How Much Skin/tissue Can Be Removed with a Benelli/donut Lift?

The general rule for donut lift is you can remove twice the diameter of the desire areola size.  The average size areola is 4.2 centimeters, so you could take approximately 8.4 centimeters in diameter and close the wound with the minimal amount of rippling.  

 

Best Wishes,

 

Gary Horndeski, M.D.       

 

 

Benelli/donut lift can be used on patients who need a small lift - less than one inch.  If you have a lot of skin excess or need a larger lift, circumvertical (lollipop) or full-lift will give you a better result.

A donut mastopexy or Benelli lift in my opinion is really best for patients that want an implant for more volume and where the nipple does not have to move up too much.  

The Benelli Breast Lift has limited indications.   In the right candidate, it can offer fantastic results.    

I also find that the closure is of paramount importance with a Benelli/Circumareolar Breast Lift to prevent the areola from widening.   I always use a permanent gortex suture to prevent and minimize this areola widening.  Most patients can safely get 2 cm of nipple lift with a Benelli, anything more would benefit from a lollipop incision.

I wish you a safe recovery and fantastic result.

Dr. Gill

When properly performing a Benelli lift the outer circle diameter should be no greater than 8 cm.   This type of breast lift has the highest level of patient dissatisfaction because it gets pushed further than it was designed.  I would agree that a vertical lift is a much better choice but an examination would be needed to give you a definitive answer. 

To have a good result without scar spreading and nipple/areola distortion, only a limited amount of skin can be done with a Benelli lifts. In most cases, a vertical scar is a better option.

If your areolar complex is up to 1 inch down from where is should be, you can have a donut mastopexy. If the areola is much below that then typically you need a lollipop or you will have to much rippling around the areola from bunching the extra skin.

Hi. Indications for a true Benelli lift, cernainly in my hands are few. Only a small amount of skin should be removed. The problem is in trying to minimize incisions a lousy result is often obtained. Pleats which don't go away, flattening of the breast ( loss of projection ) wide scar and large areola. It works well with an implant, minimal excess skin but mild ptosis. I very nearly always land up adding a short vertical incision to create projection.