What's really the difference between Areola Reduction and Donut Mastopexy?

A donut mastopexy involved reducing the areola and lifting the breasts using only a scar around the areola.  This may be okay in selected cases.  If you need a lift as well the scars are more involved but also reduced the areola.  Photos would be a great help in determining what procedure would be best for you.

Thanks for your question. A donut mastopexy, also called a Benelli mastopexy, purse string mastopexy or periolar mastopexy removes a circle of skin around the areola. The circular defect is closed like pulling a purse string around the areola. The same technique is used to reduce an areola by removing a circle of areolar skin rather than the skin outside the areola. Whether used as a lift or areolar reduction this technique has a limited tightening capacity. It creates a radial tension around the remaining areola so in many cases there is stretching of the areola or widening of the scars-- especially when used to remove too much tissue which is why I use this lift sparingly.For patients that require a full mastopexy or a lollipop there is less tension on the areola and there tends to be less stretching. Based on your evaluation your PS will help to guide you.Best wishes.