I already have sub muscular implants (around 260-300cc silicone) and I have to have them removed since I have the French PIP implants- I have seen two surgeons (planning to see no 3 and 4 since i´m very undecided). One surgeon suggested a sub glandular (over the muscle) implant and the other one a over the muscle or/and a sub glandular - no 2 says he´s afraid i´m not going to be happy with only an implant and that´s why he suggested the anchor lift. i´m not a fan of the vertical scar though:/
Will the Benelli Be Enough for Me - or is the Anchor Better? (photo)
Doctor Answers 10
Very modest ptosis of the breasts better left alone.
Any ptosis of your breasts is quite modest. The periareola mastopexy is not a very good operation unless you have tubular breasts (and you do not). The more conventional breast lift would leave scars that I think would be more to your aesthetic disadvantage than your mild ptosis.
Best Type of Breast Lift?
Thank you for the question and pictures.
The type of breast lifting that would be indicated in your case will depend mainly on your goals. For example, if you plan to maintain the same size of breasts ( and are happy with the current position of the nipple/areola) then no breast lifting is indicated.
If you wish to raise the nipple areola complex is slightly, then a Benelli breast lift may be the best option. On the other hand, if you wish to eliminate “sagging” and the “skin on skin” affect on the upper abdomen, than a vertical mastopexy will be indicated. You will have to balance the pros and cons of each type of operation as you go through the decision-making process.
Continue to do your due diligence and select a well experienced or certified plastic surgeon; ask to see lots of examples of his/her work.
An exam would be essential to see what you might need. The photos suggest athta a vertical lift or circumareola with an implant may be enough. Again, an exam is key.
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What breast lift is the right one?
This is an important question that needs to be discussed with your surgeon after seeing you in person. I dont think there is any need for the "anchor" approach to your surgery, but a "lollipop" mastopexy could be used instead. The difference is that the Benelli lift tends to flatten the breast, and the lollipop cones or reshapes the breast with projection. The lollipop does have the vertical scar, but this tends to heal well and produces a more attractive breast shape. I would almost always recommend an implant be placed underneath the muscle for a number of reasons. This has to be a personal decision you make after considering all of the pros and cons of each approach.
Best of luck,
Vincent Marin, MD
San Diego Plastic Surgeon
Will the Benelli Be Enough for Me - or is the Anchor Better?
The Benelli lift works well IF there is also an implant to create forward projection of the breast. Without an implant the Benelli can sometimes flatten the front of the breast. For you specifically, you must first define your goals. If you simply want the areola elevated and possibly resized to a smaller diameter, the Benelli is the right choice. If however you want the overhanging breast tissue elevated also, the anchor lift is better. Since you already have a submuscular implant, I think you should keep the new one under the muscle also.
Will Benelli be enough?
Since you have PIP silicone gel filled implants, there are two issues for you to deal with. I would recommend that you have a total capsulectomy when you have your implants replaced. as there are questions regarding the "purity" of the silicone or the possibility that other chemical contaminants may have leached out of the implant into the capsule around the implant. Removing the capsule will leave a fresh bed for a new implant that can certainly be left in a submuscular position. The second issue is your ptosis (drooping). A periareolar mastopexy (of which the Benelli lift is one type) can provide enough lift for your anatomy. Other scars, anchor or lollipop, would probably not be necessary. Good luck.
Benelli Lifts Less
As long as you don't want your nipples lifted too high, a Benelli (which lifts less) should be OK. This is something to discuss with your surgeon before your surgery. The choice is lesser scarring vs lesser correction.
John Di Saia MD
Best Lift with Breast Augmentation Decisions
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.
Breast Surgery Best For You
Gravity continues to work even in patients who have undergone breast augmentation surgery. When breast implants are placed in a sub muscular position there’s a tendency for the breast tissue to slide off the top of the breast implants.
Your pictures and history suggest several areas of concern. These include asymmetry which is currently corrected by different sized breast implants, enlarged areolas, lateral breast fullness, breast sag and concerns about overall breast size.
If you’re planning on exchanging your implants for smaller silicone breast implants, your breast sag will worsen and you will need a more aggressive procedure with at least a vertical incision and possibly an anchor incision as well. Under these circumstances, symmetric silicone implants can be used and asymmetry can be addressed by removing small amounts of breast tissue. This approach will obviously address sag and enlarged areolas as well.
It’s important to consult a board certified plastic surgeon. This surgeon should be able to formulate a plan to address these issues.
Choice of breast lift
A Benelli lift tends to flatten the breast, while a vertical lift adds an additional scar. The trade off with any type of lift is the scarring. If you are happy with your present appearance and only changing the implants because they are PIP implants, you may want to consider avoiding any lift and the scarring that goes with it. Depending upon how your original submuscular augmentation was technically performed, conversion to a "dual plane" pocket may provide some additional lift without any scars on the front of your breasts.