MODIFICATIONS OF THE LEJOUR VERTICAL MAMMAPLASTY - ANALYSIS OF RESULTS IN 100 CONSECUTIVE PATIENTS

The technique of vertical mammaplasty described by Madeline LeJour nea rly ten years ago has been slow to gain wide acceptance in the United States. This is perhaps due to the misconception by many that this tec hnique is more technically demanding or harder to reproduce and teach on a consistent: basis. This paper describes several modifications to Madam LeJour's procedure, including the use of a template, a controlle d excision, and a tension free nipple areola complex closure. When app lied routinely, these modifications to the LeJour mammaplasty have pro duced predictable, reliable and extremely satisfying results.