I am 28 years old I would like to have a breast lift and augmentation but I want minimal scaring. Is It possible to have a donut or crescent lift instead of the lollipop? Which method is more recommended and why??
Answer: Best Type of Breast Lift for Me?
Thank you for the question and picture.
If you ask enough plastic surgeons the same question, you will eventually hear the answer you are hoping to hear. Based on your pictures, in my opinion, you will certainly benefit from breast lifting surgery. The “donut" breast lift will probably not be powerful enough of a breast lift to achieve long-term aesthetically pleasing results.
If I were in your shoes, I would concentrate on due diligence in the selection of plastic surgeon. This careful selection, as opposed to selecting a plastic surgeon who will do the operation you are hoping for, will be the most important decision you make when it comes to the successful achievement of your goals.
Many patients (If properly selected and who are doing the operations at the right time of their lives psychosocially) accept the scars associated with breast augmentation/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential “trade-off” associated with many of the procedures we do in the field of plastic surgery.
Stay away from “minimal” breast lifting operations (such as “crescent” breast lifting operations), that are frequently associated with minimal results and carry the potential of unsatisfactory outcome as well.
You may find the attached link helpful to you.
Best wishes.
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CONTACT NOW Answer: Best Type of Breast Lift for Me?
Thank you for the question and picture.
If you ask enough plastic surgeons the same question, you will eventually hear the answer you are hoping to hear. Based on your pictures, in my opinion, you will certainly benefit from breast lifting surgery. The “donut" breast lift will probably not be powerful enough of a breast lift to achieve long-term aesthetically pleasing results.
If I were in your shoes, I would concentrate on due diligence in the selection of plastic surgeon. This careful selection, as opposed to selecting a plastic surgeon who will do the operation you are hoping for, will be the most important decision you make when it comes to the successful achievement of your goals.
Many patients (If properly selected and who are doing the operations at the right time of their lives psychosocially) accept the scars associated with breast augmentation/breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential “trade-off” associated with many of the procedures we do in the field of plastic surgery.
Stay away from “minimal” breast lifting operations (such as “crescent” breast lifting operations), that are frequently associated with minimal results and carry the potential of unsatisfactory outcome as well.
You may find the attached link helpful to you.
Best wishes.
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CONTACT NOW Answer: Breast lift surgery options in Los Angeles
A donut mastopexy works very well to resuspend the breasts and reduce areolar size. I would advocate a less aggressive lift in your particular case, including a short scar and/or donut mastopexy.
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CONTACT NOW Answer: Breast lift surgery options in Los Angeles
A donut mastopexy works very well to resuspend the breasts and reduce areolar size. I would advocate a less aggressive lift in your particular case, including a short scar and/or donut mastopexy.
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May 26, 2013
Answer: Donut breast lift
In my opinion, a donut breast lift will not give you an ideal shape after your breast lift. Yes there will be less scars than with other techniques but if the shape is not right, you will not be happy. Good luck.
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CONTACT NOW May 26, 2013
Answer: Donut breast lift
In my opinion, a donut breast lift will not give you an ideal shape after your breast lift. Yes there will be less scars than with other techniques but if the shape is not right, you will not be happy. Good luck.
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May 15, 2013
Answer: Breast lift
Breast lift with an incision around the areola can be done in select number of women. The lift is primarily done internally to raise and support the breast, but the excision is used to remove the excess skin. Trying to just lift the breast by removing skin may result in sagging returning. Adding an implant will give additional fullness and may minimize the amount of skin removed. What you need can be determined during the consultation and exam. Not all women are alike, and each lift is different. Be sure to go to a board-certified plastic surgeon who has done several types of lifts and can determine what you need.
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Answer: Breast lift
Breast lift with an incision around the areola can be done in select number of women. The lift is primarily done internally to raise and support the breast, but the excision is used to remove the excess skin. Trying to just lift the breast by removing skin may result in sagging returning. Adding an implant will give additional fullness and may minimize the amount of skin removed. What you need can be determined during the consultation and exam. Not all women are alike, and each lift is different. Be sure to go to a board-certified plastic surgeon who has done several types of lifts and can determine what you need.
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September 1, 2015
Answer: Which lift?
Hi Linita27,
I appreciate the fact that you want to minimize scarring, but it is critical that you understand the limitation of either the donut or the crescent lift.
The crescent lift is performed using a partial circular incision at the top of the areola. It is designed to elevate the nipple areola position somewhat. In my experience, it has no place in any setting. All it does is stretch the areola upwards somewhat with negligible lift of the breast.
The donut lift involves an incision completely around the areola. This lift is able to remove some skin around the areola, thereby tightening the skin envelope of the breast in a purse string fashion. It has some capacity to raise the nipple areola complex, and can only minimally raise any of the droopy breast tissue below the inframammary fold. In your case if you undergo this procedure, your areola would be a bit smaller, your nipple position would be raised by an inch at the most, and only a small amount of breast tissue would be raised below your fold. That is, you will still have a significant amount of breast tissue sitting on your rib cage below your breast fold.
A lollipop lift involves an incision around the areola, along with a vertical incision extending from the areola down to the breast crease. No horizontal incision is used. This lift allows the breast to be raised quite powerfully, so that no breast tissue sits below the fold and a beautiful shape is produced. In my experience, when this operation is done with very little skin tension, the scar usually heals quite well where it is difficult to see at the one year mark. In my opinion, that is the lift that will give you the most elevation with the best shape. You also look like you have fair skin which should result in excellent scars. This lift does not have the horizontal incision which on many occasions does not heal well.
A note about using implants concurrently. Implants have two functions. They increase volume and affect the shape of the breast in that they produce more upper pole fullness and better cleavage. I disagree with some of my colleagues that feel implants should not be used in lift as implants may stretch the breast even more. I strongly disagree here. When implants are placed behind the muscle, with appropriate muscle release, very little force is exerted by the implant on the breast tissue.
In summary, I think you should strongly consider undergoing a lollipop lift (vertical mammaplasty). I think an implant should be considered as well>
Good Luck,
Ary Krau MD FACS
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CONTACT NOW September 1, 2015
Answer: Which lift?
Hi Linita27,
I appreciate the fact that you want to minimize scarring, but it is critical that you understand the limitation of either the donut or the crescent lift.
The crescent lift is performed using a partial circular incision at the top of the areola. It is designed to elevate the nipple areola position somewhat. In my experience, it has no place in any setting. All it does is stretch the areola upwards somewhat with negligible lift of the breast.
The donut lift involves an incision completely around the areola. This lift is able to remove some skin around the areola, thereby tightening the skin envelope of the breast in a purse string fashion. It has some capacity to raise the nipple areola complex, and can only minimally raise any of the droopy breast tissue below the inframammary fold. In your case if you undergo this procedure, your areola would be a bit smaller, your nipple position would be raised by an inch at the most, and only a small amount of breast tissue would be raised below your fold. That is, you will still have a significant amount of breast tissue sitting on your rib cage below your breast fold.
A lollipop lift involves an incision around the areola, along with a vertical incision extending from the areola down to the breast crease. No horizontal incision is used. This lift allows the breast to be raised quite powerfully, so that no breast tissue sits below the fold and a beautiful shape is produced. In my experience, when this operation is done with very little skin tension, the scar usually heals quite well where it is difficult to see at the one year mark. In my opinion, that is the lift that will give you the most elevation with the best shape. You also look like you have fair skin which should result in excellent scars. This lift does not have the horizontal incision which on many occasions does not heal well.
A note about using implants concurrently. Implants have two functions. They increase volume and affect the shape of the breast in that they produce more upper pole fullness and better cleavage. I disagree with some of my colleagues that feel implants should not be used in lift as implants may stretch the breast even more. I strongly disagree here. When implants are placed behind the muscle, with appropriate muscle release, very little force is exerted by the implant on the breast tissue.
In summary, I think you should strongly consider undergoing a lollipop lift (vertical mammaplasty). I think an implant should be considered as well>
Good Luck,
Ary Krau MD FACS
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