The Most Commonly Used Breast Lift Techniques

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 it is suitable for women with a severe degree of sagging who will not be helped sufficiently by other less invasive techniques. This incision is the oldest technique and is often used for a breast lift in conjunction with a breast reduction.

The incision is made around the perimeter of the areola and vertically down from the areola to the breast crease. It is also known as a “keyhole” incision. This technique is suitable for women with a moderate degree of sagging who will not be helped sufficiently by the peri-areolar technique (below) and who do not wish to have breast implants inserted.

The incision is made around the perimeter of the areola only, which is why this technique is technically referred to as the "peri-areolar" incision; it's also called a “Benelli” lift (so named for the surgeon who pioneered the technique). This technique is suitable for women with a mild to moderate degree of sagging, although when used by a skilled surgeon in conjunction with the placement of implants, it can produce a satisfactory result for patients with more pronounced sagging.

Although not as commonly used as the aforementioned techniques, there is a fourth incision type wherein the incision line lies just along the upper half of the areola. A crescent-shaped piece of skin is removed above that line, and the surrounding skin is reattached to the areola. This type of lift is usually done in conjunction with breast augmentation and is suitable only for women with a very small degree of sagging. It cannot accomplish the same amount of lifting as the previously mentioned incision techniques.

For a select few women 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 even combine) breast implants, thermage, smart lipo, and/or “quill threads” to lift the breasts with minimal scarring. However, they all require incisions of some sort, no matter how small or well-hidden. Therefore, they cannot truthfully be called “scarless.” These procedures are also only suitable for those patients with very little sagging of the breast. Like the crescent technique, they will not accomplish the same amount of lifting as the techniques that employ larger incisions.

Learn more about breast lift surgery with what you need to know about mastopexy.