Crescent or Donut Lift? (Photo)

Question

Am going for breast Augmentation sept/oo . The doctors I’ve consulted with said if I don’t want a breast lift then I will need anatomical implants due to the shape of my breast / n position, etc. Am just wondering if i would be suitable for crescent or donut lift and would that then allow me to use a round or ergonomic type implant . Am Just about to decide on the doctor and date. Just wanted to get few input here. Thanks x

Zoran Potparic, MD · Answer

You definitely need breast lift to position nipples on the center of the future breast mound! Depending of the size of implant you select, peri-areolar (donut) or vertical (lollipop) lift will be needed. Round smooth implants are my preference. This needs to be discussed with your surgeon. Good luck.

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on the photos, it seems that you may be a candidate for a donut lift but a formal evaluation is required to confirm this.

Gary M. Horndeski, MD · Answer

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry, I believe you are a good candidate for a crescent lift on the higher breast and a per-areolar on the more droopy breast. I would let you consider a round implant, please discuss further with your surgeon.

Daniel Barrett, MD · Answer

Dear kcadorin,
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 surgery, I would suggest you 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

Ronald J. Edelson, MD · Answer

I don’t like anatomic implants and I don’t like periareolar lifts. You are a better candidate for a lollipop lift. You’ll get better lift and shape and the scars heal much better

Connie Hiers, MD, FACS · Answer

Don't choose the crescent lift since it can change the shape of your areolae. You are a candidate for the doughnut lift. I am not a fan of the anatomical implants because of higher long term risks and firmness.  I prefer the smooth round implants placed behind the muscle for better upper breast fullness and coverage, and long term softness.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note that the distance from the top of the breast bone to the nipples is increased, the nipples reside above the fold beneath the breasts, there is loss of superior pole breast volume, and you demonstrate minimal-moderate sag.The crescent lift will provide 1/2" of lift and will distort the nipple areolar complex. A donut lift will lift up to 1 " but if more is attempted, it may create a pancake shaped breast. Scalloped areolar scars may develop as one is suturing a larger circle to a smaller circle. If a permanent suture is used to control the size of the areola and prevent stretching, suture disruption (even years later) will potentially lead to unnatural areolar enlargement. In our practice, we prefer excising a wedge of skin below the areola to lessen tension on the areola (a permanent suture is not required). This is basically a lollipop lift. Best wishes...