Lejour Pexy Augmentation

In some patients requesting breast enhancements, the tissue of the breast have become lax and saggy. The medical term for this condition is breast ptosis. This can occur with age and as a common consequence of pregnancy, nursing and/or weight fluctuations. Breasts progressively hang lower and lower on the chest with loss of upper breast projection (perkiness), elongation and flattening. In some cases, the nipples point straight down.

In women who desire to lift their breasts into a more youthful position and contour and increase the size of their breasts, a technique called Lejour (after the Belgian Plastic Surgeon, Madeline Lejour) may be the best option. This technique is very different than the standard anchor scars or Binellis in that the final result is not determined or dependent upon the breast skin. Lejour Mastopexies with augmentation differ in that the breast tissue itself is molded into a new cone of tissue, which is secured with internal sutures and then suspended up higher on the chest wall. The result is not determined or dependent on the overlying skin. Therefore, the scar can, may times, be limited to around the areola and down the front of the breast (lollipop). Also, since we are fashioning a new breast cone, the result can be more natural and tends to last longer with decreased incidence of recurrence. In some patients, due to the large amount of redundant skin, a lower horizontal scar is still necessary to prevent permanent bunching up of the lower breast skin. These patients still gain the benefit of internal breast shaping and fixation.

Lejour Mastopexy with Augmentation is typically performed on an outpatient basis under general anesthesia. Most patients can return to work in 7 to 10 days and normal activity in 2 to 3 weeks. You will generally need to be seen the day following surgery, at one week and at 6 weeks after surgery.

In addition to this procedure, Dr. Hause also treats Sacramento reduction and breast augmentation patients. Please visit these pages to learn more about Dr. Hause, who serves patients from Sacramento and Modesto.