Donut lift w/implants done in July & I had problems that caused open wounds ps said he will do scar revision in office? (Photos)
Doctor Answers 5
Revision at 1 year
Scar revision in office or the OR
1) if it is mainly the nipple position that needs lifting, I like the circumareolar approach (also called a donut lift)
2) if a large portion of the breast tissue/weight needs to be lifted, a circumvertical (also called lollipop) and sometimes a full anchor incision is needed as the circumareolar approach in my mind is not strong enough to hold the weight of the breast and results in stretching of the areola and drooping over time.
I recommend you have open discussion with your surgeon and be sure to seek the expertise of a board certified plastic surgeon with expertise in aesthetic breast surgery.
I hope this helps you!
Dr. Sean Kelishadi
This is fixable
Hi Chquinta,Thanks for your inquiry. I'm so sorry you're having this complication. Wounds can be very distressing for patients. The good news is that it looks like you have fairly superficial wounds. The other good news is that there is almost always a plan B after surgery, and your situation can be greatly improved.However, in my opinion, the peri-areolar lift is only useful in specific scenarios, and I think you would do MUCH better converting to a vertical breast lift. A donut lift is a nipple lift, not a breast lift. Although I don't know exactly how you looked prior to surgery, it appears that your breasts were droopy and you needed more than your nipples elevated. What I would recommend at this point is do some really good wound care for a little while longer, and talk to your surgeon and see what her/his thoughts are on going back to the OR to clean the tissue up and convert to a vertical breast lift. The vectors of pull will put much less tension on the areola and hopefully give you a better, perkier breast shape. In the meantime, be sure to avoid all first and second-hand cigarette smoke and eat a nutritious diet to optimize your wound healing for your next operation. Please keep us posted and hang in there.Sincerely,Dr. Weintraub
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My best suggestion: communicate your goals carefully with your plastic surgeon. In our practices this is best done with the help of goal photographs. Working together you will come up with the best plan to achieve an outcome you will be happier with. Best wishes.
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