Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?
Doctor Answers (21)
Glandular ptosis can sometimes be treated with breast augmention without mastopexy
There are numerous types of breast lifts available and all have advantages and disadvantages. Based on your description and photographs, I would expect that a Benelli type lift would be adequate. Be informed of potential problems associated with this procedure such as occasional reduced projection and “flattening” of the breasts. Also, the scars may not always be ideal with scattered cases of gathering of tissue along the incision.
If you goal is to avoid scarring, it is conceivable that you could receive an acceptable result with breast augmentation alone. If you tried this option and decided you still needed some type of lift, this could be performed later as a secondary procedure.
I hope this information is of some benefit to you. Good luck on your future surgery.
Biplanar breast augmentation without breast lift should work for you
Based on the front view, I don't think that implants alone would be likely to work, even with the biplanar approach.
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Bi-Planar Breast Augmentation
The treatment of breast sag varies from patient to patient and depends on a variety of variables. These include the patient’s aesthetic goals and baseline anatomic findings. Your pictures suggest relatively mild breast sag and for this reason, it might be possible to avoid a breast lift procedure. This would be consistent with your aesthetic goal of avoiding excess scarring.
Under these circumstances it might be possible to perform a bi planer breast augmentation. This procedure partially separates the breast tissue from the underlying muscle and allows the breast tissue to spread out over the surface of the implant. In many cases utilization of this technique can avoid a breast lift and additional scarring.
If you’re considering correction of this problem, it’s important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a plan to correct this problem.
Pseudoptosis treatment: to lift or not to lift
A combined mastopexy augment will give you a longer lasting result than a pure augmentation with a high/extra projection anatomical implant. (this would be another potential option)
I suggest you see a specialist plastic surgeon/board certified plastic surgeon who will be able to discuss the most suitable option once she/he has examined you.
You need a mastopexy?
Breast lift and implants
If you want the best result in your case (you do seem to have pseudo ptosis), then do a mastopexy with a decrease in your breast envleope surface area and do the implants. Your skin is very light and if you can accept the vertical scar, then you will be able to raise your nipple to a more youthful position with the restoration of the volume with the implants.
All other discussions will have limitations but if you cannot accept that vertical scar, then you need to accept the limitations of other choices.
If you have a lift, the vertical technique balances results with less scars
The Benelli procedure is controversial. Many plastic surgeons don't use it because the scar around the areola tends to spread despite the permanent suture and it does not adequately take up extra slack of the lower pole. The vertical technique is better. It involves a scar around the areola and then straight down, the lollipop scar. Your nipples do not need to any higher. You could just have implants alone and accept some sagging and wide areolae. Or you could have implants with a vertical lift, taking care not to elevate your nipples, but reducing slack skin from the lower poles and making the areolae smaller (keep in mind that implants make them even larger). Definitely you do not want the inverted-T technique with its excessive scarring and tendency to widen the lower poles. It's important that you become well-educated about breast lifts because there is a lot of misinformation out there. You may wish to read this portion of my website.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.