Will a donut lift and implants work? (Photo)

Question

I realize I also will probably need the release of the bottom tissue (like a tubular release), but now I have spoken to a couple of doctors and they seem to believe a lift and implants with the release of tissue will work just fine. How big could I go? I’m currently a small B and I’d like to be a full C or small D if possible without doing the extenders. Possible? Thanks!

Daniel Butz, MD · Answer

A full exam is necessary to determine how big each individual can go. This is based on your height, weight, base width, skin elasticity, breast volume and most importantly, your goals. 
You would certainly require lowering of your fold, vertical scoring like a tuberous breast and I would encourage an internal mesh bra for additional support. 
You could likely get a nice size without using expanders. A periareolar lift would likely be beneficial as well. You have no vertical excess so there is no need for a "lollipop" lift.

Finny George, MD · Answer

Hi, thank you for sharing your question. You have Grade 3 ptosis which is unfortunately not amenable to a donut lift. However, you are a good candidate for a breast lift and implants would be an excellent addition.

Daniel Barrett, MD · Answer

Dear JessicaO224,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

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.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

I would do a lollipop lift, not a donut lift. Donut lifts aren’t capable of lifting your nipples as high as they need to be

Patrick Felice, MD · Answer

Your breast appear to be severely ptotic with a constricted lower pole. In my opinion, a donut mastopexy will not be enough. The nipple/areolar complex needs to be elevated to the appropriate position and the lower pole released. This would require a vertical mastopexy. The implant size could be chosen to reflect your desires for cup size. Hope this helps.

Connie Hiers, MD, FACS · Answer

You will need the vertical lift, not doughnut and the size will be limited by your bases.  You should be able to go to C cup and maybe a small D.

Will a donut lift and implants work? (Photo)

Answers (7)

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