par De Mey, Albert 
Référence Vertical Scar Mammaplasty, Springer Berlin Heidelberg, page (37-46)
Publication Publié, 2005
Référence Vertical Scar Mammaplasty, Springer Berlin Heidelberg, page (37-46)
Publication Publié, 2005
Partie d'ouvrage collectif
| Résumé : | The goal of breast reduction is the correction of the volume, shape, and symmetry of the breast while preserving nipple sensitivity. Since the early days of breast surgery, many surgical techniques have been proposed to reach this goal, but over the two last decades, new techniques have been published that attempt to minimize the scars. The periareolar scar is unavoidable as the nipple-areola complex has to be repositioned, but the vertical scar has proved to be avoidable in mastopexies [6], as has the horizontal submammary scar in the majority of cases, even in large reductions [3].Following the description of Dartigues in 1925 and the publication of Lassus in 1970 [8], in the early 1990s Lejour popularized a technique derived from Lassus [9]. The Lejour vertical mammaplasty is a technique that combines a superior pedicle for the areola and a central resection for the breast reduction associated with liposuction and wide undermining of the skin along the vertical scar. Despite the results reported on large series [12], many surgeons are still reluctant to apply the Lejour vertical mammaplasty as a standard technique. This can be due to the use of a superior pedicle for the NAC, an inferomedial resection, and different approaches to the skin and to the glandular tissue. Moreover, the result is not obtained immediately. © Springer-Verlag Berlin Heidelberg 2005. |
