Benelli vs. Donut Lift and Areola Reduction?

I would like a Breast lift and Areola reduction. I am scared of getting Breast implants and have no intention of getting Breast Augmentation. What is the difference between a Benelli/Donut lift and Areola reduction? Are they one and the same? Is the cost different? I am a C cup & really interested in an areola reduction because it is inexpensive and also lifts. Thanks.

Doctor Answers 18

Benelli Lift = Donut lift - both have incisions SIMILAR to Areola reduction

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The difference is semantics. Allow me to explain.

AREOLAR (aka Bulls Eye) REDUCTION - two exactly CONncentric circles are drawn around your nipple. The inner circle radius will be the intended future radius of the smaller areola, the larger outer circle is placed at the junction of the areola and lighter breast skin. The areola skin donut between them is removed and the outer circle is stitched to the inner. The result - a new, reduced areola.

Benelli Lift / Mastopexy = Donut lift / Mastopexy. The areola is usually larger than it needs to be in sagging breasts. Here too, a circle is drawn precisely around the nipple allowing for an areola with a smaller diameter BUT the outer circle or ellipse is ECcentric with the upper portion of the outer circle / ellipse being cut higher than its lower portion. In this way when the outer circle is closed (usually with a belt like cinching stitch), the position of the areola is RAISED on the breast.

To read everything you need to know about BREAST LIFT / MASTOPEXY, follow the comprehensive link below -

Dr. P. Aldea

Memphis Plastic Surgeon

Benelli or Donut lift versus areolar reduction.

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The incisions used for a Benelli or Donut lift are the same incisions that are used for an areolar reduction. This incision is called circumareolar.

What does the Benelli Lift consist of in comparison to the Donut Lift? Can the areola also be corrected?

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The #BenelliLift, developed by French surgeon Dr. Benellil,is also known as the "DonutLift"to most surgeons, is performed by removing a donut-shaped piece of the areola and the surrounding skin. Followed by applying a #Pursestring, or, a double purse-string suture, to tighten the skin. Initally, a #Benelli was developed to access a majority of the breast through the incision. The breast is then shaped and lifted with sutures. This is a very complex procedure which is not often performed. However, the term is widely used to refer to breast lifts involving an incision around the #areola. A #mastopexy or #BreastLift enables the Plastic Surgeon to create nipple and areolae of a desired size and at the correct height. Costs will depend on several factors such as the geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees. Approximate costs can be found on the Real Self website,, or

Difference between Benelli and Areolar Reduction

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A Benelli Lift entails wider undermining and underlying positioning of breast tissue with or without areolar diameter reduction. An areolar reduction usually requires removal of excess areola, minimal undermining and skin closure. 
You may want to consider a more natural way to augment your breasts with fat transfer. (see below link)

Benelli vs. Donut Lift

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The periareolar ("donut" or Benelli) technique is suitable for the treatment of mild to moderate ptosis (classified as grade I or II). It is also the least invasive form of breast lift. You may find that you won't be able to achieve the results you want with this technique.

Generally, the cost is about the same as other breast lift types, although you will have to ask your specific surgeon if this is the case for them.

New option for women wanting breast lift without implants or a vertical scar

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Great question! My colleagues are correct. The differences are minimal, but essentially the same. The Benelli lift does not and cannot permanently lift low lying breast tissue. It only provides minimal lift by pulling the nipple/areola up. Hopefully, you would be a candidate for this procedure. If, however, you have a significant amount of ptosis (sagginess) the Benelli will not give you an adequate lift. There is another option if you do not desire implants or do not want visible scars. The Ultimate Breast Lift is a new technique which designs and constructs an internal cone using your own tissue to imulate an implant. It also constructs straps made from the excess skin to permanently attach the newly formed cone on to your chest muscles. This 'internal bra' provides the lift and upper pole fullness most women are looking for after loosing weight, pregnancies, and breast feeding. It's worth looking into. Best wishes,

Dr. Horndeski

Benelli Lift versus Areola Reduction?

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Thank you for the question.

The Benelli breast lift involves an incisions around the areola (that allow for skin excision more so above the areola then below the areola);  the difference in the amount of skin excised above and below the areola  is what allows for the breast lifting to occur.  Keep in mind, that  this operation is indicated only for patients who require relatively minor upward movement of the nipple/areola complexes.

Areola reduction on the other hand,  involves incisions around the areola  removing skin equally above and below the areola;  this operation serves to decrease the size of the areola and not necessarily lift the breasts.

I would suggest in person consultation with well experienced board-certified plastic surgeons;  appropriate patient selection is key to the success of any plastic surgical procedure.

Are Benelli and Areolar reduction Breast Lifts the same thing?

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Hi there-

Your question raises many important issues. First of all, and to directly answer it- there is no difference you will perceive between the two breast lift techniques you mention (as I imagine you are referring to a circumareolar breast lift when you say "areolar reduction"). The techniques are a bit different with regard to details important to the surgeon, but as far as what you would see, there are none.

Both will reduce your areola (but ANY breast lift technique would). Both will also flatten the center of your breasts and take away the central cone or area of projection.. Which is NOT always a good thing.... and brings us to the bigger issue your question raises.

It is very common, in the age of the internet, for patients to do a lot of reading and decide they want a certain technique used on themselves because of the scars they saw online (or the scars they didn't see), because it is less expensive, or because of some testimonial from a patient or surgeon online. BE CAREFUL.

It is important to realize that the reason there are so many different breast lift techniques is because not a single one of them is best for all patients. Each will produce a characteristic change in the shape of your breasts, and so the outcome of each will depend on the shape you are starting with. In other words, the decision about which breast lift technique is best for you should be made by you and your chosen Board Certified Plastic Surgeon together based on your current appearance and your desired goals- NOT by yourself alone and based on the scar you want, the price you want to pay, or other considerations. This is not something you are going to want to have to do more than once because the first operation gave you funny looking breasts...

Choose a good surgeon and listen to their advice. You'll be happier going about it this way.

Breast Lift and Areola Reduction

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Almost all Breast Lifts include an Areola Reduction. A breast lift removing a donut like area around the areola is known by circumareolar mastopexy, donut mastopexy, Benelli lift and several other names. There are various modifications to improve lift and appearance, but they are all essentially similar. The amount of skin removed and whether the donut is symmetric or not determines the final appearance of the breast. The problem with this lift is that it cannot provide significant lift. The more you push this lift, the flatter the breast becomes. It, therefore, has some major limitations. Occasionally, a smaller periareolar resection and an inferior “V” excision will give a far superior result (even though the incision is longer). Only a consultation with a Plastic Surgeon can determine if you are a candidate for this type of breast lift.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Breast Lift-Donut Mastopexy

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A donut mastopexy, benelli and periareolar mastopexy are pretty much the same. Areola reduction has the similiar incision that a benelli has, but it just reduces the size of the areola. A mastopexy involves lifting the NAC to a desirable level. The periareolar lift is not a very powerful lift and is most commonly performed with an implant.

If you have breast ptosis or breast drooping, you may need more than a periareolar mastopexy. You should see a board certified plastic surgeon to go over your options.

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.