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

Short scar breast reduction reduction, the so called 'lollipop' incision has been developed over decades, and contributions by Dr. LeJour, and later by Dr. Hall-Findley are the more recent ones. The emphasis of Dr. LeJour was the combination of liposuction of the breast with a short scar reduction, and Dr. Hall-Findlay suggested moving the pedicle to make the nipple easier to position. Most important was their series of successful cases which has encouraged the adoption of the short scar procedure in the US. American surgeons had been very slow to adopt the short scar techniques which had become very popular in Europe. Any surgeon skilled in breast reduction will have many approaches from which to draw, and no single technique will fit every patient. It is true that most will benefit from a short scar reduction, though a few will do better with a "T' approach. Be sure to find a surgeon in your area that can match you to the technique best for you.
Best of luck,
peterejohnsonmd

I assume that you ask because you are trying to decide which you should have. I have been fortunate enough to have performed multiple different techniques of breast reduction during my career. I currently perform the Hall Findley technique because of the blood supply and the way the pedicle fits into position. In choosing a technique make sure that the surgeon has adequate experience. We tend to do best that which we do often.

Prof. Madeleine LeJour was a professor of Plastic Surgery at the Free University of Brussels, in Belgium. Her work is based on that of a true visionary, Dr. Claude Lassus of Nice, France.

They both understood that relying just on tightening and tailoring of the breast skin in breast reduction and breast lift always gave short lasting results and frequently other complications such as Star Gazing nipples. This occurred DESPITE having to use and leave women with LONG T-shaped scars.

Instead, Lassus and Lejour beginning in the late 1970's and 1980's recommended that much better and longer lasting Breast Lift / Breast Reduction results could be obtained though a shorter lollipop scar by actually tailoring the breast tissue itself (instead of its overlying skin). These operations are collectively known as VERTICAL MAMMAPLASTY or VERTICAL SCAR TECHNIQUES.

The word PEDICLE, in Plastic surgery speak describes where the blood supply to a flap comes from and helps guide classification and design of various flaps.

The Lejour Mammaplasty technique designed and based the blood supply to the nipple complex on a SUPERIOR vertical pedicle.

The technique made popular by Dr. Elizabeth Hall-Findlay of Banff, Canada uses a MEDIAL pedicle. This allows the technique to be used in many more women.

The results of Vertical scar techniques are outstanding and vastly superior to the old, inverted T shape or Wise pattern procedures. BUT - BE CAREFUL - the lollipop scar is just that a scar. Just because you see a lollipop scar does not necessarily mean that a vertical scar breast technique was used.

For Hall Findley you have to go to Canada for LeJour France. Stay in New York, find a board certified plastic surgeon and speak to them about the different techniques that he or she does and decide that way. There are many excellent breast reduction surgeons in your location. See one of them.

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").