How do permanent sutures around the areola affect the results of a donut lift?

The doughnut lift is a specific lift that some try to use when more lifting is really needed. In those who need the vertical lift but only have the doughnut lift, flattening may occur. With the doughnut lift, if too much stress is applied to the closure trying to minimize the scar, the scars can widen. Permanent sutures are used deeply to minimize that tension of the final closure and help prevent widening of the scars. There are risks, however, to permanent sutures in that area. Don't try to have a doughnut lift when the vertical lift is needed. Your surgeon can tell you what kind of lift is best.

This response was made using Word recognition. My apologies for any potential grammatical errors.
The flattening of the area complex is part of the procedure and has nothing to do with the type of sutures used. Permanent sutures are used in an attempt to keep the areola and scar from widening due to tension on the tissues after surgery.
Relying on permanent suture to hold an excessive amount of tissue tension is a risky proposition.
There is substantial subjective component to how much of a lift should be done without further, extending the scar and skin excision.
Patients went to avoid longer scars, but this sometimes comes at the cost of some significant drawbacks to that doughnut, mastopexy a.k.a. Benelli breast lift.
What could and should be done during surgery is highly dependent on Tuesday the right provider.
This is generally in the end, the most important variable.
Experienced plastic surgeons have a better sense of what can and will work out in regards to long-term outcomes.
The Benelli lift should only be used for minor breast, lifting surgery.
When consulting with plastic surgeons, ask them to open up their portfolio and show you lots of examples of previous patients whose breasts look similar to your own and ask for lots of long-term follow up pictures
Applying the Benelli lift inappropriately set, patients up for potential long-term problems and using this procedure when a more aggressive approaches indicated set up patients for worse potential long-term outcome if revision surgery is needed.
Personally, I’m not a big fan of the Benelli breast lift.
I use it but only for minor procedures.
It may seem like attempting option because of the shorter scar, but this definitely comes at a price in regards to Aesthetic outcome, especially shape and widening of this car long-term. The procedure has been described initially, using substantial Teflon suture aimed at holding tissues against significant tissue tension. relying exclusively on the strength of permanent suture can be a significant problem if the suture gets contaminated or the technique is not applied correctly.
There is no yes or no answer to questions regarding this procedure.
As mentioned earlier, the decisions are highly subjective in regards to when this procedure should be done and how it should be performed.
When in doubt, slow down and schedule more consultations.
As is almost always the case with plastic surgery provider selection is in the end, the greatest, and most important variable
Best,
Mats Hagstrom MD