Hello, Thank you for your inquiry. In order to provide the best valid medical opinion, pictures of what your breasts look like as well as 'goal pictures' are necessary. Unfortunately, donut lifts do come with their fair share of potential problems such as puckering, only being able to lift the breast a very little amount, and repeat sag. They are usually only recommended to a minimal subset of the population. I am the only surgeon in Canada who preforms both the traditional breast lift, as well as the 'no vertical scar' bellesoma breast lift. We also offer the option of Galaform biodegradable mesh which acts as in 'internal bra' to help support your existing breast tissue and helps strengthen and 'thicken' your existing tissue. From here you can choose to further alter your aesthetic by incorporating a fat transfer or implants to give a rounder, upper pole fullness to your breasts. There are many different factors that go into choosing a breast implant size which will correspond with your body dimensions while concurrently achieving your aesthetic results. Some of these factors are: Implant size (CC's), Implant profile (Low, Moderate, High), Placement of the implant (Subglandular vs. Dual Plane) etc. During a consultation your aesthetic goals are heard and taken into account with the measurements of your breasts and the integrity of your tissue, as well as level of ptosis (sag). From here we collectively can find your 'perfect fit'. You are able to try out sizers and different implants in our office such that you can get an idea of what size you would be post-operation. We encourage you check out our website and instagram (drkaraplasticsurgery) for lots of before and after pictures! During the COVID-19, we are offering complimentary online consultations that are secure and private. Please visit our website and fill out the online form. M.Kara,MD,FRCSC (27+ years of experience) -Specializing in 24 hour recovery/ out to dinner breast augmentation in-hospital private surgical facility for your added safety and peace of mind