Lejour Vs Hall Findlay Breast Reduction: How Do These Techniques Differ?

Both procedures use the "lollipop" incision; around the areola and vertically down from the areola to the crease under the breast. In both procedures the incision in the inframammary crease is eliminated. The difference between the Lejour and the Hall Findlay involves the way the breast tissue is removed and what part of the breast supports the nipple. This is a very technical question to ask. From a patient standpoint, both procedures are short scar procedures and the recovery and scarring should be pretty much the same.

It is really important that you choose a surgeon who has a lot of experience with breast reduction surgery. Understand what Certified by the American Board of Plastic Surgery means. Ask the surgeon what procedure he or she would recommend and why. Ask about where the incisions and subsequent scars will be. Explain if you have preferences for breast shape and size. Don't get all caught up in the technical details between the specific operations. An excellent result can be achieved with many different procedures. Choose your surgeon wisely, communicate your goals to that surgeon, and ask questions. If you are comfortable with your surgeon, you can trust that he or she will do the procedure that in their experience will get you the outcome you want.

Choose a surgeon, not a technique. Make sure they are board certified and see their before and after pictures. Both techniques are vertical scar or lollishape pattern scars. A small T is possible. I personally use the Hall-Findlay technique which gives great results. Liposuction is very helpfully enhancing your lateral aspect. Good luck!

In any breast reduction technique, the blood supply to the nipple and areola are paramount. In most instances the blood supply is limited to a stalk which we call a pedicle. Once the pedicle is developed, the remaining excess tissue can be removed or reduced. The Hall Flindlay pedicle comes from the inner part of the breast whereas the Lejour pedicle comes from the top of the breast. Both use a vertical lollipop style scar. The same patterns can be used for breast lifts.

Both Lejour and Hall FIndley use a Lollipop incision and use variations of a vertical pedicle of tissue. Hall FIndley's is really a superomedial pedicle. Lejour's technqiue undermines skin and Hall FIndley's does not.  They are both good techniques.

Both techniques are wonderful lollipop incision techniques that have there place.
The Lejour
Pro - better shape, more perky, better vertical scar.
Con - harder to learn, longer surgical time
Hall-Findlay
Pro- good for those with scars bove the nipples from breast biopsies,faster, less surgical technique varibility
Cons - not as perky, vertical scar not as nice