**5.1 Crescent/circumareolar**

 The crescent lift has value mainly as a minor NAC elevation maneuver when one NAC is slightly higher than the other by 1–2 cm. It can help "level" out the position to match the other but has little to no lifting effect on the parenchyma. While the donut or circumareolar lift is best used for limited and isolated cases of a smaller tubular or severely constricted breast where flattening of the NAC may be desired. It is the authors' belief that the circumareolar lift yields undesirable results in the majority of cases and also has limited ability to manipulate the soft tissue envelope resulting in inadequate projection, poor scarring and lack of longevity.
