Would a donut lift / mini mastopexy be sufficient in my case? (photos)

Dear henriikka,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello @henriikka, thank you for your question. It is possible to reposition and improve the shape of the breast with minimal scarring by raising the base slightly and improving the overall proportion. This will create overall harmony. A consultation is vital to establishing a surgical plan that meets your needs, meets your expectations, and takes into account what is possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

I can suggest two option. First of them only nipple areola reduction with periareolar scar. But this option lead to the flattened breast shape. Therefore we need to volume under the nipple areola complex. Implant is the best solution for volume insufficienty. second option is ideal for your situation. I can perform your surgery in Istanbul at affordable prices.

The 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 can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Hello, thank you for your question. A donut lift will only change the positioning of the areola and/or can remove a bit of your breast tissue. It depends on the ultimate results that you are looking for. Discuss your options with your plastic surgeon and be sure to bring in wish pics of someone with a similar frame and size. Feel free to check out website for some before and afters.

Your breasts appear to have no constriction of tissue around the nipples. You also have a defined breast fold, which means that your breasts aren’t tubular. A vertical breast lift would probably be more suitable for you since your nipples are located below your breast fold. A donut lift would not give you enough lift.

A “Donut” mastopexy, or Periareolar mastopexy can be performed , but internal breast tissue modification will be required to shape the inferior pole of the breast (the skin & tissue below the areola) and to provide shape to the breast. If a skin only Periareolar mastopexy is performed for your breast, without an implant, or without your own breast tissue to provide projection , you may experience flattening of the breast post operatively. I would not recommend fat grafting to your breasts for your particular needs. Best wishes

The donut lift is a terrible procedure. It provides very little lift and often poor scars. I’m also not keen on fat transfer. Look into the lollipop lift and saline implants if you don’t want silicone.

You do not have tuberous breasts, but do have some sagging. Measurements are needed to see if a doughnut lift is sufficient or if you would need the vertical lift. You do not need the anchor lift.

From your photos you have a combination of issues including size differences. A donut lift may be sufficient for one breast, but a small reduction and lift of the larger breast may be needed to better match the smaller one. Or you can consider implants to help even out the asymmetry. I encourage you to visit with a board certified plastic surgeon to discuss options.