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

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.

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