Can you you lift the breasts up enough with a donut incision? Would a donut lift be enough? (Photos)

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 your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Thanks for your inquiry, honestly all three of your consultations could be right depending on your expectations. A Donut lift can reliably only lift the areola under 2 cm and the areola would need to be left larger to prevent "purse stringing". I recommend you show all of them a wish breast result to help them advise--best of luck.

Hello glambrina1.You definitely do need a lift. We would need to go from a periareolar lift (donut lift) to an inverted T scar. That will depend on the size of implant that we would use. The smaller the implant, the more skin we need to take out to have the breast well adjusted, and the more scar we need (inverted T). The bigger the implant, the less skin we need to take out and the less scar (periareolar lift). If we use a medium size implant I would start with a periareolar lift, but if I see that there is still loose skin I then add the vertical scar and the horizontal scar if needed.We would have to determine what type of result you want and what scars you are willing to accept.
Dr. Medina

First, photos of your breasts with your arms up does not help, and falsely lifts your breasts. Regardless, it is clear without actually examining you that your nipples are below your inframammary fold and point downward (classic Grade III ptosis). Doctor No Lift is interested in your money more than your results. Doctor Donut is hoping that you will look OK, and that your periareolar skin excision doesn't do nasty things like pleat, expand the areola, flatten the breast, or develop an extremely wide scar. Doctor Anchor wins; he/she knows you can have killer results with proper excision of your vertical and horizontal skin excess.

Dear glambrina1,
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 surgery, I would suggest you 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

First, you do need a lift because your nipples still sit below your fold and you have sagging breast tissue. Measurements are needed to be sure, but you might be able to do the doughnut lift, or the lollipop lift. I don't recommend doing the anchor lift on you.

From your photos it appears you do need a lift in order to have a nice result from your augmentation. An in person exam is always best, but it appears that the donut lift would not be adequate to correctly lift the nipple position and remove excess skin.

The one thing I can tell you, you do NOT require an anchor mastopexy. You are in the 'grey' zone in that a periareolar (around the areola or donut lift) may be enough or a vertical or lollipop mastopexy might be required. along with the breast augmentation.
Best wishes.
Dr. Taranow