Candidate for Donut or Crescent Lift? (photo)

Thank you for the question in pictures.

Although you may be an excellent candidate for circumareolar breast lifting surgery, whether you should undergo the operation or not will depend on your specific goals. I would suggest that you meet with well experienced board-certified plastic surgeons to discuss these goals, surgical options, as well as a potential risks/complications associated with each option.  Make sure you consider the presence of scars,  the potential abnormal scarring, areolar spreading, areola asymmetry…as you make your decisions.  Personally, ( generally speaking) I do not recommend the “crescent” breast lift,  because of the high incidence of unsatisfactory  outcomes.

I hope this helps.

Most commonly, we prefer
the lollipop or donut lift because of the shape, small scars and easier
healing. Removing a donut shaped
piece of areola and skin then using a #Pursestring or double purse-string
suture to tighten the skin, there is no need to add augmentation, but a tighter more youthful look will be attained. The crescent lift also removes a small amount of skin at the top of
the areola. We find that there is very little
lift and the areola becomes oval in shape and distorted with this method. So, it appears that both methods would be an option, but likely the donut lift would be better.

First off, a crescent lift is
worthless, a sham lift, don't do it. If you go to a surgeon with experience
with a periareolar lift, then you could get some benefit. But know the
limitations including flattening of the breast, minimal to moderate lifting and
a puckered look around the areola due to pleating of the skin gathered around
the nipple. A vertical, or lollipop lift will result in a more fundamentally
sound lift with better shape (more projection and narrow shaping of the
breast), a more crisp and round areola as the stress of the lift lies on the
vertical scar. The downside is the vertical scar, which will be visible,
permanent and can take up to a year to mature.

While I can see the merit in avoiding an implant, IMHO, doing either lift
without an appropriately sized implant would result in only mild rejuvenation
of the breasts, so you may want to consider all options.