Additional considerations must also be understood in deciding which particular breast lift technique will be used. The circumareolar or “donut” mastopexy is reserved for minimal type lifts and will tend to decrease projection making the breast somewhat rounder and flatter across the front. This may be especially desirable to breast lift patients with overly pointed or projected breasts to start with. The addition of the vertical incision, while mandatory in some cases, will tend to add some projection to the breast. Hence, the initial shape, projection, and amount of sagging of the breast must all be taken into consideration as well as the wishes and expectation of the patient before making a final decision as to which technique is to be used.
