Why aren't donut/Benelli lifts, breast reduction & lipo combined?

Thank-you for your query. The two are sometimes combined, in my practice, when a minor reduction and lift are desired. The problem, however, is that only a small amount of skin is removed with “Donut” breast lift and if volume is significantly reduced with liposuction, the skin envelope becomes more loose and donut mastopexy may not suffice. The biggest problem, if too much skin is removed in donut lift, is that the areola becomes wide with time , which can be eventually corrected only by adding a vertical component to the lift, which defeats the purpose of keeping the scar only around the areola. Please find an experienced Board certified Plastic surgeon and discuss all your concerns with him/her. All the best.

Liposuction done on the area of reduction may interfere with blood supply to the areolar are and usually is not done for safety reasons. It can be done prior to the reduction or on the lateral sides to not interfere with blood supply. Most doughnut lifts are not adequate for the excess skin for a reduction.

Each surgeon evaluates the patient's surgical goals and determines the best possible approach to achieve them. Often times with breast reductions the weight of the breast and the shaping that is needed makes the donut lift a poor choice.