Benelli Breast Lift for Large Breast with Mild Sagging?

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.



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
insist on a board certified Plastic Surgeon.

Thank you for the question.

The Benelli ( circumareolar)   breast lift provides for only a minimal breast lift;  few patients are good candidates for this procedure. Based on your description it does not seem like you would be a good candidate. You may benefit  from in-person consultation with well experienced board-certified plastic surgeons.

Best wishes.

Dr. Benellito conceaved of a breast lift that involved removing a ring of skin around the areola and sewing the remaining breast skin to the edge of the remaining areola.  It has been modified in a few ways through the years, but still remains to be a procedure for SMALL breasts, and almost always in conjunction with implants.

Misapplied to larger breasts, which forces the surgeon to remove an ever larger ring of skin, and the results are usually ugly, and sometimes disasterous: irregular shaped areola, pleating of the skin around the areola, thickened scars, and abnormaly flattened breast mound shape.  The number one reason for malpractice lawsuits against plastic surgeons in the state of California involves this surgery.

My expertise is in breast surgery, and having performed countless breast lifts, I've come to the conclusion that in the larger breast, a truly good result is only gotten with a combination of lift and reduction.   That is because a large breast will always 'bottom out' no matter how tight the skin is made after a lift alone procedure.  If your desire is to maintain volume, than an implant can be utilized with this lift/reduction procedure.  Although seemingly contradictory, the breast implant  provides volume and shape that is more reliable for a long term good result, at the expense of removing the more natural feeling breast tissue.

Althought this more formal or extensive type of lift means there will be more incisions, when done well the resulting scars are usually inconspicuous. 

Visit a few well trained, American Board of Plastic Surgery certified doctors who perform A LOT of breast surgery.  Look at their photos and talk to them about what's right for you.  If you don't think you can tolerate the incisions, or if you don't want to be smaller and don't want breast implants, than you are better off doing nothing than getting a benelli lift!

Best of luck to you.