Both a "donut lift" and a "lollipop lift" are great approaches in the right patient. In general, a donut mastopexy is more limited in how much the nipple-areolar complex can be elevated. A circumvertical or lollipop lift can elevate the nipple-areolar complex more. The approach used really depends on the specific anatomy of the breast. I commonly use both approaches with breast augmentation when the patient's have mild to moderate breast ptosis. I would meet with a plastic surgeon and they can discuss different options and techniques. Take care!Timothy A. Janiga MD, FACS
It is never a question of which of these 2 breast lifts is better. Instead, it is a question of which will do what you need done. A donut lift is useful when the nipple/areola needs to be raised only s small amount and there is essentially no excess circumferential skin. If you try to push it any further, you create a flat, unnatural looking breast. When there is excess skin or the nipple needs to be moved more than about one half inch, then you need a lollipop lift. what you need to do is decide what your goals are and then discuss them with a board certified plastic surgeon with significant experience in breast rejuvenation, including lifts. He/she can determine what you need and, thus, the type of lift needed to achieve your goals.
