Donut Mastopexy (Graphic: for ages 18 and up)
A donut mastopexy is usually done in combination with a breast augmentation. It can have several purposes. We can lift the level of low lying nipples. If one nipple is a little bit lower than the other, we can even them out. We can also decrease the size of large areolas, and in tuberous breast when the areolas are puffy, we can flatten them out at least to some degree. The procedure is also known as an areola reduction or a Benelli breast lift. I bet you're wondering why it's called the donut mastopexy. The ring of skin removed can sometimes look like a, well, not really. Let's take a look.
To do the procedure, we start by making marks with the level while the patient is still sitting straight up. In surgery, we use what we call a cookie cutter to make an impression of the desired new circumference. We remove the extra skin, and then we put in a Gore-Tex suture back and forth all the way around. Then we pull the Gore-Tex like a purse string until the areola is the size of that cookie cutter. After we'd buried the knot, we closed with absorbable sutures and we're done. Here is the result.