Surgery Plastic Surgery Breast Surgery The 5 Most Commonly Used Breast Lift Techniques The Benefits and Risks of These Popular Procedures By Natalie Kita Medically reviewed by Medically reviewed by Maria M. LoTempio, MD on January 09, 2020 facebook twitter linkedin Maria M. LoTempio, MD, is a double board-certified plastic surgeon specializing in reconstructive surgery and otolaryngology (head and neck) surgery. Learn about our Medical Review Board Maria M. LoTempio, MD on January 09, 2020 Print There are several different incision patterns and techniques used in breast lift surgery, each of which is suited to different types of patients and desired results. Some of these techniques have been in use for a long time, while others are fairly new, and some (such as the procedures hyped as “scarless” lifts) are as of now still considered relatively unproven. If you are considering having surgery to lift your breasts, educate yourself well on the options available to you, and consult with several surgeons about which technique they might recommend for you before making up your mind. The Anchor Incision This photo contains content that some people may find graphic or disturbing. See Photo Natalie Kita The incision is made around the perimeter of the areola, vertically down from the areola to the breast crease and horizontally along the breast crease, known as an anchor incision. This technique produces the most scarring and is suitable for women with a severe degree of sagging who will not be helped sufficiently by less invasive techniques. The anchor incision is the oldest technique used for breast lifts and is the desired technique in large-volume breast reductions. Vertical scar techniques like the anchor incision are best suited when smaller volumes of skin and internal tissues are to be removed, resulting in shorter scars and a reduced risk of puckering and indentations. The Lollipop Lift This photo contains content that some people may find graphic or disturbing. See Photo Natalie Kita The lollipop lift involves an incision that is made around the perimeter of the areola and vertically down from the areola to the breast crease. It is also known as a vertical scar keyhole incision procedure. This technique is suitable for women with a moderate degree of sagging who will not be helped sufficiently by less invasive techniques and do not wish to have breast implants inserted. The Donut Lift This photo contains content that some people may find graphic or disturbing. See Photo Natalie Kita The donut lift involves an incision that is made around the perimeter of the areola only. It is called a peri-areolar incision or a Benelli lift (so-named for the surgeon who pioneered the technique in 1990). This technique is suitable for people with a mild to moderate degree of sagging. However, when used by a skilled surgeon in conjunction with the placement of breast implants, the donut lift can produce satisfactory results for women with more pronounced sagging. The Crescent Lift This photo contains content that some people may find graphic or disturbing. See Photo Natalie Kita Although less commonly used than the other techniques, there is a fourth incision type wherein the incision line lies just along the upper half of the areola. Called the crescent lift, it involves the removal of a crescent-shaped piece of skin from above the areola, the cut ends of which are then reattached with fine sutures. This type of lift is usually done in conjunction with breast augmentation and is suitable only for people with a very small degree of sagging. The crescent lift can also be used to correct nipple asymmetry (in which one nipple is higher than the other). The results are generally very good with 98% of patients expressing satisfaction with the altered appearance of their breasts. The Scarless Lift yacobchuk / Getty Images For a select few people whose cosmetic concern has more to do with the loss of volume than with actual sagging, there are procedures available to lift the appearance of the breast that is touted as “scarless." These procedures can utilize or combine various techniques, including thermage (radiofrequency skin tightening), laser liposuction, and quill threads (barbed sutures that don't require knotting) to lift the breasts with minimal scarring. However, many of these procedures require incisions of some sort, no matter how small or well-hidden. Therefore, they cannot truthfully be called "scarless." These procedures are best suited for people with very little breast sagging. Like the crescent technique, they will not accomplish the same amount of lifting as those that employ larger incisions. There is limited research available to evaluate the success rate of scarless breast lifts. Breast liposuction is the best-studied of the procedures; it is ideal for those with minor asymmetry and less suitable for people with severe drooping or poor skin elasticity. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. 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