Smaller Implants After Breast Lift - Can I Have Another Benelli Lift?

I consulted with three plastic surgeons before I underwent a breast mastoplexy. Two told me that I needed a full lift, which would require the lollipop incision. The third told me that a benelli lift with implants would lift me. I chose the third because I get keloid scars. I had 525cc implants under the muscle, which brought me from a 36C to a 36DD. I'm thinking about going smaller (w/smaller implants), to a D or C cup. Can I have the Benelli lift again or will I require something more?

Doctor Answers 6

Surgical Options When Implant Size Is Decreased

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It's definitely possible to make the breasts smaller by decreasing breast implant size. Unfortunately, this is often associated with secondary problems including loss of superior breast fullness and recurrent breast sag. Correction of these problems usually always requires adjustment of the soft tissue envelope.

It's not unusual for patients to have excess skin and soft tissue in both the transverse and vertical dimensions following the removal of large breast implants. In addition, the implant pocket may be too large for a smaller implant and this may accentuate lost upper breast fullness and breast sag.

For these reasons, decreasing breast implant size may require decreasing the size of the implant pocket with a capsulorrhaphy. In addition, patients may require an anchor or lollipop mastopexy to remove excess skin in multiple dimensions. The exact procedure chosen will depend upon the patient's physical examination.

If you're switching to smaller implants, it's important to thoroughly discuss your surgical options with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Repeat Circumareola Mastopexy?

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Thank you for the question.

The type of breast lifting that you will benefit from will depend largely on physical examination;  pictures would be helpful as well. Assuming you are a candidate, repeat circumareola mastopexy can be done.

Best wishes.

Repeating a Benelli breast lift (minimal scar mastopexy) with downsizing of implant

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A Benelli lift can be repeated but it it may be associated with a higher risk of losing nipple sensation.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Benellis lift redo?

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If you had a Benelli lift or a circumareola lift and an implant and want to go a bit smaller you may be a candidate but it would be hard to say without an exam.  You may need a small vertical closure if it is not enough.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Another Benelli?

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I think it's a mistake to ask too much of a Benelli lift.  It you expect the Benelli to tighten the breast, lift the nipple and reduce the areola diameter, you can end up with nasty scars and a really weird shaped breast. 

The vertical component of a full lift usually heals very nicely.  I've not had any true keloids in this area although it is possible.  I'd have your surgeon look at your keloids.  They just may be hypertropic scars and not true keloids.  It's more likely to have a nasty scar around your nipple if the closure is too tight than a nasty vertical scar from a normal tension vertical lift.

Beware the overworked Benelli!  I have learned the hard way.

Lisa Lynn Sowder, M.D.

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 77 reviews

Going with smaller implants may require another lift.

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Whether or not you can have another limited incision breast lift after exchanging your implants for smaller ones really depends on the quality of your skin and your current nipple position.  Is your nipple position good now?  Is your skin fairly elastic?  Are you going a little smaller or a lot smaller?  These are considerations that your plastic surgeon will make when he or she examines you, and decides whether you will need another lift, and what type lift is appropriate to give you the best result.  A limited incision technique is great but not at the expense of shape, and similarly, a nice longer scar is better than an ugly short scar.

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.