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You are absolutely not a candidate for a donut lift (very few people are, and those that are end up not getting a lift because their nipple position is close to 'normal'). Your breasts hang, and your nipples are at the bottom of the hanging portion facing downwards. Only a true breast lift that contains a vertical component will give you a lovely breast shape. Check to make sure the doc you've visited is really board certified, and has lots of examples of 'anchor scar' lifts. In addition, ask the doc to show you pics of women with breasts like yours that got a donut lift.
Hi, thank you for sharing your question. You are a candidate for breast lift using either the “lollipop” incision or “anchor” incision. Both have benefits but given your photos, either will work well.
A donut breast lift, also known as a periareolar mastopexy, involves removing excess skin and tightening around the areola to lift the breast. It is typically recommended for women with mild sagging or those seeking only a slight lift. A donut lift might is not the best option for you if your breasts have significant ptosis (sagging), with nipples pointing downward and located below the breast fold. A more extensive lifts like the anchor lift (wise pattern) or lollipop (vertical) lift is more appropriate . These techniques provide a more comprehensive lift and reshape the breast better, especially when there is a significant amount of sagging.If your primary concern is to improve breast shape and elevate the nipple, a full breast lift with an anchor incision is likely a better solution. The donut lift would not offer as much elevation or fullness, and there are concerns about it potentially flattening the breast or leading to stretched scars.It’s crucial to consult with an experienced plastic surgeon who can examine your specific anatomy and discuss your goals in more detail before making a decision.Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York
A full breast lift with the anchor incision would most likely be more suitable for you, as your nipples are located below your breast fold and are pointing downward. A donut incision would not be enough for you.
As others have stated, your breasts are too ptotic for a donut lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.Best Wishes,Gary Horndeski, M.D.
Hello @jolina1028 thank you for your question. Based on your photos, it looks like you might be a good candidate for breast pexy with L shape incision. An examination by a board certified plastic surgeon will provide you with more information and recommendations. Best regards. Alan Gonzalez MD