I had Benelli Lift after explant. Breasts are now flat with large areola, can this be improved with a lollipop lift? (photos)

Question

I do not care if I have scars or my breast are very small but I think they look very ugly in their current state. They are so flat and droopy and not perky at all, I am aware this is common with Benelli and was ill advised to get one. I am concerned I do not have enough breast tissue or skin to make much improvement. I would like smaller nipples and more projection. I am happy to travel so international responses are welcome. I appreciate your opinions.

Ronald J. Edelson, MD · Answer

I am not a fan of the benelli lift or any other donut type lift but you actually got a really good result. I think you would do well to get slightly larger implants. If your nipple was too low I would advise converting to a lollipop type lift but I don’t think that’s the case in your situation.

Kenneth Hughes, MD · Answer

Hello.
Great question. Thank you for your pictures. Based on your images, you will benefit from a breast lift to achieve a perkier appearance. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

Gary M. Horndeski, MD · Answer

I do not recommend a lollipop lift because it requires an unattractive vertical scar.  Instead, I recommend The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.   Best Wishes,Gary Horndeski, M.D.

Luis A. Mejia, MD · Answer

Hello, thank you for your question and provided information as well..
Based in your question and the pictures you  showed, you are a great candidate for a breast augmentation with the lollipop lift since your breast look flat and i'd give it a more rounded look. You may want to consider breast augmentation sub muscular. The size, profile, and shape of the implant is based on your desired breast size/shape, your chest wall measurements, and soft tissue quality.  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   
Best of lucks.
Dr. Luis Mejia.

Daniel Barrett, MD · Answer

Dear Cheerful8267,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Sarah Mess, MD · Answer

I think you would still be a candidate for a breast lift to help with nipple size and placement, and fat transfer breast augmentation to add fullness and round out the shape of your breast. You could also opt for a more traditional mastopexy augmentation with silicone of saline implants if you prefer more upper pole fullness. Either option would address the concerns you mention.

Connie Hiers, MD, FACS · Answer

If you are concerned about volume, you could have fat transfers to have more fullness. If you are mainly concerned about shape, the vertical lift would tighten your breasts more.

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!
From your photos, the nipple areolar complexes ride low on the chest wall, although still slightly above the fold at the bottom of the breasts. You appear to have lost superior pole fullness and there is an excess of inferior pole fullness. 
The Benelli lift is known for often resulting in flattened pancake breasts and can only lift the nipple a cm or 2. . A more effective breast lift will lift the breast and can reduce the size of the areolae and eliminate the inferior pole fullness while increasing superior pole fullness, conifying the shape of the breast. I don't have an adequate view to determine if you require vertical or full pattern lift. Measurements are required.
Visit a board certified plastic surgeon for in-person evaluation and discussion. You don't need to travel...there are many board certified plastic surgeons in your area. It is always best to have surgery locally. This is not an uncommon procedure. 
Best wishes...

Douglas Taranow, DO, FACOS · Answer

Dear Cheerful,Your results are not terrible following a Benelli lift, however, if you are unhappy with them, then by all means have a revision.  You mentioned your nipples being too large.  I assume you meant the areolas (dark area around the nipple).  A lollipop lift would certainly make then breast more perky and reduce the size of the areola.  If you desire upper pole (top fullness or more volume or roundness, you may consider an implant.Dr T

I had Benelli Lift after explant. Breasts are now flat with large areola, can this be improved with a lollipop lift? (photos)

Answers (9)

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