Do the Benelli Lift and 300 Cc Silicone Moderated Profile Implants Work for Me? (photo)

I´m 38 year old, 5'5'' tall, and weight 123 pounds, breast size 36B. I already have 230cc silicone subglandular implants and a crescent lift on my right breast, that´s why my right nipple is bigger than the left. The distance between my right nipple to the sternal notch is 24 cm and from the left nipple is 23 cm. I would like to even my nipples, lift my breasts and have a nicer cleavage. Thanks for replying!

Doctor Answers 11

Implants and benelli lift

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I think that based upon your photos, an augmentation and a circumareola lift may be the right operation for you.  An exam in person is vital.

Implant exchange and lift

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Based on your excellent description and photos, a periareolar lift with implant exchange (consider high profile implants) would be an ideal plan.  Good luck.

Leonard T. Yu, MD
Maui Plastic Surgeon

What implant size works best for me and do I need a lift

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Thanks for the quality photos. It does make it easier to give better advice after seeing them. You have a good shape to your breasts but, like most women, there is always some degree of asymmetry. Your left breast does appear only slightly more lax but a left lateral image would show that. If you were only interested in enhancing your size, I would say that from your photos you don't need any lift in addition to fuller implants. If you are trying to achieve better symmetry of your nipple height and size then a peri-areolar lift should help you achieve this. The term Benelli lift refers to a more aggressive surgery than what you need but this is a common misconception. I hope this helps.

Dr. Edwards

Benelli Lift may improve position and size difference of areolae

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Your high quality photos show that you have healed with fabulous scars following the right crescent lift. Progressing to a Benelli lift and larger implant will likely improve the breast form and areolae discrepancies. Using a permanent suture for the Benelli lift helps to minimize scar width and better control the areolar dimensions. Unfortunately, I find cleavage, as defined by distance between the central edges of your breasts, not to be reliably altered by surgical techniques as this is generally defined by your baseline anatomy.  

Benelli Breasts Lift/ Re-augmentation to Achieve my Goals?

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Thank you for the question and pictures.

 Although I am not able to give you precise advice without direct examination and a full communication of your goals, I think you may do very well with the operation you are considering. Keep in mind that the Benelli breast lift  will achieve a modest lift for you ( and this  modest lift is  all that may  be necessary).  You may want to consider the use of larger breast implants to achieve improved cleavage and/or more fullness superiorly.

 I would suggest in-person consultation with board-certified plastic surgeons;  communicate your goals clearly.  I prefer the use of goal  pictures to help with this communication process.

  Best wishes.

Benelli and What Size Implant is Best?

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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 for most patients. 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.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination.Always insist on a board certified Plastic Surgeon.
See the below link for additional information.

Revision augmentation and circumareolar closure

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It's always interesting to see photos of patients that seem to not really need lifts but by measurements they seem to.  Your personal physical exam with a board certified plastic surgeon is critical.  Mentioning the details of what you want of your areolas... critical.  Once he has understood, I think he will be able to very effectively get you the result that you need and want; until then, your plan seems sound.

Best wishes on this,


Do the Benelli Lift and 300 Cc Silicone Moderated Profile Implants Work for Me?

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Looking at your pictures, I think a Benelli Mastopexy would be a good fit. I always consent patients for a "possible vertical" in case the circular lift flattens the breasts too much.  A vertical lift allows for a more natural cone shape to the breast.  In your case I would be confident that the Benelli lift would work fine.  Good luck.

That is a very good procedure for you.

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Thank you for the photos.  The benelli lift also known as purse-string mastopexy or doughnut lift is designed to shape the areolas and lift them about 1-2 cm if needed.  You appear to be a good candidate for this.  The link below gives you an idea of what you might expect.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 170 reviews

Do the Benelli Lift and 300 Cc Silicone Moderated Profile Implants Work for Me

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I think that a circumareolar lift is the right approach for you. I would only suggest careful discussion with your surgeon about the size change. 70 cc will be a noticeable change, I believe, but barely so. It would probably be less than half a cup size. Be as sure as you can be that that is a sufficient amount of size increase.

Thanks and best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

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.