A Benelli mastopexy, otherwise known as periareolar or donut mastopexy is performed to elevate the nipple-areolar complex back to a more aesthetically pleasing level. Caution should be undertaken not to elevate the nipple to far. Ideal candidates are patients who require nipple elevation no more than 2 centimeters. In the poorly chosen patient, the end result can be wide and undesirable scars, streched out nipples and areolas, and potentially, a flattened out breast. One of the most important criteria for your surgeon is the preservation of blood flow to the nipple. Your procedure can be performed twice, but you should allow 4-6 months from the initial operation at a minimum prior to considering any revision.
Can I Get a Benelli Breast Lift Done Twice?
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Benelli Lift the second time
The answer is yes, but the question is, should it be done? To give you a more focused answer I would need to know: height, weight, age, bra size, date of prior surgery, child bearing and nursing history. Good photos showing scars would also help.
Repeating a breast lift
You didn't send in a photo which would have helped but basically it is possible to re-do a periareolar lift. Depending on your anatomy though, if you have become more lax over time you might need a full lift now to get the best result.
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Second Benelli or Choose Another Breast Lift
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.
The Lollipop incision for Grade 3 or 4 ptosis (areolar near or below your breast crease) works best in my hands and the use of a Lollipop technique can lift your breast to the perkiness you desire. However, other plastic surgeons are more comfortable with an inverted T or Anchor Pattern technique.The donut lift does tend to both flatten and have scars widened as you are removing skin around the areola which causes tension in that single area causing it to "spring' apart over time. With the Lollipop incision the tension is spread out over a greater distance of the lower vertical scar (where the areola once was) causing less tension on the areola and entire closure. The vertical lift tends to cone the breast making it more shapely (conical) and less flat. For a visual take a paper circle, cut out a small wedge on the bottom and bring the edges together to see this effect. In general I would pick the best Surgeon and explain fully what you want to achieve rather than the technique. Always choose a board certified Plastic Surgeon.
Benelli Lift Twice?
Yes, this type of lift can be done twice. Of course, the amount of lifting achieved is relatively small; please make sure your good candidate for the procedure and do not need a more powerful breast lift.
A Benelli (Donut/Periareolar) Breast Lift CAN be Repeated
A Benelli (or a Donut / Periareolar) breast lift CAN be done again IF the suture holding the lift snapped and if the distance the nipple complex needs to be elevated is not too much.
These 2 "IF's" are important as this lift is rather limited in its abilities. If it is used instead of and to avoid a vertical scar Lift the results are flattened breasts, stretched out, sunburst areola and a very unattractive look.
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Dr. P. Aldea
Benelli breast lift can be repeated.
1) I wonder why you need it done again. That's unusual. But a Benelli breast lift can certainly be done again.
2) If you have too much sagging, the Benelli does have limitations, and trying to get more lift with it will create a deformity. You may need a lollipop breast lift. It produces great shape and women accept the scar very well.
Benelli or Circumareolar Breast Lift
The Benelli breast lift, also know as a donut, periareolar or concentric is performed by removing the breast skin around the areola. Then using a permanent stitch this outer longer diameter is sutured to the areolar, shorter diameter. It's a great lift when skin volume needs to be removed with or without elevation of the nipple.
The down sides to this surgery are first it will takes months to "settle." Because there is such a difference in the two diameters there tends to be a lot of skin bunching around the areolar closure. This will eventually smooth out. Second, it tends to flatten the breast shape instead of creating a conical look. And finally, if a permanent stitch isn't used the areola will widen over time.
This surgery can be done repeatedly as long as there isn't significant tension on the closure and the previous permanent stitch must be removed.
If your breast sags due to time (many years), pregnancy, or significant weight changes, then a lift can be performed after each change.
Some patients, however, have naturally poor quality skin and the skin will sag regardless of the above. If this is the case with your breast, then recurrence is more likely than the average patient.
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.