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Different Doctors Have Suggested Benelli or Full Anchor Lift, Which Would be Best? (photo)

asked 5 months ago by Busy Mama in Liberty Lake, WA
Latest answer by Jaime Perez MD
Question viewed 383 times
Tags: anchor, benelli, lollipop, options, technique

I have consulted with two board certified plastic surgeons in regards to having full abdominoplasty and breast lift. One surgeon said all I would need is a Benelli lift, the other said I need a full "anchor" lift. Why is there such a discrepancy? And why not a lollipop? After having 6 kids,and breastfeeding all of them, I just want my breasts to be back where they once were, and to stay in my bra when I lean over!! All of this just seems to get more confusing... Please help!

20 answers to Different Doctors Have Suggested Benelli or Full Anchor Lift, Which Would be Best? (photo)

Benelli vs. Anchor lift?

It is difficult to tell for sure where your nipple is in relation to your inframammary crease from your photos without examining you, and this would determine how far the nipple has to move upward and how much overhang you have of breast tissue below the level of the crease. The Benelli is a limited lift, and I use it in patients who need a mild degree of lift. Also, it does not shape the breast very well; a flat breast remains a flat breast that is a little higher. Therefore, I... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

There's more to the breast lift than just the scar

I agree with the surgeons who have suggested you would do well with a vertical ("lollipop") type of lift. The advantage of this technique is what the surgeon can do beneath the skin to improve the shape of your breast. The loose lower part of your breast can be tightened internally and sometimes we will use some of the lower tissue to move higher in the breast, essentially using your own tissue to create the effect of a small implant. Typically the scars heal well. The... more

Nicholas Carr, MD
Vancouver Plastic Surgeon

Customize Your Breast Lift Depending On The Results You Want

Breasts with minimal to moderate ptosis often can be treated with several different types of breast lift, depending on what you want your results to be. If you are happy with a conservative amount of lifting that will leave you with a natural but still not extremely perky result, a well done Benelli lift will give you a good result. Since the Benelli lift is not an extremely powerful one, I commonly use an implant to help fill out the breast volume and lift the breasts. If you want a very... more

John Squires, MD
Denver Plastic Surgeon

Breast Lift Tecniques are individualized

Well you are kind to provide a photo, we can give much more thorough answers when we see the actual problem. No mention of an Augmentation was discussed so we shall assume that is out of the equation. Leaving the remaing option as a lift, I would prefer the Lollipop technique. It controls the shape of the areola better, yes it does have a vertical component but I have never really had a patient get overly bothered by that aspect of the scar. Over the years many Benelli(periareolar) patients... more

Charles Virden, MD
Reno Plastic Surgeon

Vertical lollipop scar breast lift will work great for you without implants.

Hi. 1) There sure are a lot of different opinions, and I don't know how you sort them out. Our experience is that for your anatomy, and since you are not getting implants, the lollipop breast lift gives the best long term results. That is because it does not rely on pulling the skin, which stretches. 2) If you wanted implants, then I would recommend the Benelli. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

What type of breast lift is the best?

Dear mother of six, Well, you have hit upon a subject about which there is perhaps the most disagreement in plastic surgery. You say your goal is to have your breasts back to where they were before pregnancy and breast feeding. If you want to avoid implants, then you will need a procedure that reshapes the breast, which the Benelli proceedure does. The rub against pure lifts without implants is that they don't last very long in terms of giving upper pole fullness... more

Paul W. Loewenstein, MD
Milwaukee Plastic Surgeon

Benelli

Several people suggested implants but that does not seem to be your direction. I personally am a big benelli fan and you are ideal for it. not all surgeons love it so find someone who is enthusiastic about this operation.

Sherwood Baxt, MD
New Jersey Plastic Surgeon

Breast augmentation now and possible lift later if need

You have lost a lot of the breast volume. Your nipple position is in good position in relation to the inframammary fold. I would recommend silicone or saline high profile implant to replace the lost volume.The concern with lift is the scar and the complications with combined procedure. If you are willing to be large c cup,implant only would be the best option. You may need breast lift down the road and the staged procedure will give you better result with less risk. more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Benelli vs anchor lift

The Benelli or periareolar lift is almost always done with an implant and so if you are having an implant with your MM to add some lost volume, I would say from the photo that a periareolar would be fine. If no implant is being used, you probably need more of a lift than a periareolar.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Lift

As you can see from the responses below, they are similar to what you have heard from your consultations. If you do not want implants, I believe you will have a better result with a circumvertical or lollipop lift than with a periareolar lift, which in my opinion does a better job of raising the nipple position, but not a great job of lifting the breast. If you desire to have larger breast, you might possibly only need an implant, but you may sag later and need a lift, but at... more

Donald Griffin, MD
Nashville Plastic Surgeon

Replace what you lost

After six children and nursing them, you have lost breast volume. In my experience of doing breast surgery for over 30 years, if you wouldn't mind being a little larger, an augmenation ( over the muscle) might be all you need for your breasts. Your nipple seems to be at the inframammary line and does not need to be lifted a lot. Of course an in person consultation would be needed to know exactly what you need.

William B. Rosenblatt, MD
New York Plastic Surgeon

Benelli or Anchor Lift

In my practice, if you were having breast implants, we would add the benelli lift with dual plane placement of the implants. It gives a very attractive and natural shape. The benelli without implants is generally not a good idea as it tends to flatten the center of the breast. Without implants you should get the anchor lit as it will give a great shape.

Ronald V. DeMars, MD
Portland Plastic Surgeon

Benelli vs. anchor incisions for breastlift

The Benelli incision is limited to the margin of the areola and the anchor goes beyond that, with a midline incision on the breast extending along the inframammary fold. The question with your presentation is if you might do without either and consider lifting through breast augmentation. That would lift and fill your breasts. If you do not want implants (or fat augmentation) then the Benelli should be fine. You don't have that much sagging of the nipple complex to require a full anchor... more

Michele A. Shermak, MD
Baltimore Plastic Surgeon

www.drshermak.com

Anchor Breast Lift

The anchor or inverted-T mastopexy is recommended for patients with severe ptosis, poor skin quality, and/or flaccid breast tissue. This technique, which is the most popular in the United States, uses an incision around the nipple-areolar complex, a vertical incision from the bottom of the nipple to the inframammary fold, and a horizontal incision along the entire extent of the inframammary fold. The larger incisions allows for the greatest access and reshaping of the breast tissue as well... more

Jaime Perez MD
Tampa Plastic Surgeon

www.jaimeperezmd.com

Lift what type?

There are many different ways to perform a breast lift and different doctors fell comfortable with different operations. I use all those techniques. It really depend supon your anatomy and the different contributing factors.

Steven Wallach, MD
Manhattan Plastic Surgeon

Different Doctors Have Suggested Benelli or Full Anchor Lift, Which Would be Best? (photo)

Seems even all us "expert" differ on the best course of action for your breasts based upon ONLY the posted photos. My guess/recommendation is 2 staged surgery, L-shaped or full anchor lift than an HP implant. But better to see a few more boarded PSs in your area.

Darryl J. Blinski, MD
Miami Plastic Surgeon

You may be a candidate for a Lollipop (circumareolar vertical) mastopexy

As you can see from the different responses it can be difficult to give you a single answer. Your photos show deflated breasts as a result of six pregnancies and breastfeeding. If your goals are to increase the volume with the lift then a high profle implant can help you achieve that without additional scars on the breast. However if you do not want an implant a breast lift with a lollipop incision (the scar goes around the areola and vertically down on the... more

Dana Khuthaila, MD
New York Plastic Surgeon

Many Keys for different locks!

There are many newer techniques for breast lifting; oldest - Anchor Scar Technique (also called Mckissok/Goulian) - Typically is a skin only resection with a high rate of return of the sagging and with noticeable scarring. Inframammary scarring is significant in some patients. Bottoming out of the breast - breast tissue falls below the nipple. Newer - Vertical scar /Lollipop techniques - many different named techniques, most common are the Lejour or Hall-Findlay. Techniques reshape... more

Robert M. Freund, MD
New York Plastic Surgeon

www.breastenlargement.net

Which lift is best

There is a big difference in a 'T' pattern lift and an around the nipple lift such as a Benelli. The problem with the Benelli is relapse as the nipple will tend to stretch, and loss of breast projection as the Benelli tends to flatten the breast without an added implant. The 'T' or anchor lift gives the most lift with the most scar, and is best if the skin envelope is truly excessive. We are with you, the vertical or lollipop pattern seems your better fit. Best of... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Breast Lifting Technique?

Thank you for the question and pictures. Unfortunately, patients seeking consultation can be confused/frustrated because of the variety of different opinions they may receive from different consultants. This is the nature of plastic surgery... Based on your pictures, understanding that physical examination and a full discussion of your goals would be necessary to give you good advice, I think you should do well with breast augmentation and breast lifting limited to... more