Benelli Mastopexy

Procedure overview

Benelli Mastopexy, or periareolar breast lift, provides a refined and minimally invasive option for women seeking to restore youthful breast contour while addressing emotional concerns linked to breast ptosis, asymmetry, or body-image imbalance. For many patients, subtle lifting can significantly enhance confidence and psychosocial well-being.

Medically, the technique offers controlled nipple–areolar complex elevation, optimized scar concealment, and improved symmetry through a circumareolar approach that preserves tissue integrity. By avoiding vertical scars, it achieves aesthetic enhancement with precision and long-term stability.

Ideal candidates

Ideal candidates usually present with Grade I–II breast ptosis, stable breast volume, and adequate parenchymal support. This technique offers predictable results in women who desire subtle lifting without major reshaping.

Mild to Moderate Ptosis: Best outcomes occur in patients who do not require extensive glandular repositioning.

Good Skin Elasticity: Non-smokers with healthy collagen quality, stable hormonal health, and no major weight fluctuations demonstrate superior healing and long-term scar refinement.

Procedure details

Benelli mastopexy reshapes the breast mound by tightening the periareolar skin envelope and repositioning the nipple–areolar complex. Surgeons create a concentric circumareolar incision, allowing correction of mild to moderate ptosis through precise round-block suturing.

• Circumareolar Excision Pattern: A circular incision around the areola enables targeted tightening of dermal tissues, restoring upper pole support and correcting descent without extensive incisions.

• Dermal Tightening Mechanism: The purse-string closure redistributes tension across the breast mound, enhances projection, and stabilizes nipple height while minimizing the risk of visible pleating or scar spread.

Surgical success relies on accurate periareolar markings, symmetrical planning, and meticulous layered suturing.

• Preoperative Marking: Surgeons outline inner and outer periareolar rings, ensuring balanced nipple height, breast meridian alignment, and harmonious parenchymal distribution.

• Round-Block Suturing: A permanent or semi-permanent circumareolar suture stabilizes the areolar diameter and unifies dermal edges, reducing pleating and preserving shape over time.

Costs and insurance

This technique offers subtle yet effective breast lifting with minimal visible scarring.

• Minimal Scarring: The scar sits at the pigment transition of the areola, blending naturally and maturing discreetly over time.

• Enhanced Symmetry: Controlled areolar tightening and improved nipple position create better alignment, upper pole definition, and balanced aesthetic proportions.

Risks and complications

Like all surgical techniques, Benelli mastopexy carries inherent risks that should be discussed during consultation.

• Areolar Widening: Tension imbalance or weak purse-string reinforcement may cause gradual stretching.

• Sensory Alterations: Temporary numbness or reduced nipple sensitivity can occur due to superficial nerve disruption but typically resolves with healing.

Patient experiences

Patients should anticipate a focused recovery period prioritizing scar protection and controlled activity.

• Edema and Ecchymosis: Swelling and bruising resolve over 10–14 days, while circumareolar scars flatten and mature through the remodeling phase.

• Activity Modifications: Avoiding upper limb strain, wearing a supportive garment, and attending follow-ups help maintain areolar diameter and breast shape.

Expert opinions

Breast surgeons frequently describe the Benelli technique as highly reliable for managing mild ptosis without introducing vertical scars.

• Predictability in Mild Ptosis: Surgeons value its precision and scar minimization, especially in patients who do not require extensive tissue movement.

• Adjunctive Implant Use: When volume enhancement is desired, combining a Benelli lift with implants provides improved projection and contour.

Regulatory and ethical considerations

Ethical practice is essential in aesthetic surgery, particularly when balancing expectations and surgical limitations.

• Ethical Indications: Surgeons must evaluate psychological readiness, ensure expectations are realistic, and avoid overtreatment.

• Informed Consent: Patients should receive full disclosure about limitations, alternative techniques, risks, and long-term considerations before committing to surgery.

Technological advancements

Modern tools and materials have refined the safety and predictability of Benelli mastopexy.

• Advanced Suture Materials: High-strength, uniform-tension sutures help prevent pleating and promote refined scar maturation.

• 3D Breast Imaging: Digital simulations assist in precise planning, predict postoperative nipple position, and enhance patient understanding.

Alternative treatment

Patients with more significant ptosis or different aesthetic goals may benefit from alternative lifting techniques or non-surgical options.

• Vertical (Lollipop) Mastopexy: Ideal for moderate to severe ptosis requiring vertical reshaping.

• Anchor (Wise-Pattern) Mastopexy: Best for advanced ptosis with significant tissue descent.

• Fat Grafting: Provides subtle augmentation and contour refinement without implants.

• Non-Surgical Radiofrequency Tightening: Suitable for mild skin laxity through collagen stimulation.
  

Disclaimer

This article is for educational purposes only. Patients should consult a board-certified plastic surgeon or dermatologist for individualized assessment, medical clearance, and customized treatment planning.

Conclusion

Benelli Mastopexy offers precise correction of mild breast ptosis with minimal scarring, natural contour enhancement, and high procedural safety. When performed by experienced specialists, it elevates breast aesthetics and patient confidence with beautifully subtle yet impactful results. At Cosma Beauty, we connect patients with board-certified experts who prioritize safety, personalization, evidence-based techniques, and naturally elegant outcomes.

FAQs

1. Is periareolar Benelli mastopexy suitable for all breast shapes?

No. It is best for mild ptosis without significant glandular descent or excess skin.

2. Will sensation in the nipple be affected?

Temporary sensory changes may occur but often improve as nerves regenerate.

3. How long do results last?

Longevity depends on tissue quality, aging, hormonal changes, weight stability, and postoperative care.

4. Can implants be added?

Yes. Combining the technique with implants improves volume and projection.

5. When can I resume exercise?

Light activities may resume after two weeks; upper-body workouts should wait 4–6 weeks.

6. Does the scar remain noticeable?

Most scars fade into a fine line at the areolar border and are easily concealed.

Benefits

This technique offers subtle yet effective breast lifting with minimal visible scarring.

• Minimal Scarring: The scar sits at the pigment transition of the areola, blending naturally and maturing discreetly over time.

• Enhanced Symmetry: Controlled areolar tightening and improved nipple position create better alignment, upper pole definition, and balanced aesthetic proportions.