Breast sagging after weight loss - will a donut breast lift with fat injections help me?

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.

Dear A.b.M,
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

The correct operation would be a real breast lift, not a donut , plus an implant. If you don't like silicone then consider saline. Donut lift and fat injections will give you a horrible result.

Good morning,
No it would be a waste of your time and money- fat grafting just doesn't work, doesn't last, and doesn't transfer enough volume to make a difference. You need a real lift, and implants if you want more upper pole fullness.

The first thing I would recommend is speaking to a a board certified plastic surgeon in person about your goals and concerns. Weight loss after bariatric surgery affects every persons body differently. Without knowing more about your history I will say that the "donut" lift with fat grafting will provide an extremely modest improvement.

Unfortunately, the combination you mention will not produce a reasonable cosmetic improvement in a patient with your anatomy. A full breast lift is what is required, with or without fat injections.

. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Hi and welcome to our forum!From your photos, I note the distance from the top of the breast bone to the nipple is increased, and the distance from the nipple to the fold at the bottom of the breast is also increased. The nipples reside below the fold at the bottom of the breast. There is total loss of superior pole breast volume. You appear to demonstrate moderate-significant sag. In generalities, a crescent lift will only lift (and distort) the superior aspect of the areola. A periareolar (donut) lift will only lift the breast 2 cm (3/4 inch) or less. Attempting more will be associated with pancaking of the breast and pleating of the incisions. A vertical (or lollipop) lift will lift the breast if the distance from the top of the breast bone to the nipple is increased, but the distance from the nipple to the fold beneath the breast is relatively normal. A full pattern lift is recommended if the distance from the top of the breast bone to the nipple is increased and the distance from the nipple to the fold at the bottom of the breast is also increased.In your situation, you would require a full pattern (anchor) lift. Scarring is usually satisfactory unless you have a thick scarring tendency. The scars are placed in the bra lineThe procedure will restore the conical shape of the breast, place your nipple-areolar complexes into normal position, and will increase superior pole fullness as well. Fat injections may be considered as well.Seek a consultation with a board certified plastic surgeon for examination and discussion.