Mastopexy is the plastic surgery procedure performed to lift and contour saggy breasts. At the same time, when the breast lift procedure is performed, the plastic surgeon can also reduce the size of enlarged areolas. The breast lift can be performed with a breast augmentation or with a breast reduction, depending from case to case. If the patient has small breasts that are saggy as a result of multiple pregnancies or the natural aging process, the plastic surgeon might recommend getting implants during the breast lift procedure. It is important to mention that breast implant surgery can’t substitute the breast lift. The procedures are performed following different surgical plans, and they have different goals in terms of the results that can be achieved. The breast lift is performed under general anesthesia and can last up to three hours, depending on the complexity of each case. The procedure can be performed using different types of incisions. If the breast ptosis is not overly severe, the plastic surgeon might suggest the periareolar incision. This incision is positioned on the exterior edge of the areola, being barely visible if the cicatrization process goes down smoothly. The scars left after this type of incision are difficult to see due to the difference in color between the areola and the surrounding tissues. However, patients who are prone to abnormal scarring should know that if bad scarring occurs and the incisions are positioned on the areola’s edge, the chances of them being visible are increased due to the location of the scars. For other patients, the plastic surgeon might recommend combining the periareolar incision with a vertical incision. The vertical incision goes from the areola’s edge towards the inframammary fold. This is a surgical technique often used and with stable results in time. The scars left behind after this procedure are not overly visible, especially if the scarring is normal. The talent of the plastic surgeon and the patient’s commitment to follow the post-operative rules can ensure a smooth recovery process and good-looking scars. The anchor scar or the inverted T scar is used for women who need an additional incision positioned in the inframammary fold. This type of surgical technique is recommended for severe cases of breast ptosis where we have a considerable excess of skin tissue. This is the most complex type of scarring that can be left behind after a breast lift. However, due to the location of the incisions, the scars of the breast lift surgery shouldn’t be visible, not even if the patient is wearing just lingerie or a bathing suit. Keep in mind that the scars will have a pinkish and swollen appearance for the first months and will eventually become whiter in color and less visible. The appearance of the scars is dependent on the way each patient heals. A tendency to bad scarring can leave behind scars that are more visible than for most patients.