They are many the techniques available for either breast lift and breast reduction mammoplasties, which are essentially the same procedure sharing both the name, execution steps and skin incisions, like two sides of a coin; these mammoplasties can be classified based on the pedicle or vascular and nerves carrier, the glandular plasties work and the outer skin pattern management.
The custom patterns are necessary in revision of previously poor outcome breast lift mastopexies or breast reductions, in which the standard vertical or inverted T patters can't be applied and instead the surgeon has to design the best suited one based on the previous incisions and the current shaping requirements of the breast.