There are several different techniques for performing a breast lift. The most simple is a skin only lift in which only the excess skin is removed and the skin envelope is used to reshape the breast. More complex types of mastopexies involve reshaping the breast parenchyma rather than relying on the skin alone to support the breast. The latter is my preferred technique since it is more long-lasting. In this type of breast lift, the blood supply to the nipple areola complex is preserved by leaving it attached to a pedicle of breast tissue, the breast tissue is reshaped, and the excess skin is removed. The incisions are either a lollipop type of incision or an anchor pattern depending on how much excess skin you have.