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Related Experiment Video

Updated: Jul 11, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Breast reduction: modified "Lejour technique" in 500 large breasts.

Albert K Hofmann1, Margot C Wuestner-Hofmann, Franco Bassetto

  • 1Ulm, Germany; and Padova, Italy From Ulm Klinik Rosengasse and the Plastic Surgery Institute, University of Padova.

Plastic and Reconstructive Surgery
|September 28, 2007
PubMed
Summary

The modified Lejour technique offers a simplified approach to breast reduction, particularly for larger breasts, achieving excellent aesthetic results with a low complication rate. This minimal scar technique is suitable for standard practice.

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Area of Science:

  • Plastic Surgery
  • Surgical Techniques
  • Aesthetic Medicine

Background:

  • The minimal scar technique for breast reduction is gaining popularity as an alternative to traditional methods.
  • Developed by Marchac, Lassus, and Lejour, it offers potential advantages in patient outcomes.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of a modified Lejour technique for breast reduction.
  • To assess the technique's suitability for larger breasts and its long-term results.

Main Methods:

  • A modified Lejour technique was applied to 250 overweight patients undergoing breast reduction (resection >700g).
  • Key modifications include specific nipple-areola complex planning, central undermining without liposuction, and a novel H-point fixation in the submammary fold.

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Last Updated: Jul 11, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

Main Results:

  • Over a 4.2-year follow-up in 250 patients, average resection weights were 985g (right) and 923g (left).
  • Excellent or good results were achieved in 94% of patients, with a 14% complication rate.
  • Operation duration ranged from 120 to 180 minutes.

Conclusions:

  • The modified Lejour technique is a viable standard procedure for breast reduction.
  • It is particularly effective for large breasts, improving aesthetic outcomes and simplifying the surgical process.