Dr. Pugash will choose from a number of breast lift techniques depending on existing breast tissue, amount of excess skin, and cosmetic concerns.
He may choose a periareolar or donut lift when there is minimal excess skin and sagging. This technique, however, provides very little lift, may flatten the breast, and can lead to unsightly scarring and a stretched areola.
Patients with significant sagging and excess skin may benefit from a lollipop breast lift. Due to the increase in sagging and additional excess skin, this process produces an additional scar from the areola down to the breast crease. This is an excellent breast lift technique: it narrows and projects the breast, and often raises the breast crease.
The anchor lift creates incisions around the areola, vertically down to the crease, and then horizontally along the breast crease. Dr. Pugash rarely uses the anchor lift, and only in the most severe cases.
Your breast lift technique will depend on individual need and the degree of ptosis (sagging).