Hello, thanks for your question, breast lift or breast reduction are delicate surgical procedures, they have been planned to leave the smallest scar possible; for correcting too ptotic (saggy) or bigger breasts larger incisions are needed, also the consequence will be longer scars, so the scar would be a result of the correction of the breast deformity, its good to know that patients almost always accepts scars instead of having a non atractive breast. If a patient doesn't want to have any scar after having a breast lift, a non realistic thought is ocurring and this patient is not ready to have this surgicsl procedure.
Gaining in popularity is something called the vertical lift, which involves a scar around the areola and then straight down the breast, eliminating the underneath scar. Proponents think that the shape is good, that the breast maintains a lot of projection over time without bottoming out, and that the underneath scar is avoided. I believe that many of these breasts look overly projecting to my taste, and that bottoming out can be minimized with the inverted T style pattern. I also feel that the underneath scar is rarely seen, and that the scars that are seen - around the areola and going straight down, seem relatively more visible with this technique since it requires some bunching up of the skin during closure. Understand that some of the best surgeons in the world argue with one another about this issue at meetings all the time!