Am I a good candidate for crescent or doughnut breast augmentation?

Question

I’m afraid of scars. I scar easily. I had surgery on my wrist this year and I hate the scar.  I researched the doughnut lift and was impressed. I’m a 36 C and would like to become a 34 D. I’m looking for a surgery with local anesthesia to cut down costs. I heard local anesthesia isn’t that bad for certain procedures. Thanks for all feedback :)

Thomas Fiala, MD, FACS, FRCSC · Answer

Hi:Based on your photo, I think it would be unlikely that you would get enough lift from a donut (Benelli) lift or from a crescent lift.  The donut lift can really only lift the nipple-areolar area about 1 to 1.5 inches, at best.

Gary M. Horndeski, MD · Answer

You are a poor candidate for a crescent or donut lift.  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 and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.
Best Wishes,Gary Horndeski, M.D.

Thomas Trevisani, MD · Answer

Based on your photos- I do not believe you are a candidate neither for a crescent nor donut lift. It will require a full mastopexy to reshape and elevate your breasts, make them perky, as well as possible smaller implants. This is a big operation that should be performed under General Anesthesia. Trying to cut costs when it comes to a big surgery like this - is not a good idea.

Vishnu Rumalla, MD · Answer

Thanks for your inquiry and excellent pictures, I do not think you are a good candidate for donut mastopexy, please seek the opinion of a board certified surgeon.

Daniel Barrett, MD · Answer

Dear reneawonderful,
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. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Based on your photographs, the best shape and contour could be
achieved with an implant and a vertical or wise pattern breast lift.  I rarely
recommend a Bennelli or circumareaolar (donut) lift.  Over time, the
areola tends to enlarge with a thickened scar.  The other even worse
problem with a circumareaolar lift is that it flattens out the shape
of the anterior breast over time.  A vertical or wise pattern lift with an
implant can result in a very nice shape if good technique is
used.    This surgery should not be performed under local anesthesia.  In order to optimize safety and the quality of your results, I recommend general anesthesia administered by a board-certified anesthesiologist.   Make sure you specifically look at before and
after pictures of real patients who have had this surgery performed by your
surgeon and evaluate their results.   
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Adam Tattelbaum, MD · Answer

Thanks for your question and the photos. In your frontal view you have grade III ptosis meaning your nipples are very low. While implants will give some elevation it is unlikely that a doughnut lift or crescent will give enough elevation. A full lift , which removes more skin will also allow greater elevation of the Nipples. The scars are real and have to be worth it to you.  I have included some breast lift faq below. I hope these help too.

Connie Hiers, MD, FACS · Answer

No, the doughnut lift will not able a good option for you because of the sagging. Plus, the implant should be placed behind the muscle for better support and upper breast fullness. This is too painful to do under local anesthesia.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks you for your question. It is my pleasure to help you with your concerns.
You can be your own best version, and you can definitely achieve amazing results with plastic surgery in order to improve your breasts. For you, I recommend an anchor incision breast lift with implants for roundness and upper fullness.
I suggest you to make an appointment with a board certified plastic surgeon for a good evaluation and to talk about your goals.
I hope this is helpful.  Good luck :)

Mel T. Ortega, MD · Answer

reneawonderful HI There , Thank you for your Question Many surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. I, like many surgeons, also offer free consultations so that you can be examined and given the most accurate quote The muscle coverage is helpful in very thin patients and seems to reduce capsular contracture according to some scientific studies. Under the breast tissue is the most natural feel and has a less chance of animation deformity when the pectoralis muscle contracts. In most instances only the top implant is covered by muscle and the reset of the implant ends up under the breast tissue.

Am I a good candidate for crescent or doughnut breast augmentation?

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