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!
