Vertical Reduction Mammaplasty Experience Using the Lej?ur Method
Journal
中華民國重建整形外科醫學會雜誌
Journal Volume
8
Journal Issue
1
Pages
25-33
Date Issued
1999
Author(s)
Abstract
We report our experience using the vertical reuction mammaplasty technique (Legour methed) for hypertrophic breasts in five patients since July 1995. This technique uses adjustable marking, an upper pedicle for the areola, and around two thirds low central breast reduction with limited skin undermining. The shape of the breast is created by suturing the gland and does not rely on the skin. To achieve good results with this technique, several points should be emphasized: 1) Careful preoperative design, especially with the nipple displaced 1 cm downward for each 300 gm of breast tissue reseeted; 2) resect a little more breast tissue beyond the overlyng skin flaps bilaterally; 3) liposuction. is used whenever feasible, 4) the skin flaps should be thinned to 0.5 cm in thickness and down to the submammary fold, 5) the appropriate brassiere should be worn for at least 2 months. Our four patients with good elastic skin and moderate hypertropgy (each resected breast tissue＜500 gm) get good result. Two patients need scar revision one year later. Vertical reduction mammaplasty appears to be a superior technique to inverted ”T” reduction mammaplasty because of its simplicity, more reliable long-term results, no obvious submammary transverse scar, and a more natural appearing breast.
Type
journal article