Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise? (photo)

11 months ago I had a Benelli mastopexy for my tuberous breasts. Quite a lot of stretching of the areolas occurred, which I can live with, however--I'd like to know what the chances are of a satisfactory result if I have scar revision on my left breast (only)? The scar and surrounding skin at the top looks rather uneven and pleated compared to the natural look my right one has. I don't want further stretching to occur. What do you advise? Also, would a crescent lift type revision be an option?

Doctor Answers 9

Benelli areola revision

A revision of the areola may be possible. It is best to review this with your surgeon, so that he may give you the best advice based upon the exam.  Good luck.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Benelli lift: revision

#Hypertrophic or #keloid scars can be a problem. The worst are usually under the breast with an #AnchorLift or inverted “T”. These can be treated like all thickened scars with re-excision, laser, kenalog/5-FU injections, creams, silicone strips and other methods to reduce and improve healing.
Revision can help, but does not always heal better

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise

It would be helpful to see a photo of the other areola before making a recommendation. If the other side has none of the issues that you note, and if both areolas were about the same size before surgery, I would be inclined to think you are likely to have an improvement. Consider posting a photo showing both breasts. Thanks, best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Scar Revisions after Breast Lift

   Scar Revision after 1 year may appropriate.  There are multiple factors to discuss with your plastic surgeon including How much did the areolae stretch after the first surgery?  Was there asymmetric stretching (right vs left)?  Do you form poor scars in general?  How does the other areola look?

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Scar revision using the same technique may not help

It is very important to control the tension or your areaolar spread could even worsen.  You might consider fractional co2 first to just improve the scar appearance.

W. Tracy Hankins, MD
Henderson Plastic Surgeon
4.9 out of 5 stars 299 reviews

Should I Have Scar Revision Surgery Post Benelli Mastopexy--what Do You Advise? (photo)

A scar revision would be beneficial

I would use the sub-areolar technique where multiple sutures are placed beneath the areola to help reduce stretching

Hilton Becker, MD
Boca Raton Plastic Surgeon
4.6 out of 5 stars 15 reviews

Areola Revisionary Surgery Indicated?

Thank you for the question and pictures.

Although, the easy answer is that you will  likely benefit from revisionary surgery, you should definitely consider the potential risks associate with additional surgery. For example, despite best efforts, you may experience continued pigment changes, abnormal scarring, areola asymmetry,  and/or re spreading of the areola.

 Ultimately, only you will be able to decide whether the additional surgery is warranted,  based on your level of dissatisfaction currently. One option would be to allow for ongoing time ( for example an additional 6 months to one year),  prior to making this decision.

 I hope this helps.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews


There always is the possibility of recurrent scarring with revision surgery.  There are certain techniques that a surgeon can use to decrease the scarring though.  See a Board certified Plastic Surgeon for an evaluation.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 reviews

Scar revision?

You should weight the benefits versus the risks of revision before undergoing the procedure. Consider that now the skin has stretched a bit and this could recur even with another reduction of the areola. At 11 months post surgery, it might be too early to move forward, but you should discuss this with your plastic surgeon. Good luck!

Aldo Guerra, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 202 reviews

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.