It is important that read and re-read this text before you consider this surgery.
Reshaping and lifting the bust, like augmentation and reduction are surgeries that brings a rise in a woman’s self esteem. But in addition, returns bust to the height, shape and volume that it once had. Main reasons for its descent, sagginess and decreased volume are weight gain and gravity, which will cause a drop in the breast tissue. Another factor is lactation after multiple pregnancies.

The majority of women asking for this surgery ranges between 27 and 45 years of age.

This surgery lasts approximately 3 hours, because its performance is very laborious and requires much detail. The full recovery time is 18 to 21 days.

In 1984, Dr. Louis Benelli, of Paris, France, developed a new technique, which modestly shared with the world through articles and talks, saying he was not the original creator of the technique, but from several surgeons who previously had designed it.

This surgery results in reshaping and elevating the bust in a new shape and location, with a more natural look, getting rid of some spare skin, with a re-arrangement of the gland within the skin that contains it. Surprisingly, the result is only a circular scar around the areola, in its new location.

This technique called Periareolar, or “Round Block” as Benelli called it, is ideal for those young women, who do not want the scar with an inverted-T, or for those requiring a good fit for their bust, and have no over-hanging or empty their gland.

Its main advantage is its small scar, and the aesthetic improvement of the gland is excellent.

 This technique is also used in some cases of gynecomastia, or the existence of swollen breasts in men, with excellent results (click Gynecomastia) for more information

The disadvantages are that tiny pleats or ruffles at the circumference of the areola the breast will be noticeable for a few weeks, and at the first days after surgery it will be somewhat flattened. I don’t recommend this technique when there is too little or too much gland, and in these cases I better use another technique. For instance: inverted “T”. Those of lighter skin tone (click Skin Types), do better in most Plastic Surgery cases, since deeper colors heal leaving a slightly darker hue in their scars.

In the first consultation I will realize which of the two surgeries is best for you, and together we decide what technique to use.

In some cases, the breast is small and rather flabby and hangs on its skin coverage, so it is advisable to put a small implant while we do the reaffirmation and elevation.

Usually the average distance between the sternal notch and each nipple is about 18 cm in young people who had no pregnancy or lactation. The range of descent in which we operate to breast lifts, goes from 28 to 32 cm. Greater distances will be technically more laborious, but is generally accompanied by higher mass and volume of breast and usually they are rather candidates for breast reduction (click Breast Reduction for details).

I like starting surgery early in the morning and the surgery takes about 3:30 hours. You’ll stay overnight in the clinic to be discharged the next morning. Please click To my patients that live outside of Tijuana for more information.

After your operation, you will leave with a bandage, a bandeau or a special bra that I will order you to get before your surgery. Click ( ) for ordering one or two.

The overall recovery in this surgery is approximately 10 days.


Wash your chest, both front and back, three nights in a row before surgery with Isodine foam shampoo (Betadine in the US). You can use Lever 2000 or Dial instead. Order your support garment I will indicate. You should wear it for 10 days after the operation. In the office we will give you more info on how to select a good one. Carry this bra to the hospital when you check in. Bring comfortable clothes with zipper or buttons, and not pullover, for your comfort.

Do not take aspirin, or aspirin derivatives for 2 to 3 weeks before. Click Non-Recommended Medicines for more information.

You should be fasting at least for 8 hours before surgery, and I cannot overemphasize this. It is very important not to take anything by mouth, even water, before surgery.

If you have any questions, call us within office hours is from 9am-5pm, by telephone: (664) 684-25-51. Office workdays are Monday through Friday.


It is highly recommended that once you get home, try to stay in bed and begin your medicine to prevent pain, even if you don’t have it. You will be more comfortable putting two pillows on your back, or to be semi-sitting.

Remain at rest for 24 to 48 hours. You are allowed to go to the toilet and the three meals with help. The first night you may drink fluids sips and gradually increase until soft diet. If you don’t have nausea, you can eat normally.

You will come out of surgery with drainage tubes, one on each side of your hip, which will collect fluid from inside your operation in a rubber bulb. These drains are not painful, and you must be careful not to get dirty or accidentally pull them.

The drainages shall be removed within 4 to 5 days, and this is not painful at all. You will be wearing your compression garment and not allowed to bath or shower until one week after surgery, with tepid water. Hot water will harm you. The garment should be used for 18 days, then you can use the support of your preference, but you can even walk without it.

Currently I’m not leaving stitches that have to be removed, but if I do, I will remove them at 10 days, and it does not hurt.

There will be bruising around your bust, which in a few days will turn yellow and will disappear at 18 days. They leave no trace, are not painful.

Your bust must not be tough handled by neither you nor intimate relations during the first 3 to 4 weeks to prevent internal bleeding, infection or stitch losses.

You can drive your car from day 10 onwards, if your recovery is adequate, but for small periods. You can return to sports after 30 days, and generally, all kinds of physical activities. You can go without bra after three weeks.

To view some photos of this surgery, click Photo Gallery.

Any doubts about this surgery, please call the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976. We wish you a speedy recovery and an excellent experience with your esthetic lid surgery, send an email or click Contact us for more information