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There are a multitude of lifting techniques that differ in skin pattern excision and tissue manipulation. The name means little compared to the execution. Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
The advice of the other plastic surgeons commenting on your question is completely accurate. The choice of technique is partly dictated by the clinical situation as well as the surgeon's philosophical preferences.
The LeJour procedure results in a vertical scar and scar around the areola. The traditional technique (Wise) results in a boat anchor shaped scar. I do not do either of these procedures because women do not like the ugly vertical scars that cannot be hidden. No plastic surgeon places implants through a vertical scar so why should reductions or lifts be done through that incision? There is a new technique called The Ultimate Breast Lift. Using only circumareola and inframammary incisions the breasts can be reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. This technique maintains nipple sensation and the ability to breast feed. Aligning the areola and breast tissue over the bony prominence of the chest wall maximizes anterior projection and gives youthful appearance. Best Wishes, Gary Horndeski, M.D.
When the LeJour came out, we all tried to learn how to master it... it was not easy and results were all over the chart. Then Dr. Hall introduced her technique of a vertical breast reduction which was much easier to replicate with equally or better results in most surgeon's hands and is what most in America refer to when describing a vertical technique. But as others have said, its just a name on a technique. Its more important your surgeon can deliver what you desire using this technique.
A LeJour breast lift is a circumvertical mastopexy. It is one of many techniques used for breast lift surgery. The key is matching the right operation to the right patient. Your plastic surgeon should be able to guide your in this regard.
