Is a periareolar/donut lift (recommendation from surgeon) enough? (Photos)

Question

I'm questioning a periareolar/donut lift recommendation from surgeon - Hello; Recently lost 90lbs and got a quote from a BC surgeon whose work I admired. However, I am questioning one of his recommendations, for my breasts he recommends a donut lift with 350-400cc implants. I am worried that a periareolar lift will not be enough and could cause further drooping and/or stretched out irregular areolas? I am hoping for some additional input from other surgeons. Ideally I wanted a lift + fat graft to avoid implants. Thanks!

Daniel Barrett, MD · Answer

Dear Original1769,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

From the front, your nipples appear to be located below your breast fold. Therefore a donut lift may not be sufficient for you based on your wish pic.

Gary M. Horndeski, MD · Answer

The technique I recommend is a lift using 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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Based on your photos, you need the vertical lift.  If you want the volume of 300-400 cc implants, fat grafting will not be sufficient.

Ralph M. Rosato, MD · Answer

Peri areola lifts are not very effective in lifting the breast. Due to the skins ability to stretch. A more formal lift with support of a mesh would serve you better. (your breast skin has many stretch marks)
Great job on your weight loss. However it appears that you have very little donor fat to support fat grafting. Usually multiple sessions are required to achieve a augmentation.  I would use a traditional lift with mesh support and add an implant based on your bodies proportions. Good Luck

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