Longevity of donut breast lift: what should I expect in 10 years? (photos)

Good afternoon,
I really can't advise you very well because of the photos you posted- you should post a full frontal topless photo showing both breasts and at least the tops of your shoulders down to your belly button for an accurate evaluation.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase our cleavage. At the same time or later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I don't think a donut lift will give you the lift you need but surgeons like doing them because they are easier than a proper lift. Go on several consults until you find the surgeon who really knows what to do when getting a lift.

Dear Caring934104,
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. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You need to submit better photos that show the full chest view and side views so what specifically can be done can be discussed. We don't want "sexy" photos.

Thank you for your question Caring934104 as this brings up a great topic of discussion. It seems your concerns are tightening your breasts with minimal scar burden. Although difficult to assess with limitations of photography it seems your breasts are somewhat elongated with what you state is grade 1 ptosis. Again without measurements and a physical exam to evaluation tissue and ligamentous quality it is difficult to provide definitive answer. I rarely perform donut mastopexies because they generally do not help shape the breast and often move the nipple areolar complex a minimal amount. This approach also flattens the apex of the breast. It is not a long term solution by any means and most patients are very unhappy. I recommend a thorough evaluation by a board certified plastic surgeon to address your concerns after taking measurements. To achieve your goals, you would benefit from a more traditional lift (circumvertical or lolly pop). If incisions performed appropriately, achieving a stable and long term shape trumps scare burden.

Hi and welcome to our forum!
Unfortunately your photos do not adequately expose your entire breast. In generalities, a crescent lift will only lift (and distort) the superior aspect of the areola. A periareolar lift will only lift the breast 2 cm or less. Attempting more will be associated with pancaking of the breast and pleating of the incisions. A vertical (or lollipop) lift will lift the breast if the distance from the top of the breast bone to the nipple is increased, but the distance from the nipple to the fold beneath the breast is relatively normal. A full pattern lift is recommended if the distance from the top of the breast bone to the nipple is increased and the distance from the nipple to the fold at the bottom of the breast is also increased.
The procedure will restore the conical shape of the breast, place your nipple-areolar complexes into anatomic position, and will increase superior pole fullness as well.
Breast lift procedures usually hold up well over time unless there has been significant weight fluctuation or pregnancy.
Seek a consultation with a board certified plastic surgeon for examination and discussion.
Best wishes...