O-incision technique / periareolar tightening

The O-incision technique, also called periareolar lift, is a scar-saving surgical technique for correcting sagging breasts. The technique was first described in 1976 (Bartels R.J. et al, 1976. Plast. Reconstr. Surg.).

Many variations have been described since then by the following surgeons, among others: Erol, Spear, Goes, Benelli, Puckett, Gruber and Benelli. The technique involves removing the excess skin around the areola (deepithelialization). The breast skin (outer circle) is then sutured to the darker skin from the areola (inner circle). Temporarily, the suture causes wrinkling in the area of the breast skin.

Areas of application

The technique is suitable for correction of slight sagging breasts. The technique can also be combined with breast augmentation. For a lasting result, the mammary gland tissue should also be tightened. To prevent distortion of the areola and widening of the scars, the suture around the areola must be made with non-resorbable (non-dissolvable) sutures. Since this technique usually does not remove glandular tissue, nipple sensation and breastfeeding ability are preserved.


Synonyms: periareolar tightening, circular tightening, O-technique, incision around the areola, Benelli method.

Treatment options:

Breast lift

Breast lift

Would you like to have your sagging breasts tightened and reshaped? Read all about the scar-saving breast lift method used by our experienced plastic aesthetic surgeons at CenterPlast. More about breast surgery

Breast lift

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