Hi there,It's a good question you ask. Some surgeons use exclusively or almost exclusively the same incision pattern for breast reduction surgery, They're comfortable with the approach they have.In my practice, as many surgeons do, I use both incision patterns. My goal of surgery is to create as attractive a breast shape as I can. The scar pattern is, I think, secondary to this aim. That is to say, I don't like to compromise the shape achievable by being limited to one scar pattern. There are such a variety of breast shape and size, all techniques are needed in achieving consistently nice postoperative breast shapes in a breast reduction practice. Whether a vertical pattern (lollipop) or an inverted T (anchor) scar pattern is used, the scars gradually fade well and in the long run don't often cause any concern regardless of the pattern used.In your case, I would use an anchor pattern. The reason for this is the low nipple position. In order to move your nipple to the correct location, in my hands if a lollipop pattern was used there would be too much residual breast sitting below the nipple. They would look bottom heavy most likely post surgery. Using the anchor pattern allows (again in my hands) more effective nipple elevation and better shortening of the distance between the bottom of the new nipple position and the bottom of the breast in patients with a low nipple position. So I think I can achieve a higher, more perky looking breast by using an anchor pattern in your particular case.This is not to say your surgeon is incorrect. He or she has examined you in person, and I have not. And there are some technical variations which might be employed to shorten the vertical distance in the lower pole of the breast. Your surgeon will be able to discuss this with you and even shoe you pictures of some previous cases to illustrate how they would address this issue given your quite low nipple position and the need to substantially elevate it.All the very best.Howard Webster
