Autoaugmentation using the Benelli or donut scar technique is a surgical procedure aimed at enhancing breast shape and volume without the use of breast implants. This technique is particularly suitable for patients who have a sufficient amount of breast tissue but desire improved projection, fullness, and upper pole volume.Here's how the procedure typically works:1. Patient Evaluation: The process begins with a consultation with a board-certified plastic surgeon. During this consultation, the plastic surgeon evaluates the patient's breast anatomy, skin quality, and aesthetic goals to determine if they are a suitable candidate for autoaugmentation using the Benelli/donut scar technique.2. Pre-operative Planning: If the patient is deemed a suitable candidate, the plastic surgeon will discuss the surgical plan, including the placement of incisions and the expected outcome. Pre-operative instructions will be provided, which may include avoiding certain medications, quitting smoking (if applicable), and maintaining a stable weight.3. Surgical Procedure:• Anesthesia: The patient is typically placed under general anesthesia to ensure comfort during the procedure.• Incision: The plastic surgeon makes a circular incision around the perimeter of the areola (the pigmented area surrounding the nipple), creating what is commonly referred to as a "donut" or "Benelli" incision. This incision pattern allows for access to the breast tissue while minimizing visible scarring.• Tissue Redistribution: Using advanced surgical techniques, the plastic surgeon redistributes the existing breast tissue to create a more aesthetically pleasing breast shape and enhance upper pole fullness. This may involve lifting and reshaping the breast tissue, repositioning the nipple-areola complex if necessary, and adjusting the breast mound to achieve the desired projection.• Closure: Once the desired breast shape and volume are achieved, the incisions are meticulously closed using sutures. The circular incision around the areola typically results in a scar that blends well with the natural border of the areola.4. Post-operative Care and Recovery:• After the procedure, the patient will be given post-operative instructions to follow, including guidelines for wound care, activity restrictions, and pain management.• Patients may experience some swelling, bruising, and discomfort following surgery, which is normal and typically subsides over time.• It's essential to attend follow-up appointments with the plastic surgeon to monitor healing progress, address any concerns, and ensure optimal results.Autoaugmentation using the Benelli or donut scar technique can provide natural-looking breast enhancement with minimal scarring for suitable candidates. However, as with any surgical procedure, there are potential risks and complications, which should be discussed thoroughly with the plastic surgeon beforehand.