Lollipop vs. Benelli lift for sagging breasts?

The key to success lies in letting you surgeon know
specifically what you would like to look like following the surgery. For
example, how perky do you want to be, what shape do you want to have,
etc.? However from your description it would appear that a lollipop
type lift would be best for you rather than a periareolar lift like the Benelli procedure.. Here is a rule
of thumb that works the best  for most patients in my experience. If you nipple is above your lower breast
crease then often a periareolar lift will be sufficient for most patients. If
your nipple is at or below your crease then a vertical lift (lollipop lift),
inverted T or anchor pattern may be required



The Lollipop incision for Grade 3 or 4 ptosis (areolar near
or below your breast crease) works best in my hands and the use of a Lollipop
technique can lift your breast to the perkiness you desire. However, other
plastic surgeons are more comfortable with an inverted T or Anchor Pattern
technique.The donut lift does tend to both
flatten and have scars widened as you are removing skin around the areola which
causes tension in that single area causing it to "spring' apart over time.
With the Lollipop incision the tension is spread out over a greater distance of
the lower vertical scar (where the areola once was) causing less tension on the
areola and entire closure. The vertical lift tends to cone the breast making it
more shapely (conical) and less flat.
For a visual take a paper circle, cut out a small wedge on the bottom and bring
the edges together to see this effect. In general I would pick the best Surgeon
and explain fully what you want to achieve rather than the technique. Always
insist on a board certified Plastic Surgeon.

Thank you for your question.  Congratulations on your decision to have surgery.  Photos would be helpful to best answer your question. A breast lift to bring the breasts up and reduce the size of the areola.  The type of incision needed is best determined by physical exam.I perform a liposuction breast lift/reduction known as Breast LipoLift®. This specialized technique spares more nerves and blood supply as well as 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 excess skin to tighten the breast and create a more proportional silhouette with better cleavage. This procedure is also more accurate than traditional breast lifts or reductions since I use 3D measurements to uncover size asymmetries. During the procedure I remove exactly whatever is more from the larger side to get as close to symmetry as possible. Since I perform this less invasively the recovery time is faster and drains are not necessary. Over 90% of my patients are out to dinner the next evening taking only Advil and Tylenol if even needed. The size would depend on the proportion with your body versus going for a cup size.  It has been proven to have less complications than traditional breast reduction (please see my Breast LipoLift® page web page) and should not affect nipple sensation, mammograms, cancer risk or breast-feeding. 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 breast plastic surgery.  Best of luck!    Dr. Schwartz Board Certified Plastic Surgeon#RealSelf100Surgeon #RealSelfCORESurgeon#RealSelfTopContributor

To elevate a nipple 5.5 cm with only the periareolar (Benelli) incision is "wishful thinking." There are many factors involved with a lift/augmentation.
If your volume is good and you just want the lift and tightening, then the mastopexy alone. There are limitations of each lift: periareolar, vertical, or anchor. So, your surgeon needs to explain each in detail. 
If you need more volume, then a submuscular implant and mastopexy is ideal. As above, many options and combinations are available.