Is a periareolar / donut incision worth it in the long run?

Question

I have very mild tuberous breasts, a 34A cup, relatively similar size, large areolas. I just had a consultation with my surgeon today, and he has said that he would like to perform my augmentation with a lift and areola reduction using the periareolar/ donut method. However, I’m worried about the long term results, as I know it’s common for a lot of people’s areolas to stretch back to the size they were after months / years. Could anyone suggest if this method is actually worth it or if I should go back and request an anchor / lollipop method?

Ronald J. Edelson, MD · Answer

I generally think the lollipop lift is preferable to the donut lift. Donut lift gives very little lift and the areolae tend to stretch out with time

Daniel Barrett, MD · Answer

Dear Terrific412956,

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.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Is a periareolar / donut incision worth it in the long run?

Answers (2)

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