Donut mastopexy resection. (a) Shows location of two circumareolar incisions. (b) Shows frontal and profile views of the breasts with multiple “stars” indicating possible tumor locations suitable for this approach. (c) Shows the area of de-epithelized or excised skin at edge of areola. (d) Shows arrows denoting undermining of skin flaps in the central breast. For illustration purpose, (e) shows medial profile view of the right breast with central lumpectomy cavity and area of undermined skin flaps. Frontal view of left breast shows central lumpectomy behind nipple-areolar complex. (f) Shows results of advancement of glandular tissue which is mobilized and sutured together to fill the central breast. (g) Shows reduction of the diameter of the outer skin margin using a purse-string suture. (h) Shows breast following closure of the skin incision.
