Vertical or Anchor breast lift? (No implants) (Photo)

Good question!  The vertical scar reduction techniqe differs from the inverted T scar -anchor scar lift/Reduction in many ways.  The most obvious difference is the lack of the big scar that runs transversely across the chest below the breast!  The shape of the resulting breast is also different in that the anchor scar removes skin from the lower part of the breast resulting in a flattened, boxier shape long term. "Bottoming out" is very common. The real difference between the two is what takes place under the skin. The vertical scar lift/reduction creates internal pillars that create better projection and shape in the long term. The internal breast tissue is rearranged. Lack of scar on the breast is an added bonus! Conversely,  The anchor scar relies on the skin to hold the breast up....skin that has already stretched and given under the weight.  Many would question that logic. Having performed both procedures extensively, first the Anchor then the vertical, I can say I rarely if ever resort to an Anchor scar anymore. It has been probably 7-8 years! I certainly would not recommend an Anchor scar for you. In a case such as yours, extra skin " pleating" should not be a problem. I would say however, that it is important that your surgeon has experience with the newer techniques for reduction and breast lifts. Best Wishes,Joel A. Williams, M.D., FACS

Depending on whether or not an implant is to be placed the amount of skin removed determines the length of the incision. If the vertical limb of a Lollipop incision is inadequate for removal the excess skin a revisional procedure would be necessary.

Hi.  Given your moderate degree of ptosis, I would think that a vertical design mastopexy should work nicely for you.  Another physician mentioned the "auto-augmentation" approach - and this could certainly be done at the same time.  It doesn't appear from your photos that you need the full "anchor" incision lift.All the best!