What Is A Donut Procedure And What Should I Do?


Dear Dr. Perez,

I have asymmetric breasts and it makes me very insecure.  My left breast droops and is way bigger than my right.  I was told by another surgeon that I need a donut procedure, but he was charging way too much.  What is a donut procedure and what should I do? 

Thank you,  -RB

Response From the Plastic Surgery Center of Tampa:

Hello Ms. B,

Thank you for your inquiry on breast asymmetry and the donut procedure (i.e. donut lift or circumareolar lift).  Fortunately, you are not alone!  Many women suffer from minor to severe degrees of breast asymmetry and feel insecure or embarrassed about the appearance of their breasts.  The good new is that almost any degree of breast asymmetry can be drastically improved with various combinations of breast procedures including breast augmentation, breast lift, and/or breast reduction surgeries.

Without examining you or seeing photos, it is difficult to say the exact cause of your asymmetry and what would be the best treatment for you.  However, a common cause of breast asymmetry and sagging of one or both breasts is a condition called tubular breast deformity.  Tubular breast deformity can result in various degrees of breast asymmetry, usually with one breast being small, round, and high on the chest, while the other may be larger, sagging, appear to have a high inframammary fold (i.e. the crease under the breast), and have a large nipple areolar complex.  

If this sounds like you, there are many treatment options depending on which of your breasts you like better!  If you like the size of the smaller breast, then a breast reduction and/or breast lift performed on the larger breast may give you the desired result.  If, however, you like the size of the larger breast, then many patients will benefit from a breast augmentation and/or lowering of the inframammary fold of the smaller breast, and a breast reduction and/or breast lift on the larger size.  The type of breast reduction or breast lift needed depends on the preoperative breast and nipple size.  Many patients, like apparently yourself, may be appropriately treated with a donut breast lift procedure.  With a donut lift (i.e. donut mastopexy or circumareolar breast lift), the incision is placed only around the border of the areola at the border of the pigmented skin and the normal skin of the breast.  Patients needing a larger reduction or more of a lift, may require a second incision placed at the bottom of the nipple areolar complex and extending vertically down the breast to the breast fold.  This type of lift is called a vertical breast lift or a lollipop lift.  

As you can see, regardless of the actual cause of your breast asymmetry, whether it be tubular breast deformity, trauma, or simply genetics, there are a wide array of options to give you the best outcome possible. 

To better determine what surgeries will best suit your needs and to give you an accurate price quote, we invite you to schedule a free consultation for breast surgery with Dr. Perez at the Plastic Surgery Center of Tampa.  As a general frame of reference, breast augmentation with saline implants starts at approximately $4,900, while a breast lift starts at approximately $5,500.  Please feel from to call the office at your earliest convenience or to respond to this email with additional questions.

We look forward to hearing from you!

Plastic Surgery Center of Tampa


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Plastic Surgery Center of Tampa

Dr. Jaime Perez offers state-of-the art-cosmetic procedures utilizing the most high-tech equipment available at Plastic Surgery Center of Tampa. Dr. Perez is a board-certified plastic surgeon who is a member of a number of professional associations including:

  • American Board of Plastic Surgery
  • American Board of Surgery
  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery

To schedule a consultation at our Tampa, FL office, or to learn more, contact us online or call (813) 877-3739 today.

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