It’s not unusual for patients with breast sag to request breast lift surgery. A variety of surgical options exist for managing this condition. The vast majority of these procedures not only lift the breast, but reduce the areola as well. In cases of mild breast sag, the excess skin and sag can be treated with a donut mastopexy. This procedure removes and tightens the excess skin around the areola. This leaves a scar at the junction between the areola and surrounding tissue. In more severe cases of sag; a lollipop incision can be utilized to deal with the excess skin. This leaves a circular incision around the areola with a vertical extension that extends to the infra mammary fold. When extreme sag is present, excision of excess skin requires not only a vertical incision, but an incision transversely in the infra mammary fold as well. This results in a circular incision around the areola, a vertical incision, and a transverse incision hidden in the folds beneath the breasts. The vast majority of patients who undergo breast lift surgery are happy with their result. Scarring is unavoidable, but in most cases is acceptable to the patient. Decreased nipple areola sensation can occur, but is fortunately uncommon. If you’re considering breast lift with areola reduction, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to help you formulate a treatment plan that will solve your problem.