Doughnut breast lift. What do I risk? (Photo)

Your breasts are low on the chest wall and a donut lift will be inadequate.  The technique I recommend is a lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.

Thank you for your question regarding what to do with your breast. There are many ways to achieve an ideal breast. Different techniques achieve different results but most techniques can create an ideal breast. I would go with a technique that makes the most sense to you. Whether its breast augmentation, full anchor mastopexy, or a breast lift with breast implants, each technique has its own associated risk. If you want a procedure with NO risk, do NOT have any procedure. However, if you want something done to your breasts, you have to assume some risk. All and all, the 360 mastopexy is a good surgery with excellent results in the right hands. Based on you history and pictures, I would suggest that the doughnut mastopexy with fat transfer to the breast is a very good option with excellent results. Thank you for your question on what to do with your breast.  If you have any more questions regarding the breast lift or mastopexy, capsular contracture, or breast implants in general, please contact my office.  Since your breast surgery is somewhat complex for an average plastic surgeon, please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast lifts. Do your research.  Make sure your chosen plastic surgeon has performed at least 100 breast lifts.  Make sure they have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.  Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon , Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery,  and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Dear Independent661627,
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

Judging from your pictures, your breast lift includes repositioning the nipple but also lifting the lower part of the breast. The donut breast lift is only designed to change the position of the nipple, and the scars usually stretch over time and end up being much worse than a periareolar scar with a vertical scar. I would avoid doing a donut breast lift in your case, and favor a vertical mastopexy, because your skin has good elasticity and a horizontal scar is not necessary. 
Adding fat grafting (lipofilling) to the upper pole of the breast is good option, but it is probably not necessary in your case, because a breast lift will give you a strait upper pole. 

I personally do not like and no longer do donut lifts. The operation flattens the breast some in every case. Unfortunately the scars very commonly stretch and are of poor quality often. I would recommend a lollipop lift with your fat transfer to give the better breast shape and much better chance of good scar quality. Whatever, surgeon you pick, look at their before and after lift photos to help you decide. Good luck.

No, you will need more than just the doughnut lift or your breast shape my change and widen. the vertical lift would work very well for you. I would suggest doing the lift first, and then follow later with a fat transfer.

A donut lift and fat grafting will not correct your shape. A lift with an implant would. Alternately a lift and the use of mesh like Galaflex might avoid the use of an implant. Do not have a donut lift and fat grafting you will not be happy. 

A "donut" (periareolar) breast lift moves the nipple but not the lower portion of your breast whereas the vertical ("lollipop") lift would move both. Since you need to have the lower part of your breast lifted to have a natural, well balanced breast (with or without an implant), I would recommend the vertical technique. Also, you do not have much available fat for transfer so if you want fullness of the upper breast, you will need an implant as well.