The amount of sagging determines the best procedure to be performed. It is important to decide whether augmentation or reduction should accompany the uplifting procedure. The procedure that one elects to undergo is determined by several factors. First and foremost is the amount of sagging or ptosis (pronounced: toe-sis) present. When a slight amount of ptosis is present then a Crescent Mastopexy can be performed. The nipple can be uplifted 2 to 3 centimeters. The incision and therefore subsequent scar is around the top of the areola (pigmented skin). Should a greater amount of lifting be required an incision will be needed that completely surrounds the areola with a vertical line dropping down the center of the breast to the bottom of the breast and sometimes a horizontal incision at the bottom of the breast in the crease between the breast and the chest.
Also there are the undesirable scars of the Anchor (standard) Mastopexy, the Lollipop (or keyhole) Mastopexy and the newer technique invented by Louis Benelli, the Concentric Mastopexy. Also known as the Doughnut, Donut, Peri-Areolar or Concentric or Benelli Mastopexy.