Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?
Doctor Answers (16)
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.
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?
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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.
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 results) as opposed to simply minimizing scars. Educate yourself about the pros and cons of each type of procedure and select a plastic surgeon that can demonstrate a significant experience with the variety of breast augmentation/breast lifting operations available.
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. Because of your thin skin, I would use silicone gel breast implants.
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. (n.b. I personally prefer to use smooth silicone prosthesis in cases such as yours).
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.
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 the breast tissues, and often lead to an unnatural shape to the breast. I would be more inclined to use a moderate-plus implant with a diameter similar to your breast base width. Your nipple position is not too low, therefore you may do well with a Benelli mastopexy, however, this may result in a noticable scar and your breast may appear 'flattened' afterwards. The safest way to go I believe, would be to first place the implant, and then once it has settled, see how you like the result - you may be happy with a little excess skin on the lower part of your breast, and you have minimized your scarring. You can always have a mastopexy later if you think it is necessary.
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.
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