Am I eligible for a donut lift?

Question

I am 26 yo, 167 cm and weight around 69 kg. I have tuberous breasts and I want to improve their shape, the asymmetry is just a minor concern. I went to two consultations and the first surgeon told me that I needed full lifts on both sides, which would leave anchor scars. The second surgeon said that a donut lift with areola reduction is enough, but I am worried about areola spreading. What do you think?

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous but have descended inferiorly and laterally. You would benefit from a breast 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.

Best Wishes,

Gary Horndeski, M.D.

Kenneth R. Francis, MD, FACS · Answer

Dear Practical,
Areolar spreading and/or scar widening after a periareolar mastopexy is always a concern.  On the other hand, I don't believe you need an anchor incision.  Ask both of your surgeons if they perform lollipop (vertical) incision breast lifts and whether you would be a candidate for that.  Good luck!

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