Hello, I am 5'4", 38 yo, 126 pounds of Asian mixed decent. I breast fed my 3 children for a combined 5 years and my breast have sagged a lot. I do not want implants just a lift and I scar very badly (purple and hypertrophy). I have seen 2 surgeons and one says I can do a donut lift with fat transfer from lateral breast to upper pole. This sounds great to me (minimal scarring) but I'm concerned the shape won't be as nice as a anchor lift. Another surgeon advised me against donut
February 4, 2024
Answer: Avoid a donut mastopexy. Your breast shape, and your nipple position is actually pretty good. If you scar badly, with hypertrophic scarring, I would avoid a donut mastopexy. This is also called a Bonelli mastopexy and results in a tension repair around the entire areola, which tends to widen the areolar, making it larger and flattening the front of the breast. Because of the tension put on this incision, your scarring may be adversely affected. Have additional consultations with other plastic surgeons. Best wishes.
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February 4, 2024
Answer: Avoid a donut mastopexy. Your breast shape, and your nipple position is actually pretty good. If you scar badly, with hypertrophic scarring, I would avoid a donut mastopexy. This is also called a Bonelli mastopexy and results in a tension repair around the entire areola, which tends to widen the areolar, making it larger and flattening the front of the breast. Because of the tension put on this incision, your scarring may be adversely affected. Have additional consultations with other plastic surgeons. Best wishes.
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February 2, 2024
Answer: Breast lift and tummy tuck You have lost volume of your breasts and have some loose skin. A donut lift will leave unsightly scars especially if you make bad ones, right around the areola and there is no way to hide them. Also it makes the breasts flatter. An anchor lift will give a better shape but again if you make bad scars, not recommended for the same reason that you will have scars around the areolas. Fat grafting will make mammogram's reading more difficult in the future since some of the fat may calcify and mimic cancer. A tummy tuck is reasonable and the scar is usually manageable with appropriate scar treatments.
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February 2, 2024
Answer: Breast lift and tummy tuck You have lost volume of your breasts and have some loose skin. A donut lift will leave unsightly scars especially if you make bad ones, right around the areola and there is no way to hide them. Also it makes the breasts flatter. An anchor lift will give a better shape but again if you make bad scars, not recommended for the same reason that you will have scars around the areolas. Fat grafting will make mammogram's reading more difficult in the future since some of the fat may calcify and mimic cancer. A tummy tuck is reasonable and the scar is usually manageable with appropriate scar treatments.
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January 26, 2024
Answer: Breast lift and Tummy tightening with tendency for scar hypertyrophy Thank you for your query. The reason for recommending a donut lift is to minimise the scar and the reason to advocate against it is to prevent spreading of the areola, that can occur with this technique. Based on your pictures, however, you may not need either . What you have is a pseudo-ptosis of the breasts because of loss of volume and not an excessive drooping or ptosis. A non surgical invasive radio-frequency technique like Thermi Breast or Body Tite coupled with autologous breast transfer can give you excellent results without scars. Also for your abdomen , i would recommend a mini-abdominoplasty with liposuction. If a muscle repair is required, a floating belly button technique can be employed. All the best!
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January 26, 2024
Answer: Breast lift and Tummy tightening with tendency for scar hypertyrophy Thank you for your query. The reason for recommending a donut lift is to minimise the scar and the reason to advocate against it is to prevent spreading of the areola, that can occur with this technique. Based on your pictures, however, you may not need either . What you have is a pseudo-ptosis of the breasts because of loss of volume and not an excessive drooping or ptosis. A non surgical invasive radio-frequency technique like Thermi Breast or Body Tite coupled with autologous breast transfer can give you excellent results without scars. Also for your abdomen , i would recommend a mini-abdominoplasty with liposuction. If a muscle repair is required, a floating belly button technique can be employed. All the best!
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