Breast Lift (Mastopexy) | Incision Patterns and Mastopexy Techniques
Medically authored and verified by Verified by Dr. Vishal Purohit, MBBS, MS, MCh (Plastic Surgery) • RMC Reg. 28041/14185 • Oct 2026
Incision Patterns and Mastopexy TechniquesWhat are the different types of breast lift incision patterns, and which is best for me?
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What are the different types of breast lift incision patterns, and which is best for me?
#The three standard mastopexy incision patterns are periareolar (donut), vertical (lollipop), and inverted-T (anchor / Wise pattern).
Periareolar (Benelli / Crescent): Involves an incision strictly circling the areola; best for mild Grade 1 ptosis or minor asymmetry. Vertical (Lollipop): Circles the areola and extends down to the crease; ideal for moderate Grade 2 ptosis, removing significant skin with a short scar. Inverted-T (Anchor): Circles the areola, travels vertically, and follows the inframammary crease; required for severe Grade 3 ptosis or post-bariatric laxity to tighten both vertical and horizontal dimensions.
The least invasive incision pattern capable of delivering a durable, uncompromised shape is always selected.
Incision Patterns and Mastopexy TechniquesWhat is an augmentation-mastopexy (breast lift with implants)?
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What is an augmentation-mastopexy (breast lift with implants)?
#An augmentation-mastopexy is a single-stage combined surgical procedure that simultaneously elevates sagging breast tissue and inserts silicone implants to restore lost upper-pole volume.
While a breast lift successfully repositions the nipple and eliminates loose skin, it cannot add new volume to a deflated upper chest. By combining mastopexy with an FDA-approved cohesive silicone gel implant, the surgeon restores projection, creates deep cleavage fullness, and secures an elevated conical shape in one operative setting.
Combining both procedures requires advanced plastic surgical precision to ensure healthy vascular perfusion to the nipple pedicle.