Am I a good candidate for a donut lift + Motiva implants with tuberous breasts? (Photos)

Question

I’m considering breast augmentation and would appreciate opinions on whether I’m a good candidate for a donutlift with Motiva implants. My measurements: 29F 56kg 168cm Ptosis * Chest wall/base width: 10.5 cm * Right breast width: 21 cm * Left breast width: 21.5 cm * Right nipple to IMF: 9 cm * Left nipple to IMF: 7.5 cm * Narrow chest wall * Bilateral tuberous breast features * Mild asymmetry, with the right breast sitting slightly lower My concerns are: can a donut lift adequately correct my tuberous breast shape, or would I likely need a vertical (lollipop) lift or additional internal reshaping? I’m aiming for a natural-looking result with improved upper pole fullness and symmetry while avoiding an overly wide gap and “stuck-on” appearance.

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous, they are widely separated and ptotic. You have very little breast tissue up above the nipple-areola complex. You would benefit from breast augmentation with silicone implants placed sub-muscular.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Leland Deane, MD, FACS · Answer

First of all, from your photos, I don't believe you need a mastopexy. I would recommend a modest-sized breast augmentation, which I think would give you nice shape and fullness. The implant manufacturer is of less importance, and the surgeon's preference is key. I'm available to do virtual consultations if you wish. I hope this helps.

Kadir Berat Oyur, MD · Answer

Based on the photos, you appear to be a reasonable candidate for surgical correction of tuberous breasts. There is evidence of breast constriction, mild asymmetry, and nipple-areolar enlargement that would likely benefit from both implant placement and breast reshaping. While a donut (periareolar) lift may provide some improvement, it may not be sufficient on its own to fully address the tuberous shape and asymmetry. Depending on tissue characteristics and nipple position, a vertical (lollipop) lift with glandular reshaping may offer a more predictable and natural result. Motiva implants could be an excellent option for achieving upper pole fullness while maintaining a soft, natural appearance. A detailed examination would be necessary to determine the most appropriate technique.

Am I a good candidate for a donut lift + Motiva implants with tuberous breasts? (Photos)

Answers (3)

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