Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?

Would a Benelli lift be enough? I would also be getting a 340cc HP textured silicone breast implants along with the breast lift. In the previous consultations, I was told I almost have a pseudo ptosis. My nipple is 19cm. from the collarbone. I did breast feed and have some stretch marks from my first pregnancy. I have attached a picture, both front and side views. I really want to have as few scars as possible. Thank you.

Doctor Answers 35

Biplanar breast augmentation without breast lift should work for you

Thank you for your question.  I agree with others that I do not think a breast lift is necessary based on your photographs.  A biplanar breast augmentation alone should give you a nice result.  If a breast lift is needed it would be better to wait and do it as a second procedure.

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.

Wayne I. Yamahata, MD
Sacramento Plastic Surgeon
4.9 out of 5 stars 47 reviews

Benelli mastopexy with implants for Psuedo Ptosis

The key to a natural youthful appearance to your breasts after a mastopexy/augmentation is to have the nipple at the most projecting point of the breast mound.  These pictures show some glandular (breast tissue) ptosis and areolar asymmetry. In my opinion, an implant alone may not fully fill out the excess loose skin and result in some persistent ptosis.  To minimize scarring and to get the nipple/areola symmetrical and in the correct position, a Benelli or peri-areolar lift may be the best option.  The drawback to this type of lift is a flattening of the breast. A thorough exam will reveal how much laxity your breasts have and will help determine the best type of lift you'll need.  

Gregory M. Fedele, MD
Beachwood Plastic Surgeon
4.7 out of 5 stars 19 reviews

Consider shaped implant

Most peri areolar lifts flatten the projection of the breast- which is what you're trying to correct! I would consider a round anatomical silicone implant in a patient such as yourself. The high profile shaped implant gives maximum projection, and lift, behind the nipple, while leaving a very natural looking upper pole. Just something to consider. Good luck

Elizabeth A. Kinsley, MD
Covington Plastic Surgeon
4.6 out of 5 stars 46 reviews

Gummy bear tear drop implants can lift the breasts without additional scars

I have been using Gummy bear shaped teardrop implants for several years.  These implants when properly selected for the dimensions and elasticity of your breasts can correct 2-3 centimeters of ptosis.

Also these implants tend to drop much less over time because of the textured coating.  Furthermore, because they are a firmer implant, form stable, they impart their shape on your breast tissue sculpting the form of your breast.

You can skip the Benelli mastopexy and get shaped gummy bear implants instead.

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon
4.6 out of 5 stars 87 reviews

Benelli or Peri-areolar Mastopexy for Breast Lift with Implants

I think you appear to be a potential candidate for consideration of a Benelli or peri-areolar mastopexy approach for your breast implant lift procedure. This will allow an optimal upsize with your choice of implants and at the same time you'll have an appropriate reshaping of your nipple areolar complex with a more favourable dimension and proportion to your new breast mounds.

However there are some limitations & tradeoffs that you'll need to bear in mind when it comes to any form of peri-areolar mastopexy. In these instance, I always advise my patients regarding possibility of some compromise of the breast projection, areolar dimension and nipple position.

In peri-areolar mastopexy, it's essentially a "purse string" technique in tightening the breast skin envelope around the new nipple areolar complex. Hence it will have the potential risk of "squashing down" the breast mound at least in the short term. It'll usually stretch in the long run but then the risk of areolar spreading and inconsistent nipple positioning may occur as a result. Therefore I only have very strict indications for peri-areolar mastopexy approach for a very selected group of my breast augmentation lift patients who understand and appreciate the necessary tradeoffs & limitations involved.

Hope all goes well with your upcoming surgery.

Best wishes

Ellis Choy

Ellis Choy, FRACS(Plast)
Sydney Plastic Surgeon
5.0 out of 5 stars 86 reviews

Preferred Lift with Augmentation for Breast Pseudo Ptosis

A #mastopexy or breast lift operation is designed to improve the shape and position of the breasts without reducing their size. It is used for #breasts which sag or droop (ptosis). Some patients will have a better shape to their breast such as increased superior fullness if an #implant is used at the time of mastopexy. This is called an #Augmentation/Mastopexy. . The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.

The #BenelliLift, developed by French surgeon Dr. Benellil,is also known as the "DonutLift"to most surgeons, is performed by removing a donut-shaped piece of the areola and the surrounding skin. Followed by applying a #Pursestring, or, a double purse-string suture, to tighten the skin. Initally, a #Benelli was developed to access a majority of the breast through the incision. The breast is then shaped and lifted with sutures. This is a very complex procedure which is not often performed.

However, the term is widely used to refer to breast lifts involving an incision around the #areola I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Implants alone

I think it may be possible to achieve good results from the right implants alone. Choose something with a narrower base and firmer texture.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Breast lift with donut mastopexy

A short vertical scar breast lift may provide you with better longterm results with your mastopexy. An areolar mastopexy may not provide you with longterm results.

Dr. Karamanoukian

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Breast Implant May be All that is Required

Thank you for your pictures.  Depending on how large a size you chose for a breast augmentation, an implant may be all that is required.  Your breasts are deflated from breast feeding.  Most of the time, placing an implant to re-inflate the tissue may be all that is needed to restore youthful volume.  Its possible your surgeon could perform the augmentation through a small incision below the nipple at the bottom of the areola.  If the augmentation fixes the nipple position...then that's it.  If you need a small lift, then a circular lift could be performed by converting that incision into a small oval.  Even if this is the case, you probably wont require a very large lift.  A board-certified plastic surgeon can assist you with this decision.  Best of luck to you!  Dr. Pacella

Salvatore Pacella, MD, MBA, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 36 reviews

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