Would a “donut” or crescent lift with implants be sufficient for me? (Photo)

Thank you for the question. You do have true ptosis and a breast lift in combination with the augmentation is indicated. But, you are only 21, so you should strongly consider having a breast augmentation without a lift. Your surgeon will be able to fill the lower poles of the breasts and raise the nipples by approximately 1 cm, which can be enough. If you are not happy, you can always undergo a lift in the future, but once you have a lift the scarring and effect is permanent. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Don't choose the crescent lift since it can change the shape of your areola. You might do well with the doughnut lift, but measurements are needed to be sure. I would suggest not going with such a large and heavy implant, but something that fits your frame and tissue.

The crescent or donut lift would not be effective. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.