Donut mastopexy revision? (Photo)

Question

Hello I had donut mastopexy with implants 1 month ago.The problem is flattened breasts and not much lifted.i want a revision with full lift.Can flattened breasts due to donut mastopexy be fixed with a full lift?I also have permanent sutures around areola.If I will have a full T lift can these sutures be removed ?I am also thinking of a little reduction ~150cc.I just want rounder breasts ,more lifted.My right areola is puffed after the donut mastopexy.Is this due to the permanent sutures?

Jared Blau, MD · Answer

Yes this can be converted to a full lift, and the permanent sutures can be removed. But you should wait for 6-12 months and if a different surgeon is going to do it, s/he needs the old operative report

Ira H. Rex lll, MD · Answer

It is impossible to know what your final result will be as far as breast contour.  It is very early in your healing process.  Some flattening of the breast is expected with a donut mastopexy.  You should probably consider waiting 6-12 months before deciding on any further surgery.  The permanent sutures can usually be removed as part of revision surgery.  The photograph does not help me much as far as understanding how further surgery may help.  You have mentioned quite a few details about your expectations.  Although your plastic surgeon can strive to achieve these, this is not always possible to manipulate soft tissue exactly into the patient's desired effect.

Karl William Schwarz, MD · Answer

One of the problems with a donut mastopexy is that technique can produce some flattening of the breast whereas a full lift, also known as a circum-vertical lift tends to do the opposite and cone and shape the breast. The donut lift is really used, at least in my practice, for relatively small lifts and in this case there is not very much flattening but when the donut is used to try to lift more droopy breasts you can start getting into problems with flattening.

A permanent suture just means it won't dissolve, but it is easily removed and won't affect any future surgeries you might have on your breasts. I left a link explaining the different types of lifts.

Daniel Barrett, MD · Answer

Dear Beautiful800656,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

The donut mastopexy is not a great operation. It typically doesn’t lift the breast enough. It can be revised to either a lollipop type lift or a full anchor lift

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Donut mastopexy revision? (Photo)

Answers (7)

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Everything you need to know about Breast Lift with Implants

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