There are multiple breast lift techniques Dr. Pugash uses depending on existing breast tissue, amount of excess skin, and cosmetic concerns.
He may choose a periareolar or donut lift when the chest area has minimal excess skin and sagging. This technique involves smaller incisions around the areola and produces minimal scarring.
Patients with severe sagging and significant excess skin may have a lollipop breast lift. Due to the increase in sagging and additional excess skin, this process includes additional incisions from the areola down to the breast crease.
Or you may need an anchor lift, which entails incisions around the areola and vertically down to the crease, then horizontally along the breast crease.
Your breast incision type will depend on individual need and the degree of ptosis (sagging).