Breast Lift Incision Types: Periareolar, Vertical and Inverted T

A breast lift (mastopexy) aims to raise and reshape a sagging breast and nipple. One of the most common questions at the consultation is which incision will be used and what that means for scarring. The incision type is chosen according to the degree of sagging and the amount of excess skin to be corrected. In this article we outline the common incision types in general terms.

Periareolar incision

Here the incision runs around the edge of the areola, the darker area around the nipple. It may be considered for mild sagging or when reducing the areola is the main aim. The scar stays at the border of the areola, but because only a limited amount of skin can be removed, it may not be enough on its own for more marked sagging.

Vertical (lollipop) incision

In addition to the incision around the areola, a vertical incision runs from the lower edge of the areola down to the breast fold. Because of its shape it is also known as the “lollipop” incision. It is often used for moderate sagging and allows more reshaping of the breast.

Inverted T (anchor) incision

A horizontal incision along the breast fold is added to the periareolar and vertical incisions. It may be considered where there is marked sagging and excess skin, particularly after major weight loss or pregnancy-related changes. Because the horizontal scar lies in the breast fold, it is often less visible when standing.

What influences the choice?

• Degree of sagging: the position of the nipple relative to the breast fold is an important planning measure.
• Skin quality and excess: skin elasticity and the amount of excess skin affect incision length.
• Volume needs: the plan changes if an implant or reduction is combined with the lift.
• Expectations: the balance between a shorter scar and the achievable shape is discussed at the consultation.

How do scars develop?

Every surgical incision leaves a scar. Scars may be more noticeable, reddish and slightly raised in the first months and usually fade and soften over time. Scar development varies with skin type, genetics and aftercare. Because smoking can impair wound healing, it should be discussed with your surgeon before surgery.

Frequently Asked Questions

Is a scarless breast lift possible?

A breast lift requires removing excess skin, so it leaves scars. The aim is to choose the most reasonable incision for the degree of sagging and to care for the scar properly.

Does a shorter scar always mean a better result?

No. With marked sagging, an insufficient incision may limit how well the breast can be reshaped. The choice balances shape and scarring.

How is the incision type decided?

At the consultation, breast measurements, degree of sagging, skin quality and your expectations are assessed together to reach a decision.

For more information, visit our Breast reduction and lift page and our augmentation or lift article, and reach us via our contact page.

This article is for informational purposes only; a medical examination by a physician is required for diagnosis and treatment.