Breast lift options? Internal bra? Don't want scarring! (Photo)

Question

I'm a 23 yr old w/ no kids & naturally saggy breasts. I had a consult with a good PS who said anchor lift was my only option. The 3D imaging results were better but not at all perky. I was wondering if I'm a candidate for Benelli lift with the internal bra? Not interested in a BA as I'm petite but will consider if it'll help, especially if I can combine it with other procedures to minimize scarring. & yes I know scarring is a trade off, I just want to know if I have other options! Thx!

Jed H. Horowitz, MD, FACS · Answer

You should consider a verticle lift with fat or small implant for shaping.Here are all of the choices:Lollipop lift (vertical lift), donut (periareola) lift, Benelli
lift, crescent lift, anchor lift  (inverted T ). Most commonly, we prefer the
lollipop or donut lift because of the shape, small scars and easier healing.
Although the “anchor-shape” or inverted “T” incision is still more popular in
the United States, it represents an older technique with extensive scarring and
a less optimal result in many cases. These newer techniques are utilized in the
vast majority of cases, the rare exception being extremely large breasts. The
nipple-areola complex is repositioned higher, the excess skin is removed, and
the breast is reshaped in a pleasing contour and in a more normal position.

The crescent lift removes a small amount of skin at the top of
the areola. We find that there is very little 
lift and the areola becomes oval in shape and distorted with this
method.

The Benelli lift as performed by most surgeons is just the donut
lift, removing a donut shaped piece of areola and skin then using a
#Pursestring or double purse-string suture to tighten the skin.  A true Benelli actually will expose much of
the breast through this incision and then the breast itself is shaped and
lifted with sutures.  This is a more
complex procedure and is often not done as describe by Dr. Benellil.

The insertion of an
implant as well, may be advisable to restore superior fullness, which is lost
with aging and after pregnancy despite the rest of the breast being overly
large.  Fat grafting can be used instead
of implants to improve the contours of the breast.shaping

Sheila S. Nazarian, MD · Answer

In order to get the best shape, you are going to need either a vertical lift or an anchor lift. It's not worth going through the procedure if you aren't going to achieve measurable results. Perhaps get a second opinion from another board certified plastic surgeon in your area (link below) and see if he or she agrees. Best, Dr. Nazarian

Gary M. Horndeski, MD · Answer

Thank you for your question.The Horndeski Method (TM) breast lift is another option. Your breasts need to be re-positioned and reshaped aggressively in order to achieve an improved result. A Benelli lift will not be able to accomplish that for you. It is simply not strong enough. You are wise in not wanting the extra risk and complications that breast implants are associated with. The Horndeski Method (TM) has eliminated the vertical scar component that most lifts require and provides upper pole fullness without needing an implant.I hope this helps.Best wishes and kind regards,

Josh Olson, MD · Answer

A benelli lift would not provide enough of a lift and is best used in conjunction with breast implants. A lollipop or vertical lift would be necessary. A better breast shape is usually worth the additional scar. If your breast volume is different a small reduction on the larger side may be beneficial. Best of luckJosh Olson MD

David A. Bottger, MD · Answer

I feel that you would get the best  result with a vertical mastopexy, which would result in a lollipop scar. This provides optimal shaping and nipple elevation. A Benelli lift does result in less scarring, but does not provide the same degree of tissue and nipple elevation. Also, circumareolar scars from this procedure have more of a tendency to be irregular and potentially spread.

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Breast lift options? Internal bra? Don't want scarring! (Photo)

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