Benelli Mastopexy with Implants Enough for Breasts with Pseudo Ptosis?
Doctor Answers 33
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
Consider shaped implant
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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.
Preferred Lift with Augmentation for Breast Pseudo Ptosis
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.
Benelli Mastopexy with Implants Enough for Breasts with Mild Ptosis?
The peri-areolar mastopexy is useful when the nipple areolar complex only needs to be lifted a 1 to 3cm and the mastopexy is going to be done in combination with an implant. The implant will help shape and fill the breast while the Benelli mastopexy will help center the nipple areolar complex over the implant.
The peri-areolar mastopexy is a great procedure when used in the correct patient. If patients have a significant amount of ptosis it may not be enough to shape the breasts. There is a limit to the amount of skin that can be removed for patients with the Benelli Mastopexy.
The Benelli Mastopexy has improved over the years from its original description. The two big advancements in the procedure are the use of special sutures that hold over time and prevent areola widening. The second is the addition of an inter-locking technique that has been added to the original Benelli mastopexy, this addition has helped the lift maintain its shape over time.
Please consult with your board certified plastic surgeon that has experience in doing a Benelli or Peri-areolar breast lifts.
Breast lift with donut mastopexy
Breast Implant May be All that is Required
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.
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.