Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?
Doctor Answers (26)
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
Sometimes A lift is needed, Sometimes Not
The key to success lies in letting you surgeon know specifically what you would like to look like following the surgery. For example, how perky do you want to be, what shape do you want to have, etc.? However from your description it would appear that a lollipop type lift would be best for you rather than a periareolar lift like the Benelli procedure. Here is a rule of thumb that works for most patients. If you nipple is above your lower breast crease then often a periareolar lift will be sufficient for most patients. If your nipple is at or below your crease then a vertical lift (lollipop lift), inverted T or anchor pattern may be required.
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Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis
Benelli vs. Lollipop
Based on the front view, I don't think that implants alone would be likely to work, even with the biplanar approach.
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.
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.