This is an excellent question and a point of confusion for many patients. “Anchor” incision vs “lollipop” incision is an important decision and requires discussion with your plastic surgeon. You have to realize that a breast lift is a glorified “hemming out” of your sagging breast tissues; whether you need a lollipop or anchor incision is dependent on how much excess and sagging tissues are being removed, and what breast shape and volume you are aiming for. If you have only horizontal fullness then a “lollipop” incision alone will suffice. If you also have vertical fullness, i.e. breasts are too long, then an anchor incision will be required. Sometimes a “J” incision only is required when the medial pole is tight but the lateral pole is loose.