The periareolar mastopexy is used so that the vertical excess skin can be captured in the larger periareolar skin excision, limiting the vertical skin excision. In addition, the periareolar suture stabilizes the circular shape of the areola, thereby preventing areolar distortion and traction into the vertical closure, and avoiding tension and compromised vascularity of the areola.

http://www.pulsus.com/journals/abstract.jsp?sCurrPg=journal&jnlKy=6&atlKy=7272&isuKy=716&spage=1&isArt=t&fold=Abstract

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2698805/

Article ‘Imbricated Dermal Flap’: A novel technique for autologous a...

Article Breast autoaugmentation

Thank you so much for a totally clear answer

I would agree to "split" autoaugmentation and even breast reduction in two parts : one aimed at the conization and shaping of the breast (posterior dermoglandular flap), the second at the reduction of skin excess (periareolar - vertical skin reduction)

I used the circumvertical mastopxy technique described by Ruth Graf and Thomas Biggs, since 2005 (published in 2002/2003), with great outcome. Seems to be identical to Dr. Laurence Kirwans work, which depict very fine results!

one of the keypoint in achieving at good breast shape is closing the vertical cicatrice, and the inferior dermoglandular flap is transposed cranial and suture to the pectoral fascie, a much more effect-full tension and better shape is the outcome. 

Your question address two different aspect, volume and breast configuration. The latter is handle by mastopexy and volume by implants or AFT. 

Never combined a vertical mastopexy and AFT, but seem a potential good idea. 

To answer your question,it must be simplified at first:a-how much is the breast volume of the patient? b-the degree of mastoptosisi(if  it is present)

Benelli mastopexy is a gold standart in ptotic breasts,especially there was no volume problem..If there is hypoplasia, one of the following methods may be selected: 1-implant,2-adipofacial flap transfer 3-Free Dermal fat transfer 4-Autologous Fat transfer(injection) with or withouth BRAVA vacum aplicator ..To my opinion,selection should be made by individual characteristics of each patient.