Will a crescent lift or donut lift be sufficient if I'm not looking for perky? (Photos)

Thank you for your question. Take out and crescent lifts are used in cases where there is very little sagging. From your pictures, it doesn’t look like you would achieve a satisfactory result from either of those procedures, especially if you are also getting implants. With time and proper care, the vertical scar will fade, and I think you will be happier in the long run if you get the right surgery the first time - trying to avoid a scar could lead to revision later with more scarring. With that being said, my advice would be to schedule a consultation with a board certified plastic surgeon. They can examine you and offer options for the surgery technique that will give you the best possible results. Good luck!

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a vertical or wise pattern breast lift.  I do
not ever recommend a Bennelli or circumareaolar (donut) lift.  Over time,
the areola tends to enlarge with a thickened scar.  The other even worse
problem with a circumareaolar lift is that it flattens out the shape
of the anterior breast over time.  A vertical or wise pattern lift with an
implant can result in a very nice shape if good technique is
used.    The size of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their
results.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Dear tinawill2, Unfortunately, an augmentation alone or with a donut mastopexy will not be sufficient. I agree with my colleagues and you will be dissatisfied. In my opinion, a lollipop or wise mastopexy will give you most aesthetically pleasing breasts. Good luck. Dr. Gervais.

Thanks for your question and the photos. I completely understand your reluctance to have the additional vertical incision, but it is necessary to give you a good result. Neither the crescent nor donut mastopexy approach are good options. An exam is necessary to counsel you on implant sizes, but 475CC is too larger in my opinion based on your photos. The added weight and volume will be counterproductive to the lift and will not look "natural" in my opinion. Find a Board Certified Plastic Surgeon in your area that is an ASAPS member and specializes in cosmetic breast surgery. Best of Luck!

Thanks for your inquiry, I would not advise a crescent or donut mastopexy to treat your ptosis.  Please re-discuss your goals with your surgeon, good luck.  

if you are content with the level of the lower curvature of your breast, then a donut mastopexy can give you the look you are hoping for. The implant would need to be larger as you have accepted, to improve the upper pole fullness. I do recommend your surgeon consider using a gortex suture to prevent spreading of the areola width over time. I find  the crescent mastopexy very likely to spread and distort the areola whenever an implant is used.
Best Regards, Prashant Soni M.D.

You only provided one photo, however, based on that picture, I would think a lift only around the nipple and areola would not give you a natural result.  A surgeon can only move the nipple/areola a certain amount with that type of lift.  It just seems like your nipple/areola is too low.There are so many women who are afraid of lifts that require more scars.  If properly performed, scars will fade over one to two years and be very thin.  It is rare to have any patient be concerned about their scars when they see how lifted their breasts are after a lift with either anchor or lollipop scars.You should see several experienced plastic surgeons for their opinions.Good luck to you.

Hi TinaWill. As many of the other physicians have answered, a crescent or donut lift is very unlikely to give meaningful lift results. In fact, in my observation, except in very specific circumstances, the donut mastopexy not only is lacking in improvement while leaving unnecessary scars, but often results in a very unnatural  and odd appearance. This technique is very popular in Mexico and with a few of the local surgeons in my area, and I do a large number of revisions as a result. A crescent mastopexy is designed to improve minor nipple position issues. 
If visible scars are of concern to you, implants alone (depending on the technique, shape, size, etc) may give a very natural and pleasing result -- Not every issue present in the beast can be fixed with implants, but rather on balance a nice improvement. Depending on whether the implants are place above or under the muscle, there will be different benefits, as well as limitations. 
Hope all goes well with your surgery and that you achieve the results you were looking for. Dr. Ghafoori 

Thank you for submitting your question. My concern for you with a 475 CC implant would be a very full upper breast. I just don't believe that I would be able to create a natural appearing breast with that size of an implant without utilizing a vertical breast lift scar. In my opinion, over my 25 years, the vertical scar has had very few complaints from patients. I do not believe I would be able to give you adequate nipple elevation through just a doughnut incision. 
I hope this was helpful!
Dr. K

I would not be able to achieve any decent lift in you without adding a vertical scar (& also a scar in your inframammary fold).  I think the compromise on additional scarring will get you an excellent result (without too much perkiness as you state).  I do think a 475cc implant will potentially give you a very full and UNnatural look though - these are big implants in someone who already has a fair amount of breast tissue.  3D imaging may help you get an idea of what your outcomes would be with each different scenario, but I would personally not offer you a donut lift alone.  All the best