A breast lift, medically known as mastopexy, is a surgical procedure designed to raise and reshape sagging breasts. Over time, factors such as aging, pregnancy, breastfeeding, weight fluctuations, and gravity contribute to the loss of skin elasticity, resulting in drooping breasts. A breast lift helps restore a firmer, more youthful contour. However, not all breast lifts are performed the same way. Depending on your body shape, degree of sagging (ptosis), and personal goals, your plastic surgeon will recommend one of several surgical techniques. Each type varies in incision pattern and the degree of lift it offers. The types of breast lift surgery, what they involve, and who they’re best suited for are all mentioned in below.

Types of Breast Lift Surgery

Crescent Lift :- The crescent lift is the least invasive form of breast lift surgery. It involves a small, crescent-shaped incision just along the upper edge of the areola. This technique is usually reserved for women who have only very mild sagging and are also undergoing breast augmentation with implants. The implant adds volume, and the minor lift helps reposition the nipple slightly. While the scar is minimal and blends well into the edge of the areola, this method does not provide significant lifting, so it’s not suitable for those with moderate or severe breast droop.
Peri-Areolar or Donut Lift :- Also called the circumareolar lift, the donut lift involves a circular incision around the entire border of the areola. This method is commonly used for mild to moderate sagging and can also help reduce areolar size if needed. It provides more lifting than a crescent lift but is still considered relatively conservative. Often, it is performed in conjunction with breast augmentation to optimize both shape and volume. The resulting scar is hidden around the edge of the areola, making it quite discreet. However, this technique does not achieve as dramatic results as more extensive lifts.
Vertical or Lollipop Lift :- The vertical lift also known as a lollipop lift is one of the most commonly performed techniques for moderate sagging. This procedure involves two incisions: one around the areola and another vertical incision running down to the natural breast crease, forming a lollipop like shape. It allows the surgeon to remove excess skin, lift the nipple into a higher position, and reshape the entire breast. This type offers more reshaping potential than the crescent or donut lift while keeping scars relatively minimal and well hidden under clothing or swimwear. Vertical lifts are ideal for women who want a more noticeable lift without the longer scars of an anchor lift.
Anchor or Inverted-T Lift :- The anchor lift, also known as the inverted-T lift, is the most comprehensive and invasive form of breast lift surgery. It involves three incisions: one around the areola, one vertical incision from the areola to the breast crease, and a horizontal incision along the crease itself. This type of lift is best for severe sagging, where there is a significant amount of excess skin to remove, and a more dramatic reshaping is needed. It allows the surgeon the most control over nipple placement, breast contour, and overall symmetry. Because of the extent of the incisions, this method results in more visible scarring. However, most scars fade significantly over time and are placed in natural contours of the breast to remain as discreet as possible.
Scarless Breast Lift :- While not a true surgical lift, the scarless breast lift refers to emerging technologies like laser treatments, radiofrequency skin tightening, or thread lifting aimed at improving skin firmness without incisions. These techniques are still considered experimental in many cases and are best suited for women with very mild sagging or those who are not yet ready for surgery. However, the results are typically modest and temporary compared to surgical methods. They may serve as maintenance treatments or early interventions but cannot replace the outcomes of a surgical lift in patients with moderate to severe sagging.

Choosing the Right Type of Breast Lift

The best type of breast lift for you depends on several factors:

The degree of breast sagging (ptosis)
Your breast size and shape
Skin quality and elasticity
Whether you want implants or not
Your goals for nipple position and breast projection

During your consultation, a board-certified plastic surgeon will evaluate your anatomy and listen to your expectations before recommending the ideal approach. They may also combine techniques or procedures (such as augmentation or reduction) for best results.

Conclusion

Breast lift surgery can be life-changing, offering not just aesthetic improvement but also enhanced self-confidence and comfort. With several types of lifts available, modern plastic surgery offers customized solutions tailored to your needs and goals.

Whether you’re dealing with mild droop after childbirth or more pronounced sagging from aging, there’s likely a breast lift technique that’s right for you. An experienced surgeon can help guide you toward the best option, ensuring results that look natural and feel empowering.