Mommy Makeover: Q&A

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Will a Donut Lift Work for Me? Do I Need A Full or Mini TT? (photo)

I want to get breast aug, lift & TT. I'm 37 and I've had 4 children/4 c-sections no keyloid-ing. Do you think the TT is worth the trade off since muscles are not too bad? Can a mini do the job or full? My main concern is the bottom bulge & the stretch marks. Regarding breast aug, lift w/silicone (over muscle was rec since I workout alot. Does working out=over?. I want to avoid the lollipop if possible. I despise it! Will a donut work 4me? Armpit incision for the implant? I want to go to D cup.

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armpit candidate doughnut exercise mini over muscle recommendation

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19 Doctor Answers | Asked by FitDiva in Charlotte, NC

Doctor Answers (19)
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Short-cuts in Plastic Surgery Always End Badly...

Hi there- While I understand your (and all patients) preference for a smaller procedure if possible, it is absolutely critical for you (and all patients) to also understand that things that sound too good to be true- still are... Secondly, the scary thing is that if you wave a little bit of money in the air, you will find someone willing to do whatever procedure on you that you ask for. But long after they have your money, you will be dealing with the unhappiness and strange,... more

Will a Donut Lift Work for Me? Do I Need A Full or Mini TT?

I think you will need the lollipop incision for the breast lift part due to the position of your own breast tissue and nipple location. I do not think the donut breast lift, even with an implant will work. As to under or over the muscle with implants and working out, when you use your pectoralis muscle there will be some movement of the implant, but that is temporary. I think a lift will last less time if the implant is placed on top of the muscle as it will not have as much support... more

Which procedure

I noticed you had also asked a question about OR time. For a full procedure, which seems to be the consensus 2 1/2 hours will not do it.

Michael Hueneke, MD

6 reviews

Nashville Plastic Surgeon

Will a donut lift work?

While it would be nice to get a lovely result with a minimal incision, I think that based on your photos that you need a more powerful breast lift - either a vertical or a full (traditional) lift. The donut lift is simply not powerful enough to give you a nice looking result, even together with an implant. I understand that accepting the extra scar is a difficult thing... Regarding the tummy, a mini is not powerful enough for the amount of laxity and abdominal wall relaxation... more

A mommy makeover is tailored to each individual patient to meet unique aesthetic goals

From your photos, it appears as though you'll most likely need the lollipop type of incisions for your breast lift and possibly the anchor type. The scars heal very well on the breast and I wouldn't want you to sacrifice a great result just to prevent a small amount of extra scarring. Over the muscles for the implants is good if you're an avid exerciser as the implants may move during muscle flexing if they're placed underneath the muscles. For your... more

40 yr old Mommy Makeover

I think that you need the whole deal - complete breast lift with or without implant and full tummy tuck. Sound like the biggest issue for you is the scars. If your surgeon does a good job than you will be thrilled with the improvement in your shape and the scars will "fade" to the background. I would be very careful about anyone suggesting you will do well from a donut mastopexy.

Full tummy tuck and full three scar breast lift

From the pictures you sent, it appears like you need a full tummy tuck and a breast lift with all three scars -- around the nipple, vertical, and horizontal. See a board-certified plastic surgeon in your area for an evaluation and recommendations. It is a good idea to seek more than one opinion and compare recommendations. Then you can choose what is best for you.

Mommy makeover - Breast and Abdomen

From the photos you share here, it looks like you would benefit from a tummy tuck to take care of skin laxity and to tighten your abdominal muscles. Your breasts would require a traditional lift with incision around the nipple, the vertical incision down the middle of each breast, and continuing along the breast fold (anchor-shape). A donut mastopexy would be inadequate. If you want more volume, then you may consider breast implants, and in conjunction with the lift, placing the... more

Donut Breast Lift vs. Mastopexy and Standard Tummy Tuckl vs. Mini Recommendations

The photographs (above) suggest the procdures that would give you the optimum results are a standard mastopexy with or without breast implants. The top of your breasts are flats secondary to being engorged and stretched after pregnancy. A mastopexy alone does not always provide the fullness you might desire, so I would discuss the possiblity of placing a submusculat breast implant at the time of the mastopexy. A mini-tummy tuck is best reserved for someone with a small... more

Type of Breast Lifting and Tummy Tuck?

Thank you for the question and pictures. You will not have satisfactory results without a full mastopexy and a full tummy tuck operation. The circumareola mastopexy will not address a significant number of loose skin present and will not give you a significant breast lift. The mini tummy talk is an operation that produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal... more

Mommy makeover - tummy tuck and breast lift/breast implants

Your posted photos show severely deflated breasts with sufficient drooping that the nipples point down towards the floor. The abdominal muscles have been stretched out and are lax. There is a small hanging apron of lower abdominal skin and fat and the is a visible significant diastasis recti (vertical separation of muscles in the abdominal midline). You will need some type of breast lift in addition to augmentation because augmentation alone will not raise the nipples so they point... more

Full breast lift and full tummy tuck

Your breasts have clearly too much drooping and excess skin for a donut lift and you have too much laxity above the umbi for a miniTT. Full versions of both would be the best choice IMO from your photos.

Breast Lift and Tummy Tuck

Based on your photos you should have a full abdominoplasty (definitely not a mini) since it looks like you have a fair amount of diastasis and a mastopexy. Do not have a donut also called a periareolar as this will leave with an unaesthetic result. In order to have a good result, you will need to accep certain scars. At the very least you will have a lollipop scar since a vertical lift will give you nice projection and shape.

For major sagging, only lollipop breast lift and full tummy tuck will work

Hi. There is so much marketing that makes you think you can get a dramatic improvement with minimal surgery and almost no scarring. But it is not true. I know this is not what you want to hear, but cutting corners will only leave you unhappy with your result and in need of revisions. You can look a lot better, but only if you have the full procedures. see video

Which breast lift and tummy tuck are appropriate

Based on your photos, a donut breast lift would not give you adequate lift/tightening, and a lollipop type breast lift would be more appropriate. As for the tummy tuck, a full tummy tuck would give you the best possible tummy shape. A mini-tummy tuck would not adequately tighten your mid and upper tummy, and the scar would be not that much different than a full tummy tuck. A board certified plastic surgeon could best address your questions at your... more

Type of Breast Lift and Tummy Tuck

Dear Fit Diva, From your photos it appears as though you could have a mini tummy tuck,if that is your wish, but you would not be as tight and would be likely to have extra skin when you lean over. A doughnut lift for your breasts will be insufficient to remove your extra skin and reposition your nipples. The doughnut lift gives only 1-3 cm of elevation and you will need much more to have a good breast shape. I think an over the muscle breast implant is not a good... more

What Breast Lift is Right?

From your photographs, there is no question you need more than a "donut" mastopexy. You have the most severe type of breast droop or ptosis - grade 3, where the nipple is pointing downward. To achieve a youthful breast, you need to be ok with the scars otherwise you will have a larger breast, that is still not youthful in its appearance. Trying to make an insufficient lift do more than intended will only give you a poor cosmetic outcome - wide scars or poorly shaped breast. It is... more

Which type of breast lift will work the best for you?

There are several different options of women when it comes to breast lift procedures, and while it's hard to know for sure without examining you in person which choice would work best, based on your photos I would not recommend a donut lift. I think you would really benefit from a full mastopexy-- the price for this are the incisions, but they tend to heal very well with time. The reward however is a much nicer overall shape to the breast, and this procedure can be done... more

What kind of Mommy Make Over

If you were my patient, I would probably tell you this: You need a vertical lift. A donut lift will not correct the breast droop. Your implant goes in through the breast lift incision. You don't need the armpit incision. Your tummy muscles are widely stretched, you have loose skin. A mini tummy tuck will not be enough. An implant over the muscle won't shift when you exercise. It is more likely to form a capsule (hard scar around the implant... more