The donut breast lift operation only lifts the nipple 1-2cm. It is apparent from your photos that a much greater lift was needed. The implants will descend somewhat from their current position, but will not likely ever be centered behind the nipples. Sometimes in an effort to minimize the scarring on the breast, whether by patient request or surgeon desire, the procedure falls short of obtaining a good lift. Good luck!
The answer is related to the droop your breast had prior to surgery and the size of implant chosen. In my practice I warn patients who have elements of "sagginess" the risk of a requiring a breast lift to have their implant appearing centered on their breast. We carefully chose the implant and the operation (including the lift) to minimize disappointment in the outcome OR we purposely delay the decision on the lift until about 6 to 9 months fully knowing it will take that long to fully settle. Best Wishes!!
The areola belongs above the infra mammary fold. A doughnut mastopexy can not accomplish this. If the breasts are significantly ptotic.
Donut mastopexies in general can only lift the nipple/Areola complex a limited amount. In your case it's obvious that your breast tissue also needed to be lifted. There is a new technique called the Mini Ultimate Breast Lift which actually moves, reshapes and elevates the entire breast mound using an internal suspension system that provides a long term lift without the vertical scar. Currently, your breast tissue is misaligned with the underlying implant. Please feel free to visit my before and after gallery to see what can be accomplished with the MUBL.
Gary Horndeski M.D.
It is obvious that you needed a full lift NOT a donut lift! Did you refuse the full lift due to scarring issues???
You appear to have moderate breast ptosis or droop. In this case, a lollipop or inverted T incision works better in lifting your breast. All the best.
You appear to have moderate ptosis and thus require a more powerful lift. A circumvertical or shorter inverted T is what you need. Good Luck!
A donout mastopexy is an effective way to lift a breast if the nipple doesn't have to move very far. It would appear in your case that the nipple still has a ways to go to get it situated over the breast mound properly. Expecting that the implant will drop into the lower pole of the breast now might not be realistic.
I would recommend that you return to your surgeon and share your concerns. There are additional techniques that he/she might want to consider to provide you with the best possible outcome.
It looks like you would might have been better off with a more formal lift. A vertical lift may be just the right procedure or an inerted "T" type lift. Good luck.
I agree that a second lift, in this case a vertical lift, will be needed to position your areola over the anterior surface of your implant. The other option of allowing the implant to drop may result in a ptotic breast that is usually not desired.