Candidate for Donut or Crescent Lift? (photo)

Dear Baffled,

Thank you for your question and photos.

You seem to be an ideal candidate for the Mini Ultimate Breast Lift. The Mini UBL does not require a vertical scar to successfully lift and move breast tissue (in your case, moving it towards the breast bone). This is achieved by a series of internal straps fashioned from your own tissue to permanently secure your tissue and prolong the life of your lift. Your only incision is that of a circumareolar incision. A crescent or donut mastopexy can only remove excess skin and move the nipple/areola complex.

Hope this helps.

Kind regards,

Dr. H

 

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.

A donut mastopexy may provide you with a subtle lift coupled with a reduction in areolar diameter.  This may be particularly suitable in your case. Raffy Karamanoukian Los Angeles

Without doing a face to face evaluation and more measurements, it is hard to give you an absolute answer.  I do not recommend a crescent lift as your areolar are already large, and a crescent lift would only make your areolar larger and not give you very much lift.  A standard mastopexy with an anchor scar would certainly get your breasts in the appropriate position, but it might be more surgery than you really want to go through. 

If by the term donut mastopexy, you are referring to a circumferential or Benelli mastopexy, I think this is a reasonable alternative which will leave minimal scarring and will correct some, but not all, of your droop (ptosis).