Breast Augmentation with peri-areolar Mastopexy - would a donut lift or lollipop lift be more beneficial for me? (Photo)

Question

I’m 40 y/o no children. Ht 5’6, wt 98lbs. I’m getting a breast augmentation with areola reduction. My PS recommended a donut lift with either 240cc full profile or 265cc. (I’m still undecided on size. I want to look very natural ) he said I needed full profile bc of my chest width. My main concern is the donut lift. I have seen many drs say avoid it but some say it works on certain ppl. He said it would give a slight lift, smaller areolas and reposition them. Is this something I should go forward with or would a lollipop be more beneficial for me?

Ronald J. Edelson, MD · Answer

I have seen too many donut lifts where the areolae stretched out and there was not adequate lift. Some surgeons opt for the donut lift because it’s easier to perform but the results are inferior to the lollipop lift

Warren Schutte, MD · Answer

I apologize for not entirely answering your question, but my first advise to you would be to consider separating your breast augmentation from your areolar reduction/lift. It does seem enticing to get everything done in one surgery but it is very common to have recurring/widened areolas and widened scarring when trying to reduce while adding volume and stretching with an implant at the same time. For you best aesthetics outcome, choose your priority first and do that surgery. Followed by the second priority 6 mon-1yr following.

Emily C. Wirtz, MD · Answer

For small lifts, a donut mastopexy is perfect. This does allow minor repositioning of the areola, with movements of about 1 - 2 cm. The donut lift will also decrease the diameter of the areola. The problem with this approach is that it lacks the power to provide a significant boost to the breast tissue, and there is a risk of scar and areolar widening over time, especially when adding an implant. I prefer to use a lollipop incision because this allows for repositioning of the breast tissue and a more powerful lifting effect. The downside is that it adds an additional scar to the breast in a visible area, but does not have as big of a risk of areolar spread over time.

Donovan Rosas, MD · Answer

The decision of lift technique is a function the degree of necessary correction.

Patients with mild ptosis/sagging may benefit from a "donut" lift. This technique is reserved for a select group of patients whose degree of sagging is limited to a few centimeters. Inappropriate application of this technique can lead to disappointing results and areolar spread.

Patients with more significant ptosis will benefit from a lollipop or anchor lift which delivers a more robust correction albeit with a greater scar burden.

Based upon a single photo, it is difficult to offer any true guidance. That being said, if the droop is as significant as it seems in the photo a circumvertical/anchor lift is likely to be the most successful approach.

Ultimately, the best option is that which is recommended by your board certified plastic surgeon (ABPS).

Gary M. Horndeski, MD · Answer

Your breasts are very low on the chest wall and your areola are quite large.  The breast lift technique I recommend is 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 or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Breast Augmentation with peri-areolar Mastopexy - would a donut lift or lollipop lift be more beneficial for me? (Photo)

Answers (7)

Answer: Donut vs. Lollipop

Answer: Donut vs. Lollipop

Answer: Bellesoma Method

Answer: Bellesoma Method

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Everything you need to know about Breast Lift

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Breast Augmentation with peri-areolar Mastopexy - would a donut lift or lollipop lift be more beneficial for me? (Photo)

Answers (7)

Answer: Donut vs. Lollipop

Answer: Donut vs. Lollipop

Answer: Bellesoma Method

Answer: Bellesoma Method

Browse related questions

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.