Would I benefit more from donut or lollipop lift?

Your more ptotic breast will never look like the other with a donut. Run from the surgeon that recommended it. As for vertical scars, they are the most likely to become inconspicuous to the point of invisible.

Your nipples are located below your breast fold therefore a donut lift would most likely not give you the results you’d like.

The lollipop or vertical lift will better correct your ptosis and asymmetry. The periareolar lift is good for maybe 2 cm of lift but you will require more one one side.

Based on your photos you should consult with a plastic surgeon who is very experienced in breast surgery. It appears that you would benefit more from a lollipop lift that a donut. You probably would also benefit from adding a small implant. The combination of the lift and implant should significantly improve the asymmetry in your size, shape and position. In the proper hands the vertical scar heals very inconspicuously.

Hello and thank you for your question. From the pictures you have provided, you have some striae (stretchmarks) present throughout both breasts, some borderline mild ptosis (drooping) on both breasts, and asymmetry with the right breast drooping slightly lower than the left. You would definitely benefit from a mastopexy (breast lift) to help improve the perkiness and symmetry of your breasts. Regarding the "donut" incision sometimes used for breast lifts- it is only used when there is minimal excess skin and the nipple areolar complex (NAC) needs to be lifted a max of 1-2 cm. It results in changed to the breast shape- breasts tend to be flatter after this technique. Also the most common complication after the procedure is NAC widening. The vertical (or "lollipop") incision would be more appropriate for both of your breasts, as it allows for removal of more skin than the other technique, would allow you to lift the NAC higher (as you will need in your case), and would not result in flattening of the breast shape. Also it would be better to help control the symmetry achieved with the surgery. If you are happy with the size of your breasts in a bra, and their size is pretty close (hard to tell here), then the volume is not the issue, and the primary focus of surgery would be on resecting skin and symmetrizing the breasts. Regarding the vertical scar, if you adhere to proper scar care and sun avoidance after surgery, it should eventually heal to be minimally noticeable.
With all that said, it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and descriptions provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

In person exam is essential. Based on limited photos it appears you would benefit from mastopexy/ lift with or without smaller implants . I suggest that you seek an experienced Board Certified PS and review your options

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.

The donut lift, ie, Bonelli Mastopexy, has problems with future areolar widening, flattening of the front of the breast and incomplete elevation of the nipple/areolar complex. A more predictable result would result from a lollipop lift.

The donut lift is terrible. Stretched out areolae, bad scars and virtually no lift. The lollipop lift is a far better option. However many plastic surgeons don’t know how to do it properly

You have breast ptosis, and one side nipple position is lower than the other, donut techniques will not give me the desired shape and will not be enough to get the correct position. The vertical scar of the breast always heal better, the scar is important issue but the overall shape and result is more important. Also ı recommend implants as well, to get the desired volume.