Breast lift surgery takes usually two hours or more and is performed while the patient is under general anesthesia. The duration of this treatment is dependent on the severity of breast sag. The method used for mastopexy surgery generally falls within two categories — the technique is defined by the location and type of the incision. The inverted-T (known as an anchor) and the vertical incisions are the most used methods. After making the incision, any loose, unhealthy skin is removed along with fat and tissue that is not needed. The skin is then pulled tight and the breasts are positioned higher and lifted so they appear healthy. In many cases, the size and shape of the areola are reconstructed and reduced to be symmetric with the new placement and shape of the breast. At this point, an implant can be inserted inside the breast if this was agreed upon with Dr. Derrick prior to surgery. If the lift is the only procedure being performed and if size and shape are a worry, augmentation surgery with implants can be done at a different date.