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

Question

My breast are small and their sagging is 24 cm. I am 5' 10" tall and weight 134 lbs. I would like to do breast augmentation with Benelli lift, to avoid the lolipop scars of full mastopexy. On the photo below you can see my current breast appearance (left) and how I photoshoped my desired shape (right). I moved the center of the nipples only 1 cm up, as I have already learned that the donut cut cannot lift the breasts signinficantly. Is it doable? What do you recommend? Thank you!

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	Although your efforts with computer imaging are to be commended,  you should be aware that the results of actual surgery may vary significantly from what can be accomplished on the computer screen.

	Personally, without direct examination, I'm not able to provide you with a precise answer to your question;  it is not clear to me based on the limited photographs whether you will be okay with a circumareolar (Benelli)  or whether additional breast lifting will be necessary to achieve aesthetically pleasing results.

	My best suggestion would be to meet with well experienced board-certified plastic surgeons who can demonstrate significant experience helping patients in your situation. Be careful about selecting an operation simply because it will result in fewer scars.

	 Best wishes.

Kevin Brenner, MD, FACS · Answer

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.

Edwin C. Pound, III, MD · Answer

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.

Kenneth Hughes, MD · Answer

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.

Jeffrey Zwiren, MD · Answer

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.

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

Answers (10)

Answer: Breast Augmentation and Benelli Lift

Answer: Breast Augmentation and Benelli Lift

Answer: Problems with the Benelli mastopexy

Answer: Problems with the Benelli mastopexy

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (10)

Answer: Breast Augmentation and Benelli Lift

Answer: Breast Augmentation and Benelli Lift

Answer: Problems with the Benelli mastopexy

Answer: Problems with the Benelli mastopexy

Browse related questions

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.