Switching from high profile to moderate implants. Can I still go with a donut breast lift? (Photo)

Your nipples are located below the line of your breast fold, which means a donut lift would most likely not provide enough lift. A full breast lift would probably be a better option for you.

Definitely avoid a peri-areolar breast lift. If one has any degree of ptosis, a periareolar approach will be inadequate, risky, flatten the breast and result in strange looking areolas. A proper vertical, or more likely "anchor" type of mastopexy will address your concerns with an durable result that will meet your expectations. I hope this helps. Thank you for sharing.

Thank you for your question and good quality images. Based on these, and that you wish to reduce the projection and volume of your implant, I think you would get a better result with a vertical scar or inverted T uplift technique. A periareolar technique will only allow adjustment of the skin envelope and not the gland, which will lead to recurrence of your current issue. I would advise keeping the breast tissue in the lower pole and using it to support your new implants, whilst lifting the nipple into a more pleasing position in relation to your implants.

Dear Cool286148,
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.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You probably can do the doughnut lift, but might have a better shape with the vertical lift. The doughnut lift is limited in what shaping it can do.