Lejour Breast Reduction Workup

  • Author: Antonio Espinosa-de-los-Monteros, MD; Chief Editor: James Neal Long, MD, FACS   more...
 
Updated: Feb 2, 2012
 

Laboratory Studies

  • Standard preoperative laboratory studies are performed based on age and concomitant morbidities.
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Imaging Studies

  • Preoperative mammogram is recommended for patients aged 40 years and older to screen for masses and calcifications that may require further evaluation.
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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, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham School of Medicine; 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.

Specialty Editor Board

Pankaj Tiwari, MD  Assistant Professor, Division of Plastic Surgery, Ohio State University College of Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

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 & 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.

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, FACS  Associate Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, Children's Hospital and Kirklin Clinics, University of Alabama at Birmingham School of Medicine; Chief of Plastic, Reconstructive, Hand, and Microsurgery, Birmingham Veterans Affairs Medical Center

James Neal Long, MD, FACS 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.

Additional Contributors

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.

References
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  11. 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].

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  18. 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].

  19. 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].

  20. 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].

  21. 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].

  22. 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].

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Preoperative markings that demonstrate superior periareolar pedicle and inferior skin/parenchymal resection margins.
Demonstration of partial inset of superior pedicle and development of breast mound from medial and lateral pillars.
Immediate postoperative appearance, demonstrating exaggerated upper pole fullness, downward pointing nipple, and bunched skin on the lower pole of the breast.
Preoperative view, Lejour reduction mammaplasty.
Preoperative view, lateral, Lejour reduction mammaplasty.
Postoperative view, 400-g Lejour reduction performed by Dr Glynn Bolitho, San Diego, Calif.
Postoperative view, lateral, Lejour reduction mammaplasty.
 
 
 
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