I am a small C right now.....I am looking to be a dull D with a slight lift, I dont want them extrmemly up high....I would like my nipple to stay the same but maybe a hair smaller. The only lift I will consider is the benelli lift. I wasnt high prrofile smooth silicone gel implants. Please I would appreciate your suggestions. Thanks!
I Want to Do a Benelli Lift with High Profile Silicone Gel Implants to a Full D? (photo)
Doctor Answers 10
Benelli and Breast Implants
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. See the below link for more information on this subject.
Always choose on a board certified Plastic Surgeon.
Augmentation Lift with minimal scarring.
I think an augmentation with moderate or high profile implants would increase your size to the desired D cup, and would also raise your nipple height somewhat. A periareolar (Benelli) mastopexy would decrease the width of the areolae, but the diameter might stretch over time in response to a large implant. All the incisional scars can be camouflaged at the areolar border between the 2 different skin colors. I have found the "round block" interlocking suture technique for the periareolar suture to maintain the areolar size more reliably.
Lift plus aug
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Circumareola lift and implants
Based solely on your pictures, you look like a good candidate for a lift and implants. To prevent your areola from stretching too significantly a circumareola lift with permanent suture would be a good idea.
Benelli Mastopexy With Silicone Implants Appears To Be The Way To Go
Given the pictures you presented us and your comments, I would recommend a transaxillary subpectoral breast augmentation followed by a Benelli mastopexy to allow your breast tissue to move up to the implant while the areolar is made slightly smaller. Since the entire Benelli operation rests on a single suture around the areola (round block technique), you need to take the tension off the suture for a minimum of 6 months. Therefore, since you are getting relatively large breast implants and since there will be a lot of tension on the suture, I recommend wearing a very supportive bra, worn day and night, for 3-6 months after your augmentation/lift.
A sub mammary textured high profile breast implant with or with out a areolar reduction would be best
It appears that your nipples are not particularly low but that you have a volume problem with the bottom of your breast. Since you have adequate breast tissue in the upper pole of your breast then a peri areolar incision and a sub mammary textures high profile gel implant would be best for you. If you are desiring to have smaller nipple areolar complexes then a peri areolar mastopexy would be a reasonable addition.
Lift with high profile implants
One of the concerns with choosing a breast implant is whether or not it is the right fit for the size of the chest. I've have had many patients that came in with their minds set on a certain type of implant because a friend told them to use this or that implant, or that they tried out a sample implant and thought they looked good with it. I always discuss with my patients why I would or would not choose a certain implant. Make sure your board certified plastic surgeon discusses this with you to your understanding.
A problem with Benelli lifts done with a simultaneous augmentation is that oftentimes the areaola will expand beyond the Benelli stitch. I have seen patients from other surgeons where the areola expanded to cover a significant amount of the breast. These are very hard to fix without removing or downsizing the implant. But most of the time there is a slight stretching or widening than what was seen prior to the surgery.
Lift with implants
Dear Roxana. If you want your areolas smaller and the nipples lifted slightly, the get the peri-areolar mastopexy. I've had many women with similar breast shape as you refuse the lift and they looked fine. The areolas did get a little larger, but otherwise they were pleased because they didn't have any scars on their breasts. You can always come back and have the lift done later if you want. As far a the implant syle, that is typically determined by your breast measurements. At least in the photos you have here, it looks to me like the high profile implants would be too narrow for your frame. They would sit too far apart and widen your cleavage gap. Be sure to review these things with your surgeon before surgery so you're not surprised after you have it done.
Periareolar lift with implant
By your photo and description, this plan could be appropriate for your goals. Sometimes finding a photo of someone with the breast shape and size you want will be helpful for your surgeon also.
Breast augmentation - Benelli
Your question is a bit confusing however my recommendation would be to perform a Benelli periareolar breast lift with a High Profile breast implant. The High Profile implant will counter-act the slight flattening effect of the Benelli Periareolar lift.
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.