Feeling saggy and disappointed/frustrated-after donut mastopexy/implants. Will they get better when swelling goes down? (Photo)
Doctor Answers 4
Unhappy After Donut Mastopexy
In some cases, superior implant displacement may be due to inadequate dissection of muscle insertions of the inferior portion of the breast pocket. There's no evidence that this has occurred in your case. With time, assuming adequate pocket dissection, these implants might return to a more normal position. Sometimes the use of a bandeau superiorly and massage can facilitate this process.
It may takes 3 to 6 months for these implants to drop into a normal position. If no progress has occurred by then, revisional surgery may be necessary. This would involve recreating the lower portions of the breast pocket.
It's important to have good communication with your plastic surgeon. Make sure he's aware of your concerns. He's familiar with the specifics of your surgery and will be able to give you appropriate direction.
A donut lift only offers limited correction
Against periareolar mastopexy
Essentially these are the flaws of the periareolar mastopexy in the best hands and correctly executed:
-flattened breast, "fried egg"-shaped
-"sun beams" around the areola due to the folds made to encircle a large circular edge downsized to a tiny periarolar edge of the wound
-overtension of the scar, leading to hypertrophic scarring of awful cosmetic quality, if not keloyd
-this overtension enlarges the areolas looking like cookies, furthermor elongated vertically most of times
-cutting away sking all around the areola leaves the areola in the same place, this means no uplift of NAC at all
You are not the first and will not be (unfortunately) the last to become victim of the seducing "scar-less" uplift. It is not a matter of finding the "best surgeon" to perform it, it is question of finding a surgeon who does not practive this technique.
Viewing your images you don't need a lift AT ALL, your ptosis was minimal, just for breast augmentation only, through hemi-perirareolar approach, anatomical shaped implants with macrotextured shell and cohesive gel filler, in subfascial plane.
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It would be best to heal for 3-4 months and let the swelling go down. Quite possibly, you will want to consider having a full lift to better elevate the nipples and tighten the loose lower pole skin.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.