Donut (Circumareolar) Breast Reduction in Los Angeles
About the procedure
The donut, or circumareolar breast reduction, is a common type of breast reduction for Sherman Oaks and Los Angeles macromastia patients.
A circumareolar breast reduction is performed by making an outer marking that corresponds to the amount of skin removal, as well as an inner circle that marks the new border of the areola. These markings look like a donut, which is how the procedure was named.
When the incision is closed, the markings come together and there is a final scar around the areola only for our Los Angeles breast reduction patients. There is no scar extending down the breast or underneath the breast in the inframammary fold region.
Usually, board-certified plastic surgeon Dr. Elliot Hirsch uses the circumareolar breast reduction with internal reshaping techniques such as a superior pedicle, superior-medial pedicle, or central pedicle.
To compare breast reduction approaches and see which option may fit your goals, visit our main Breast Reduction page.

Advantages of the circumareolar breast reduction
The main advantage of the circumareolar breast reduction is that it has a smaller scar than other common types of breast reduction, such as the Wise pattern or lollipop breast reduction.
Because the scar is smaller, macromastia patients may heal faster and there can be less disruption of internal breast tissue and skin. Donut breast reduction can also significantly reduce the final size of the areola.
Who is a candidate for a donut breast reduction?
The donut breast reduction works best in macromastia patients who need smaller amounts of tissue removal or breast lift. Because the only skin that is removed is the donut-shaped area between the outer and inner circles, there is only a minimal amount of lifting of the areola.
Los Angeles breast reduction patients who have larger breasts and need a more significant amount of reduction are not candidates for a circumareolar breast lift.
Does insurance cover donut breast reduction?
Insurance will cover breast reduction surgery in Los Angeles patients with overly large breasts if they meet the criteria for coverage.
To learn more about insurance coverage for donut breast reduction, feel free to visit our breast reduction insurance coverage page.
Frequently Asked Questions
Donut (Circumareolar) Breast Reduction
Why is it called a “donut” breast reduction?
It is called a donut breast reduction because the markings include an outer circle (for skin removal) and an inner circle (marking the new border of the areola), which together look like a donut.
Where is the scar with a circumareolar breast reduction?
The final scar is around the areola only. There is no scar extending down the breast or underneath the breast in the inframammary fold region.
Who is a good candidate for a donut breast reduction?
The donut breast reduction works best for macromastia patients who need smaller amounts of tissue removal or breast lift, since this approach provides only a minimal amount of lifting of the areola.
Does insurance cover donut breast reduction?
Insurance will cover breast reduction surgery in Los Angeles patients with overly large breasts if they meet the criteria for coverage. To learn more about insurance coverage for donut breast reduction, please visit our breast reduction insurance coverage page.
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