Why not perform anchor incision as second stage to Le Jour in breast reduction?

Question

Requesting only experienced Le Jour technique surgeons please. I have had incredible success with the Le Jour technique on my initial terribly droopy "African woman breasts". It was a difficult case. Instead of surgeons going straight to anchor scars, why not do this as a second stage if Le Jour is not sufficient?

Daniel Barrett, MD · Answer

Dear Cute3330,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jon S. Wilensky, MD · Answer

Anchor incision, also known as an inverted-T or Wise pattern incision, is a common technique used in breast reduction surgery. It involves making an incision around the areola, vertically down the lower pole of the breast, and horizontally along the inframammary fold. This allows for significant tissue removal and reshaping of the breast.The decision to perform anchor incision as a second stage to Le Jour breast reduction (also known as vertical or short scar breast reduction) depends on various factors including the patient's anatomy, the amount of breast tissue to be removed, and the desired aesthetic outcome.Le Jour breast reduction typically involves making an incision around the areola and vertically down the lower pole of the breast, avoiding the horizontal incision along the inframammary fold. This technique is often chosen for its ability to provide a more limited scar pattern and faster recovery compared to anchor incision.In some cases, however, Le Jour breast reduction may not achieve the desired reduction or shape correction, particularly in patients with larger breasts or significant ptosis (sagging). In such cases, a second stage involving anchor incision may be necessary to further refine the breast shape, remove additional tissue, and address excess skin.It's essential for the plastic surgeon and patient to discuss the pros and cons of each technique and determine the most suitable approach based on individual needs and goals. The decision to perform anchor incision as a second stage should be made carefully, taking into account factors such as scarring, recovery time, and overall aesthetic outcome.

Why not perform anchor incision as second stage to Le Jour in breast reduction?

Answers (2)

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