Hello @amalev2015, thank you for your question. To answer the question, it ultimately depends on the results that you are looking for. The most important factor in deciding which technique(s) to use is the opinion of your plastic surgeon, who will have assessed factors such as skin laxity, breast size and shape, and other individual characteristics that can determine the best approach. That said, I always perfom a breast lift with an L shape incision that allows me to reposition and improve the shape of the breast with minimal scarring by raising the base slightly and improving the overall proportion with minimal scarring. Ultimately though, each case should be evaluated on its own merit by an experienced board certified plastic surgeon before recommending a surgical plan to ensure you get optimal results tailored to your needs and preferences. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)