Pseudo ptosis is a condition when the nipple and areola are above the fold but there is a significant amount of breast tissue that is sitting below the fold. This can be addressed in several different ways. If the skin envelope is not very loose and there is not a significant amount of tissue below the fold, then a breast augmentation with a dual plane technique would work well. In the case where the pseudo ptosis is more severe, there is more that may need to be done. In these cases, the patient will benefit from a lift, even though the nipple and areola may be in a good position. This may necessitate an incision along the crease or perhaps a lift incision (donut, vertical or full).