Would I be a good candidate for donut incision and areola reduction? (Photo)

Hi Happycamper1243,Depending on your desired look, there are a number of good options for you. You may be asking for a donut incision because you realize that a standard augmentation with round implants will give you a downward-looking nipple, which will look worse. I think you are right. You will be back on this forum trying to find a solution after that. Many examples of it, if you look around here...If you are open to a teardrop-shaped implant and a more natural looking breast, you could have a full but graceful augmentation and completely avoid the scars around the nipple. On the other hand, if the areola size is a key point for you, you might consider correcting that first, improving your tuberous breast anatomy, getting ideal aesthetics in a small breast, and then later have the augmentation to a size of your choosing. Either way, you will be on track to reach the breasts you are looking for. On the other hand, without a good plan, a basic breast augmentation will tend to make your nipple look lower, and the donut excision will not be enough to compensate for that. You should be able to keep your sensation, but the tighter the donut lift, the more flattened the central breast will be. Find a board-certified plastic surgery you can talk to about your concerns, plan ahead, and you will get what you want. The final result is the important thing, not a shortcut that leaves you unhappy. Hope that helps!

Breast lift, or mastopexy, whether done with or without breast augmentation, is a subject that involves a lot of thought sometimes for patients as they try to balance their desire for the best breast shape they can achieve with the least incisions. There are basically three different grade of breast sag, or ptosis, which determine the necessary incision pattern. This is an oversimplification, but essentially...The lowest grade can sometimes be addressed with a "donut," or peri-areolar incision. The next grade may be treated with a "lollipop," or peri-areolar and vertical incision. And the highest amount of breast mound and nipple descent, which is characterized by the presence of the nipple in the lowest portion of the breast and/or greater than 3 cm from the fold of the breast and the chest (the inframammary fold), often requires an "anchor" incision, which has a lollipop incision plus a transverse incision within the under-the-breast fold. It would ultimately take an exam to be sure, but on initial interpretation of these photos, you would likely need either a lollipop or anchor incision. There are a number of nuances to be considered, though, so be sure to have this discussion and ask questions in your consult to ensure your surgical plan is one you're comfortable with.

An in person examination is always best, but from the photos it appears you are a good candidate for a breast lift with implants. You may need more than a donut lift in order to achieve the correct nipple position. I encourage you to schedule a consultation with a board certified plastic surgeon near you. Together you can discuss your goals and create a unique surgical plan to help you achieve them.