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6 weeks post-op donut lift with breast implants behind muscle - still droopy. (photos)

I would like to know if breast implant will drop more into lower pole . Spoke with ps and states will have to do lift in six months due to elastic skin . Also when breast so soft after 6 weeks is that normal . It doesn't feel like implant is there .
This is a follow up to a previous question.  Original can be read here: http://www.realself.com/question/post-op-donut-lift-breast-augmentation

Doctor Answers (20)

Limiting breast scars in breast lift, breast augmentation

+2
Dear Taient,
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!      


Manhattan Plastic Surgeon
4.5 out of 5 stars 32 reviews

Breast Implants - droopy results

+2
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!!

Stefan Mark Szczerba, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 21 reviews

A doughnut mastopexy is not a good operation for true ptosis of the breast.

+2
The areola belongs above the infra mammary fold. A doughnut mastopexy can not accomplish this. If the breasts are significantly ptotic.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 9 reviews

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6 weeks post-op donut lift with breast implants behind muscle - still droopy.

+2
It is obvious that you needed a full lift NOT a donut lift! Did you refuse the full lift due to scarring issues??? 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Breast lift

+2
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.

Jake Lim, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 48 reviews

Breast lift

+2
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!

Gregory Lynam, MD
Richmond Plastic Surgeon
5.0 out of 5 stars 25 reviews

Drooping breast after lift

+2
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.
Regards,
Douglas Hargrave,MD

Douglas Hargrave, MD
Albany Plastic Surgeon
5.0 out of 5 stars 18 reviews

Breast lift

+2
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.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Breast lift needed

+2
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. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Mastopexy is inadequate

+2
Thank you for your pictures.  A doughnut mastopexy will not improve your breast shape. You need at least a lollipop lift and possibly a anchor lift to achieve nice breast shape and size

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.