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.
