Hi Sabrina, the only difference between Breast Lifting and Breast Reduction is the removal of breast tissue. Because two circles of tissue of unequal circumference need to be sewn together, a tailor would know that the result will be bunching of the tissue. Fortunately, this bunching usually settles in a few months. As the breast matures, there will be more extensive drooping, making the next level of lifting requires a vertical incision between the areola and the crease below the breast. Many plastic surgeons believe that most patients require a full lift. An incision is made along the length of the crease, together with vertical incisions and incisions around the areola. It is critical to choose a board certified cosmetic surgeon to help you decide on the matter of scarring.