I had a lolipop lift on one breast and will be going for a revision to downsize. Can a donut lift be performed on that breast?

Question

I had a lolipop lift on one breast and will be going for a revision to downsize and was wondering if a donut lift can be performed on that breast? The breast was lifted but the areola is significantly larger than my other one. I don't want to have to go through the healing of another vertical scar :(

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether a donut mastopexy can be performed on your breasts. The short answer is yes, it can. The breast lift that is required determines your physical examination. Since you did not provide pictures, it is a difficult question to answer. However, in general, a donut mastopexy is done to decrease the areola's size, elevate the areola complex's position, and help achieve symmetry compared to the other side. If these factors bother you, you should consider a donut mastopexy. 
If you have any more questions regarding the breast lift or mastopexy, capsular contracture, or breast implants in general, please contact my office.  Since your breast surgery is somewhat complex for an average plastic surgeon, please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast lifts. Do your research.  Make sure your chosen plastic surgeon has performed at least 100 breast lifts.  Make sure they have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.  Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of  the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery,  and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Daniel Barrett, MD · Answer

Dear Feelinglost16,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Yes, if just the areola is to be smaller, the scarring can be kept around the areola only in most cases. Your surgeon can discuss this with you.

Douglas Taranow, DO, FACOS · Answer

Photos would help immensely in answering your questions.  You should be able to have a periareolar mastopexy to symmetrize your areola.  Lifting a breast with just the areolar approach only allows for a minor lift.

I had a lolipop lift on one breast and will be going for a revision to downsize. Can a donut lift be performed on that breast?

Answers (4)

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