Differing opinions from surgeons - do I need a lift? If so, what kind? (Photos)

Question

I’m feeling super conflicted on what to do. My deflation/ptosis came from weight loss only and I might still have kids, which could ruin a lift. My breasts look extremely saggy to me and I thought forsure an aug alone wouldn’t be an option. However, 2/4 surgeons said I was borderline and could do without until I have kids, though I wouldn’t be as happy with the result as if I got a lift. One surgeon told me I don’t need a lift, and he would not perform one. One wants to do a donut lift and said an aug alone isn’t an option and he won’t do it. I don’t want to do nothing because I’m super self conscious of my current situation, but it just feels like I’m in a no-win predicament. Ive also heard some not so great things about donut lifts. My notch to nipple measurements are 21 and 22 cm and my ptosis levels are 1 and 1.5 according to the surgeon who said I need a lift. Any input is greatly appreciated!

Ira H. Rex III, MD · Answer

From your photograph, it seems that we would certainly get the best results with a lift.  Without it, your nipples would be at about the same position or maybe even lower.  This usually would not be acceptable for someone having breast surgery for aesthetics.

Kadir Berat Oyur, MD · Answer

Based on the photos, you appear to have mild ptosis and volume loss following weight loss, making you a borderline candidate for augmentation alone. This explains why you've received differing opinions. If preserving scars and delaying a lift until after future pregnancies is a priority, augmentation alone is a reasonable option, with the understanding that some sagging may remain. If your main goal is the best breast shape now, a lift combined with implants will generally produce a superior result. A circumareolar (donut) lift can be appropriate in selected cases, but it has limitations and may not be ideal for every patient. Your decision should be based on whether you prioritize minimizing scars now or maximizing breast shape.

Differing opinions from surgeons - do I need a lift? If so, what kind? (Photos)

Answers (2)

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