What is a Doughnut Mastopexy?
- Asked 4 years ago
"Donut" Lift (mastopexy)
There are various incision options for breast lifting (mastopexy) surgery. The "donut" incision is used to achieve a limited lift. The incision is made around the areola which makes it possible to also reduce the size of the areola as well if you choose. However, depending on where you are starting off initially will determine whether you would have a significant enough lift with just the donut incision, or you may require a "lollipop" or "anchor" incision.
Finding pictures of what look you would like woud help. The nipple areola complex will be raised to provide a lift. Due to the obvious pigment change between the areola and the breast, the scar fades and blends in very nicely. I would recommend consulting with a board certified plastic surgeon to determine whether or not you are a good candidate for the procedure. For more information regarding breast lift surgery, please check out and compare before and after photos of patients.
Doughnut mastopexy is known as a periareolar mastopexy. The doughnut is not an acronym of anything. This technique involves an incision around the native areola and allows for removal or reshaping of the breast as well as removal of excess skin. The end result is a smaller shapely breast with a smaller areolar.
Donut Mastopexy defined
There are many different surgical techniques for a breast lift. If the patient requires a reposition of the nipple and a small amount of lift, a donut mastopexy is an excellent option. In this procedure, we make incision around the perimeter of the nipple and then an outer incision into the breast skin. The breast skin that is removed is in the shape of a donut. Through this incision, we can recontour the breast and also change the shape and size of the nipple. The final scar is a difficult to notice line around the edge of the new areola.
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A doughnut mastopex looks like a donut when the skin between the areola and the native breast skin is removed. This area of denuded skin it then sutured together and you have a small areola lift. This can be employed with a breast augmentation in many cases to avoid more incisions on the breast.
A doughnut mastopexy is useful if a minimal amount of lifting is required
A doughnut mastopexy can help lift the breast by removing skin around the areola. The skin excised is in the shape of a doughnut, and the larger outer circle is cinched up around the smaller inner circle (the border of the areola). This can provide some lifting and firming of the breast and is useful if a minimal amount of lifting is required. If more lifting is necessary, then incisions below the areola and perhaps in the crease line of the breast might be appropriate.
A breast implant can be combined with any mastopexy pattern to add volume to the breast and provide further lifting. This is a safe combination, but I believe that the implant should be placed underneath the muscle. This allows the breast tissue to remain attached to the muscle, deriving a robust blood supply, and allowing safe shaping of the breast with the mastopexy procedure, and reducing the risks of healing problems.
What is Donut Mastopexy?
It is typically used in cases when the nipple requires up to 2.5cm (one inch) of lift AND there is not a great amount of loose skin in the lower part of the breast.
A "cookie cutter" template is used and the excess area is marked and removed. This will result in a smaller area lo (if needed) and will make your areola more circular. If the nipple needs to be lifted, the appropriate amount of skin is removed on top of the nipple to allow repositioning of the nipple. The wound is then closed in a circular fashion in multiple layers. The final scar, therefore, is only around your areola.
The Donut Mastpexy
The donut mastopexy is a procedure that removes a ' donut' area of skin from around the areola. The exact amount of skin that would be removed is variable, but the operation is primarily used when a minimal or conservative lifting of the nipple-areola complex is required. The benefit of this type of lift is that the scars are very limited. The risks are small and usually related to scarring and asymmetry. The down side of this procedure is that it is a limited procedure in terms of its ability to 'lift' the breast. Also, the breast may appear flattened afterwards, and may lose its teardrop-type shape. Finally, your surgeon may elect to place a permanent subcutaneous suture beneath the skin to prevent the areola from widening with time, and you may be able to permanently feel this suture
Doughnut mastopexy leaves a circular scar around the nipples.
Otherwise, we do a vertical mastopexy, which produces a good long term perky shape, and leaves a lollipop scar. Women accept the scars well (they usually fade a lot) IF they love the shape of their new breasts.
What is donut mastopexy?
Donut mastopexy means that the scar is around the areola only. This type of mastopexy is only good for patients who need minimal elevation of the nipple, like 1.5cm or less. If the necessary nipple elevation distance is greater than 1.5cm, I usually use a lollipop pattern scar. If the distance is greater than 1.5cm and only an areolar scar is used, then you can get a "starburst" pattern scar which is not aesthetically acceptable. Hope this helps.
Tracy M. Pfeifer, MD, MS
Doughnut mastopexy is a type of around the nipple breast lift
There are many terms used to describe the skin pattern in a given breast lift procedure, and doughnut mastopexy seems to making a comeback. I had not heard this term used since the late 70's, and more often this technique has been called a 'round block' mastopexy or a circumareolar breast lift. This pattern has been effective in correcting lessor degrees of breast droop, say approximately a descent of 1.5 cm. of the center of the nipple below the breast fold. The shape of the doughnut will depend upon how much the nipple must be raised and therefore it is most often wider at the top. The doughnut idea may have passed by because if the mastopexy pattern is not supported by a blocking suture (hence the round block) the nipple will dilate out under the skin stress, become quite large, and the droop will recur. Your surgeon probably knows this quite well and we may not be comparing doughnuts to doughnuts, though perhaps you should ask.
Best of luck,
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.