, so here goes: Breasts are symmetric, but widely spaced with lateralized nipples, and a high inframammary crease medially, near the sternum. You have a large amount of lower pole skin; The breasts are more involuted or "pseudoptotic" than ptotic in my judgment. You are thin, so large implants may not appear natural, but in reality, are the best way to fill your skin... more

Steve Laverson, MD
San Diego Plastic Surgeon

Breast Augmentation or Breast Lift?

You could really do either. The implant will help to fill you out but not really lift. The lift would push the breast up higher but there are scars involved in that. I would recommend to do an inframammary lift with implants.

Robert N. Young, MD
San Antonio Plastic Surgeon

www.dryoungforever.com

Breast Augmentation and Breast Lift

Dear Stb3, To answer your question 'donut lift with augmentation or augmentation alone', the answer is NEITHER. As many of the other responders have said your current breast shape would be made worse by a donut lift, and your glandular or 'pseudoptosis' would not be addressed. Some of the responders have suggested that you will need a large implant to fill your skin envelope, but I can assure you that you will be unhappy with the unwanted size and... more