Breast lift with fat transfer or implant? Which would be more suitable for me? (photos)

You should be able to have the doughnut lift with the areolar reduction and implants. Implants will give a better shape and more volume than fat.

From your photos you appear to be a good candidate for a periareolar lift with a small implant. You do not need to get a large implant. The incision would only go around the areola and the implant can be inserted through this incision. The diameter of the areola can also be reduced using the same incision. I encourage you to visit with a board certified plastic surgeon near you to learn more.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA