In cases where the distance required for the Nipple to travel exceeds 3cm, the best option is the use of the Lollipop (keyhole/vertical scar) Mastopexy.  This leaves a scar pattern on the breast in a vertical orientation. The advantage of this technique is that it can be use to effectively create a very PERKY, well projected breast with excellent position of the nipple areola complex.  Again, the nipple is NOT removed from the breast, it is repositioned within the breast, so there is minimal risk of interferance with sensation.