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

Question

I’ve seen doctors offer breast reduction with liposuction, and donut/benelli lifts. Why aren’t these procedures combined to deduct the breast weight and pressure on purse string/block suture of donut life. I found an article on ncbi. nlm. nih on peri-areolar breast reduction with great outcomes, but can’t seem to find doctors offer this. Is there a reason?

Ajaya Kashyap, MD · Answer

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.

Camille Cash, MD · Answer

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.

Gerald Minniti, MD, FACS · Answer

A mainstay of breast reduction is the lift to reshape the breast mound. Taking a donut shaped ring of skin from around the areola will give most women with large and ptotic breasts an array of cosmetically unacceptable problems: severe pleating of the skin around the areola, thickened periareolar scars, wide and irregularly shaped areola, a flattened breast mound, and persistently low nipple-areolar complexes, and persistent ptosis. Basically an ugly, unnaturally appearing breast. Get the right procedure or don't do it at all.

Daniel Barrett, MD · Answer

Dear luls777,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Some surgeons will liposuction  and a lift at the same time. The point of doing liposuction is to avoid the scars associated with traditional breast lift and reduction

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

Answers (8)

Answer: Combination of procedures

Answer: Combination of procedures

Answer: Breast reduction

Answer: Breast reduction

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Everything you need to know about Breast Reduction

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

Answers (8)

Answer: Combination of procedures

Answer: Combination of procedures

Answer: Breast reduction

Answer: Breast reduction

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.