Hi! What a good question! These are the two techniques that I use for most breast reductions. They both produce great LONG TERM shape, and they both leave you with only a lollipop scar.
1) In the Lejour technique, the blood supply to the nipple comes from above.
2) With the Hall-Findlay operation, the blood supply comes from the inner side of the breast (towards the breast bone). Which one is best depends on your anatomy, although there are surgeons who only do one or the other.
3) The two techniques have much more similarity than difference. They both shape the breasts INTERNALLY. They don't rely on creating a tighter "skin bra" for shape, since skin stretches. That's why they both produce far better long term outcomes than other techniques (no "bottoming out").



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