Purpose. The purpose of this survey was to assess the current trends in mastopexy techniques and to compare satisfaction rates and complications associated with different techniques.

Methods. In September 2002 a mastopexy survey was sent to 1500 member of the American Society for Aesthetic Plastic Surgery, 487 complete responses were received. Questions elicited categorical answers and the data were evaluated using the chi square test and the comparison of two proportions.

Results. The inverted-T incision technique is the most popular. Satisfaction was reported to be highest with the SPAIR and Hall-Findlay techniques. Physician satisfaction was lowest with the periareolar technique. The periareolar group had a greater frequency of revision (p=0.002). The inverted-T group had a greater frequency of bottoming out (p=0.043). The short scar group had a greater frequency of asymmetry (p=0.008).

Conclusions. The traditional inverted-T technique is the most popular but the newer short scar techniques have become more popular in the last 5 years. The inverted-T incision continues to be associated with bottoming out and excess scarring. The periareolar group has the greatest need for revision and the lowest physician satisfaction despite its application to a greater volume of mastopexies per year.