All I want is a donut/benelli/periareolar lift. I do not want implants! Will this work for me? (photos)

I do not care about super perky breasts. All I want is an improvement with minimal scarring and no general anesthesia. I am completely aware the lollipop would give me more "lift" but honestly if I cannot receive the donut lift I'd rather just leave them alone.

Doctor Answers 22

Breast lift

Thank you for your question. You are correct a periareolar lift will not get you as perky as a lift using the lollipop incision. Based on your photographs and expectations, you would be an candidate for a periareolar lift. The first step would be to go for a consultation with a board certified plastic surgeon.

Periareolar breast lift

A periareolar lift done by an experienced surgeon will give you good results, I routinely do breast lifts under IV sedation, not general anesthesia. You already know that Lollipop may give you an overall better lift but if you are against the extra scarring, then it's absolutely worthwhile to undergo the periareolar lift only. Good luck !

Shwetambara Parakh, MD
Paramus Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast Lift without Implants

In my office, I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring. There is definitely no need for implants if you do not desire to have the size of your breasts enlarged or filled out with your procedure. Simply discuss this point with your surgeon in consultation, and there will be no need for anything you do not want to be done in surgery. Best of luck to you and hope it all works out as you wish.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 99 reviews

All I want is a donut/benelli/periareolar lift. I do not want implants! Will this work for me?

From your photos- it appears that you are NOT a candidate for a "donut" lift- in my opinion. You would benefit from a mastopexy. If you are not comfortable or do not want the scars- perhaps you should not do the surgery

Donut scar breast lift

I think you will be disappointed with a donut mastopexy.  Your breasts will still sag and will appear flatter and wider.  You don't have to have an implant, but you do need a vertical breast lift to get a good breast shape (lollipop scar).

Best wishes,
Dr. Kavali

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 39 reviews

Then don't do anything

You will get minimal change with just a periareolar lift.  In my opinion, you may actually look a bit worse.  It tends to flatten the breast.  It works well with an implant because the implant counteracts the flattening!  There is no breast surgery that "requires" a general anesthetic -- there are just surgeons who don't feel comfortable doing surgery without it.  

Robert S. Houser, DO
Columbus Plastic Surgeon
5.0 out of 5 stars 15 reviews

Benelli lift

Hello and thank you for your question. I am sure that there are surgeon's who feel that a benelli is fine and whom may obtain reasonable results.  In my hands certainly not. A lollipop is the way to go so if you consulted with me I would suggest not doing anything.  I think in the long term you most likely would not be happy with the results. 
Peter Fisher M.D 

Peter Fisher, MD
San Antonio Plastic Surgeon
4.9 out of 5 stars 52 reviews

Will a Benelli work?

 In my opinion, with the condition of your preoperative breasts, a doughnut mastopexy will create a very flattened breast and only elevate the nipple a centimeter or two. Without vertical tension to redistribute your breast mass up behind your nipple, the circular scar ,while more palatable,will leave your breasts looking worse. A vertical lift in my opinion is necessary and a small implant at the same time would actually be  the best answer.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 47 reviews

Donut lift

The goal of a breast lift is twofold:  to elevate the nipple/areola and to tighten the skin under the breast.  The donut lift is very limited in its usefulness as it only accomplishes the first goal.  Also, the maximum elevation of the nipple/areola is only a centimeter or two at most without creating pleats around the areola that will not resolve over time.  I would suggest that you visit a board-certified plastic surgeon who can examine you in person and review your options with you.

Edwin C. Pound, III, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 24 reviews

Breast lift options

Hello and thank you for your question and photos. Giving your concerns and your photos you would benefit from at least a vertical type breast lift. I would disagree with some of the other doctors on this panel and state that generally speaking I am not a fan of the Benelli lift. This lift often results in a wide stretched out nipple with minimal lifting. To combat that problem many doctors will use a permanent suture in their Benelli lift to help maintain the closure this results in a very palpable string under the skin  that you can always feel. 

Sagging of the breast is usually a result of either too much skin or not enough filling. The excess skin that your photos indicate would not be well addressed using a standard periareolar approach.  I realize that no one wants the added scars,  but is necessary to correct the breast shape. 

General anesthesia is really not as scary as it sounds and is still the best option for most patients undergoing cosmetic surgery. There are always tradeoffs to every decision you make. If you were to do this under local there's going to be some degree of breast Distortion when the local anesthesia is injected. This would make it slightly more difficult for your surgeon to accurately position the nipples and remove the correct amount of skin with a swollen breast. 
Some doctors will probably disagree with me on this issue but the reality is there's no way to do this under local without injecting a fair amount of volume into your breast to make the whole area numb.  if you make the breast numb and you're injecting 20 or 30 cc's of local anesthetic into the area you're going to have some Distortion that you can not perfectly  anticipate what the final result will look like. 

As always it is best for you to see several board certified plastic surgeons in your area for consultations to make a decision.Best to you

Bennett Yang, MD
Rockville Plastic Surgeon
4.8 out of 5 stars 18 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.