Breast Sagging of 24 Cm, I Photoshoped my Desired Shape with Benelli? (photo)

Although you have done an excellent job altering your photos in photoshop, the reality is that soft tissue do necessarily behave in the same way. It appears that the degree of sagging, combined with the large  size of your areola may preclude the use of a Benelli lift in your. Of course, this will greatly depend on the size and type of implant that you ultimately choose.

First, beware of photoshopping or computer imaging results.  You can do lots of things on computers that you may or may not be able to re-create using real tissue. 

There are two goals in a breast lift - 1. to elevate the nipple/areola, and 2. to tighten up the tissue under the breast to allow for a higher, perkier look to the breast.  A Benelli (aka, donut) lift only accomplishes the first goal.  It does not tighten up the tissue under the breast.  Whenever I do a Benelli lift, I feel that I get better results if I do it in conjunction with the insertion of a breast implant to fill out the excess skin.  If you do not want a breast implant then I am thinking that a Benelli lift may not give you the result that you see in your photoshopped picture.  You will probably need a lollipop lift.  Even with an implant this may be necessary.  Only an examining plastic surgeon can make that determination.

   You appear to have elements of deflation, ptosis, and constriction.  The deflation can be improved with the implant and the constriction to some degree.  The ptosis may be too great for the Benelli alone.  However, a larger implant with a high profile may give a better opportunity to avoid a vertical or full breast lift. 

          The breasts may not have the degree of medial fullness as well, as is depicted in the inferior pole in the photoshop pic.  All of these elements along with chest wall width need to be taken into account during consultation and exam. Good luck.

The Benelli or doughnut mastopexy has the highest level of patient dissatisfaction.   The force vectors are all in the wrong direction and it tends to flatten out the breast loosing the conical shape to the end of the breast. It raises the nipple but does nothing to support the inferior breast.  In many cases the areolar widens out in an abnormal fashion.  If you are only removing areolar skin then I think that it works otherwise a vertical mastopexy is the correct decision.

You are very good with your computer skills. Unfortunately what can be accomplished on a computer is not always transferable to real life. The same applies to computer imaging