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Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?

asked 2 years ago by neednewones in Ontario
Latest answer by Eric Swanson MD
Question viewed 6,434 times
Tags: breasts, nipples, stretch marks, female, breast feeding, ptosis, silicone implant, 300-349cc, high profile, pregnancy, scar, textured

Would a Benelli lift be enough? I would also be getting a 340cc HP textured silicone breast implants along with the breast lift. In the previous consultations, I was told I almost have a pseudo ptosis. My nipple is 19cm. from the collarbone. I did breast feed and have some stretch marks from my first pregnancy. I have attached a picture, both front and side views. I really want to have as few scars as possible. Thank you.

13 answers to Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?

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... more

Wayne I. Yamahata, MD
Sacramento Plastic Surgeon

www.anuyu.com

Benelli lift with implants good choice for breasts with pseudo ptosis

This a great question that can and will cause debate among us, Plastic Surgeons. It is very hard to predict future outcomes. But I assume you do not want the vertical incision/scar of the other types of mastopexies. The 'Donut" or 'Peri-areolar" or 'Benelli' mastopexy with a SMOOTH implant high profile at 340 cc's or more is a good choice. But I would add the possibility of an additional Benelli after 2 months if the elevation needs some tweaking. I have personally done this .... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

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... more

Eric Swanson MD
Leawood Plastic Surgeon

www.swansoncenter.com

Breast Lifting Techniques?

Thank you for the question and pictures. Your pictures demonstrate breast hypoplasia and asymmetric breast ptosis. it is possible that you will do well with circumareola mastopexy surgery only; however, this can only be determined accurately after direct physical examination and a thorough discussion of your goals. I would caution you to make sure you make decisions based on achieving your final goals (with attention to factors such as breast contour and longevity of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Augmentation No Lift

In your photos your nipples point slightly up and I doubt they are below the level of your breast fold. You have some minor areolar asymmetry but if it does not bother you and your nipples are high enough, I would avoid a Benelli lift. Your breast have deflated with loss of volume. Augmentation with gel implants placed through an inframammary incision should produce a nice result for you without the added risks of poor areolar scarring or widening and a large implant could be used... more

Richard Linderman, MD
Indianapolis Plastic Surgeon

Benelli lift with silicone implants for breast droopiness (ptosis)

Based on your photos, I actually think that you are an ideal candidate for a duel plane augmentation with a benelli lift since you do have glandular ptosis with a reasonably positioned nipple areola complex. Combining these two procedures would eliminate the pseudo-ptosis, slightly diminish the skin envelope and minimize the contact between the breast and the upper abdomen. It would also slightly diminish the size of the nipple areola which may be reasonable/desired in your case.... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

Benelli Lift or not

After reviewing your photos, I do not feel a breast lift is totally necessary. In my opinion, you can acheive a very good result with a breast augmentation using textured implants placed under the breast tissue or a breast augmentation using a dual plane approach with smooth saline implants. My preference would be for a high profile implant which will help lift the breasts.

Todd B. Koch, MD
Buffalo Plastic Surgeon

Benelli Mastopexy + Implants

Judging by your photos, it appears that you have glandular ptosis/ pseudoptosis of the breast. The technique of correction of your problem is somewhat controversial, and there are different ways to address your issues. I do not feel that there is a place for textured implants in this scenario, and that smooth implants would give a more natural feel to your breasts in terms of their mobility. Secondly, I am not a fan of high profile implants, as I feel that they place excessive stress on... more

Wilfred Brown, MD
Fairfield Plastic Surgeon

Benelli lift

I think I answered this somewhere else, but I think you are an excellent candidate for a Benellis lift. I do it all the time fo rthe right candidate, and you look like one form the photos.

Steven Wallach, MD
Manhattan Plastic Surgeon

Is Benelli lift enough?

I am not a fan of the Benelli lift in general and use it in limited situations. Because your nipple is not too low, you are one of the few who is a candidate. By definition a Benelli lift results in a peri-areolar scar. The resulting scar can be of a poor quality, with a "sunburst" pattern. In patients who will have a sunburst scar, I ask them to choose between this and adding a vertical scar, which will eliminate the sunburst. Ask your surgeon about this. If he/she closes... more

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Glandular ptosis

There is not an easy answer. You have to consider multiple factors of the side effects of the implants, whether you place the implants uner or above the muscle, the shape and size of her breasts that might be acceptable to you, and the risks of scars. To reduce you risk of scars, that can be significant in a periareolar type lift, you might want to just do the implants. You can always add the lift later as this is relatively simple in your degree of ptosis but any scars will be permanent... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Benelli Lift with implants for breast droopiness

I agree with Dr. Rand. Personally, I do not think there are a lot of really convincing reasons for using textured round breast implants in most breast augmentations (they ripple more, leak and deflate quicker and are prone to a Velcro effect where they stay higher as the aging breast droops over them recreating the deformity you described). For the result to look natural, it is vitally important that your current breast tissue cover these or any other implants well. As regards a Purse -... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Periareolar mastopexy

Based on the fact that your nipples are above the lowest point in your inframammary crease and are pointing forward, a periareolar mastopexy augmentation is all you need to achieve a nice result. Make sure the base dimension of your chosen implant matches well the base width behind your breast and that the HP "look" is what you want. Make sure to see lots of photos of similar patients done by your doctor to be sure you like the results they have as this is what yours will be... more