[Reduction mammoplasty with a J-shaped scar (the Jean-Sauveur Elbaz technic). Review of 125 cases].

Public hospital experience of reduction mammaplasties using L scars of J.S. Elbaz technique. The authors review their public hospital experience of reduction mammaplasties using the L technique described by J.S. Elbaz. This technique minimizes scaring because there is non medial horizontal branch. After describing the technique, they analyze the immediate and long-term results. Immediate postoperative course is uneventful: there were no cases of cutaneous or areolar necrosis. The following points are emphasized: residual mammary volume, shape, stability of contour, course of the scar, areolar sensitivity and appearance. The overall results are good. This technique has the same advantages as more recent mammaplasty procedures (vascular safety, easily adaptable reduction, good long-term results), for minimal scarring which is an indisputable psychological and aesthetic advantage. Nevertheless, problems arise in cases of very severe hypertrophy, for which secondary procedures are frequently necessary.