eMedicine Specialties > Plastic Surgery > Breast

Breast Reduction, Lejour: Follow-up

Author: Antonio Espinosa-de-los-Monteros, MD, Staff Physician, Department of Surgery, Division of Plastic Surgery, University of Alabama, Birmingham
Coauthor(s): Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Contributor Information and Disclosures

Updated: Sep 30, 2009

Outcome and Prognosis

Breast reduction is a successful method for treatment of macromastia.17 Patients experience an improvement in physical symptoms and health-related quality of life after surgery.18,19 Their emotional status tends to improve over time, as less depression and anxiety are evident after surgery.20 Their ability to perform physical activities also improves. Breastfeeding does not become hampered.21 Patients with gigantomastia (resections >1000 g per side) tend to reduce an average of 3 cup sizes.22 For these reasons, reduction mammaplasty has become a safe and effective technique for treatment of macromastia.23

Preoperative view, Lejour reduction mammaplasty.

Preoperative view, Lejour reduction mammaplasty.

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Preoperative view, Lejour reduction mammaplasty.

Preoperative view, Lejour reduction mammaplasty.


Preoperative view, lateral, Lejour reduction mamm...

Preoperative view, lateral, Lejour reduction mammaplasty.

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Preoperative view, lateral, Lejour reduction mamm...

Preoperative view, lateral, Lejour reduction mammaplasty.


Postoperative view, 400-g Lejour reduction perfor...

Postoperative view, 400-g Lejour reduction performed by Dr Glynn Bolitho, San Diego, Calif.

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Postoperative view, 400-g Lejour reduction perfor...

Postoperative view, 400-g Lejour reduction performed by Dr Glynn Bolitho, San Diego, Calif.


Postoperative view, lateral, Lejour reduction mam...

Postoperative view, lateral, Lejour reduction mammaplasty.

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Postoperative view, lateral, Lejour reduction mam...

Postoperative view, lateral, Lejour reduction mammaplasty.


 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author James F Thornton, MD, to the development and writing of this article.



More on Breast Reduction, Lejour

Overview: Breast Reduction, Lejour
Workup: Breast Reduction, Lejour
Treatment: Breast Reduction, Lejour
Follow-up: Breast Reduction, Lejour
Multimedia: Breast Reduction, Lejour
References
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References

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  2. McKissock PK. Reduction mammaplasty with a vertical dermal flap. Plast Reconstr Surg. Mar 1972;49(3):245-52. [Medline].

  3. Lassus C. A technique for breast reduction. Int Surg. Jan 1970;53(1):69-72. [Medline].

  4. Lassus C. An "all-season" mammoplasty. Aesthetic Plast Surg. 1986;10(1):9-15. [Medline].

  5. Lassus C. Breast reduction: evolution of a technique--a single vertical scar. Aesthetic Plast Surg. 1987;11(2):107-12. [Medline].

  6. Weiner DL, Aiache AE, Silver L, Tittiranonda T. A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty, or mastopexy. Plast Reconstr Surg. Feb 1973;51(2):115-20. [Medline].

  7. Lejour M. Vertical mammaplasty and liposuction of the breast. Plast Reconstr Surg. Jul 1994;94(1):100-14. [Medline].

  8. Lejour M. Vertical mammaplasty: early complications after 250 personal consecutive cases. Plast Reconstr Surg. Sep 1999;104(3):764-70. [Medline].

  9. Hofmann AK, Wuestner-Hofmann MC, Bassetto F, Scarpa C, Mazzoleni F. Breast reduction: modified "Lejour technique" in 500 large breasts. Plast Reconstr Surg. Oct 2007;120(5):1095-104; discussion 1105-7. [Medline].

  10. Kakagia D, Fragia K, Grekou A, Tsoutsos D. Reduction mammaplasty specimens and occult breast carcinomas. Eur J Surg Oncol. Feb 2005;31(1):19-21. [Medline].

  11. Pitanguy I, Torres E, Salgado F, Pires Viana GA. Breast pathology and reduction mammaplasty. Plast Reconstr Surg. Mar 2005;115(3):729-34; discussion 735. [Medline].

  12. de Groot RM, Kingma-Vegter F, Bakker XR. [Occult breast cancer discovered following breast reduction.]. Ned Tijdschr Geneeskd. 2009;153:[Medline].

  13. Azzam C, De Mey A. Vertical scar mammaplasty in gigantomastia: retrospective study of 115 patients treated using the modified lejour technique. Aesthetic Plast Surg. May-Jun 2007;31(3):294-8. [Medline].

  14. Collis N, McGuiness CM, Batchelor AG. Drainage in breast reduction surgery: a prospective randomised intra-patient trail. Br J Plast Surg. Apr 2005;58(3):286-9. [Medline].

  15. Cunningham BL, Gear AJ, Kerrigan CL, Collins ED. Analysis of breast reduction complications derived from the BRAVO study. Plast Reconstr Surg. May 2005;115(6):1597-604. [Medline].

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  17. O'Blenes CA, Delbridge CL, Miller BJ, Pantelis A, Morris SF. Prospective study of outcomes after reduction mammaplasty: long-term follow-up. Plast Reconstr Surg. Feb 2006;117(2):351-8. [Medline].

  18. Miller BJ, Morris SF, Sigurdson LL, Bendor-Samuel RL, Brennan M, Davis G, et al. Prospective study of outcomes after reduction mammaplasty. Plast Reconstr Surg. Apr 2005;115(4):1025-31; discussion 1032-3. [Medline].

  19. Mello AA, Domingos NA, Miyazaki MC. Improvement in Quality of Life and Self-Esteem After Breast Reduction Surgery. Aesthetic Plast Surg. Sep 19 2009;[Medline].

  20. Iwuagwu OC, Stanley PW, Platt AJ, Drew PJ, Walker LG. Effects of bilateral breast reduction on anxiety and depression: results of a prospective randomised trial. Scand J Plast Reconstr Surg Hand Surg. 2006;40(1):19-23. [Medline].

  21. Cherchel A, Azzam C, De Mey A. Breastfeeding after vertical reduction mammaplasty using a superior pedicle. J Plast Reconstr Aesthet Surg. 2007;60(5):465-70. [Medline].

  22. Heine N, Eisenmann-Klein M, Prantl L. Gigantomasty: treatment with a short vertical scar. Aesthetic Plast Surg. Jan 2008;32(1):41-7. [Medline].

  23. Lista F, Ahmad J. Vertical scar reduction mammaplasty: a 15-year experience including a review of 250 consecutive cases. Plast Reconstr Surg. Jun 2006;117(7):2152-65; discussion 2166-9. [Medline].

  24. Aufricht G. Mammaplasty for pendulous breasts; empiric and geometric planning. Plast Reconstr Surg (1946). Jan 1949;4(1):13-29. [Medline].

  25. Kreithen J, Caffee H, Rosenberg J, Chin G, Clayman M, Lawson M, et al. A comparison of the LeJour and Wise pattern methods of breast reduction. Ann Plast Surg. Mar 2005;54(3):236-41; discussion 241-2. [Medline].

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Further Reading

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Keywords

breast reduction lejour, Lejour reduction mammaplasty, vertical reduction mammaplasty, short scar breast reduction, Lejour vertical reduction technique, Lassus reduction, mammoplasty, mammaplasty, breast surgery, breast reduction pictures, breast reduction surgery, Lejour surgery, Lejour pictures, nipple-areola complex, inframammary fold, breast surgery scar, breast scar, surgical scar

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Contributor Information and Disclosures

Author

Antonio Espinosa-de-los-Monteros, MD, Staff Physician, Department of Surgery, Division of Plastic Surgery, University of Alabama, Birmingham
Disclosure: Nothing to disclose.

Coauthor(s)

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

Medical Editor

Pankaj Tiwari, MD, Assistant Professor, Division of Plastic Surgery, Ohio State University
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Saleh M Shenaq, MD†, Former Director and Founder, The International Brachial Plexus Institute; Former Chief, Section of Plastic Surgery, Methodist Hospital, Houston
Saleh M Shenaq, MD† is a member of the following medical societies: American Academy of Anti-Aging Medicine, American Academy of Pediatrics, American Association for Hand Surgery, American Association for the Advancement of Science, American Association of Plastic Surgeons, American Burn Association, American College of Physician Executives, American College of Surgeons, American Congress of Rehabilitation Medicine, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, American Society of Gene Therapy, American Society of Law Medicine and Ethics, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, American Trauma Society, Association for Academic Surgery, International College of Surgeons, Lipoplasty Society of North America, Plastic Surgery Research Council, Society for Neuroscience, Society of Surgical Oncology, Southern Medical Association, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

James Neal Long, MD, Assistant Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, University of Alabama at Birmingham and Kirklin Clinics
James Neal Long, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, and Southeastern Surgical Congress
Disclosure: Nothing to disclose.

 
 
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