My dr is recommending concentric mastopexy round block bilateral, is this a benelli lift? (Photo)

Question

He will be removing some of my areola per my request as well and correcting constriction. He is also going to be using seri mesh for extra support. I will be having silicone implants as well. Does this sound like a procedure I will be happy with?

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

J. Garrett Harper, MD · Answer

I have to admit, I'm not thrilled with the plan.  I don't like concentric mastopexies- I think they flatten the breast and don't hold up over time well.  The best way to do a mastopexy-augmentation on you would be gel devices placed under the muscle and a formal lift with a superior pedicle .  You would either benefit from a circum-vertical (lollipop lift) or anchor lift depending on your measurements.  The best contour can be determined on the table once the implants are in and your nipple has been relocated to its new position.  I do not recommend Seri mesh for your breasts.  In fact, this product really isn't being used that much any more and the company that owns it isn't pushing it for breast surgery.  There have been a lot of problems with it.  Hope this helps.-JGH

Sanjiv Kayastha, MD · Answer

There are multiple ways to address  the drooping and lack of volume of your breasts. What your surgeon has proposed does not seem unreasonable. Your happiness with the outcome will depend on your expectations and what the surgeon is reasonably able to deliver. Ask to see before and after pictures of similar patients who have had this procedure done by your surgeon. That will help give you some idea about what can be achieved. Consider more than one consultation if you are not completely comfortable with your surgeon's plan.

Steven Wallach, MD · Answer

One can not predict if you would be happy after surgery, but the operation proposed sounds reasonable. Good luck.

Andrew Kaczynski, MD (retired) · Answer

I have been performing Benelli  lift for over 20 years and I am satisfied with the results when they are done  on the right patient. It is an excellent operation for a small amount of ptosis.  It is difficult to tell from your photos just exactly how much ptosis you have. It seems to me that you fall in between the range of small to medium ptosis. That means that you may need to have a lollipop lift or possibly even an anchor. The only way to tell this is to see a board certified plastic surgeon who is experienced in breast lift surgery  if you are concerned about the first opinion I would recommend getting a second and possibly even a third opinion to feel comfortable with the advice

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