Dr Armand AzencotBreast surgery · Bordeaux
The procedures
Breast reconstruction
Minimally invasive techniquePreservéA 2 cm micro-incision, no muscle detachment, under local anaesthesia with sedation.
Consultation

Clinique Esthétique Ferrère
16 ter rue Ferrère, 33000 Bordeaux

05 56 79 02 02Book a consultation

The catalogue

The procedures

Nine cosmetic breast surgery procedures. Each page gives the key figures, how it is done, the recovery and the questions that come up most often.

All procedures

Choose by procedure

The figures shown are orders of magnitude: they vary from case to case and are specified in consultation.

01

Breast augmentation with implants

Silicone gel implants, round or anatomical, with the choice of incision and implant plane. One of the most frequent requests in cosmetic surgery.

Between 1 h and 1 h 30 minGeneralDay case or 1 night
See the page
02

Composite breast augmentation, implants and fat

An implant for volume, fat transfer for shape. Both combined in the same operation, to work on the cleavage, the contours and the space between the breasts.

2 h 15 minGeneral1 night or day case
See the page
03

Autologous breast augmentation by fat transfer (lipofilling)

Augmentation with your own fat, without an implant. Half a cup to one cup size per operation — and the first-line option in some cases of asymmetry and malformation.

2 hGeneralDay case
See the page
04

Breast lift (mastopexy)

Breast lift and reshaping mastopexy, with or without an implant depending on the volume available. Firmer, higher breasts after pregnancies or weight changes.

2 h 30 minGeneral1 night
See the page
05

Breast reduction

Treatment of breast hypertrophy: reducing volume, redraping the skin and correcting sagging. A procedure that is both functional and aesthetic.

2 h 15 minGeneral24 hours
See the page
06

Correction of breast asymmetry and malformations, tuberous breasts

Tuberous breasts, volume asymmetry, severe juvenile hypotrophy, Poland syndrome. Situations where each breast calls for its own treatment.

Case by caseGeneral1 night or day case
See the page
07

Implant replacement

Wear after ten years, rupture, capsular contracture, or simply the wish for a different shape. Replace, adjust the pocket, or convert to fat.

1 h to 1 h 30 minGeneralDay case or 1 night
See the page
08

Nipple and areola surgery, inverted nipples

An inverted nipple is corrected with a short procedure, often under local anaesthesia, with no time off work. A frequent concern that is rarely mentioned.

45 minLocal or generalDay case
See the page
09

Gynecomastia, male breast enlargement

Abnormal growth of the breast gland in men, most often in adolescents and young men. The gland is removed through an areolar incision, and the excess fat by liposuction.

Endocrine, beforehandAreolarLiposuction
See the page
★

The Preservé technique

A two-centimetre micro-incision, a pocket created with an inflatable balloon without detaching the tissues, local anaesthesia with sedation. A lighter procedure, for a faster recovery.

1 hLocal, with or without sedationDay case
See the page

After breast cancer

Choosing by stage

Reconstruction is decided by a multidisciplinary board and is often carried out in several stages. These pages describe each of them.

R1

Breast reconstruction

Restoring the shape and volume of the breast after a mastectomy. By implant, by flap or by fat grafting, in one stage or several, according to the treatments received and what your anatomy allows.

GeneralMultidisciplinary board9 to 12 months
See the page
R2

Immediate reconstruction

Rebuilding the breast during the same operation as the mastectomy. The breast skin can often be preserved, and the patient never experiences the period without a breast.

GeneralMultidisciplinary boardFilling from day 21
See the page
R3

Delayed reconstruction

The existing mastectomy incision, a pocket under the muscle, abdominal skin recruited upwards and a new fold rebuilt. The technique most often indicated in delayed reconstruction.

General5 cm, existing scar2 to 4 days
See the page
R4

Fat grafting in reconstruction

Fat before the implant to prepare the tissues, after the implant to soften it, as a complement to a flap or on its own. The ground on which the practitioner has presented his work at a national congress.

1 hGeneral1 night
See the page
R5

Flap reconstruction

Rebuilding with your own tissue: muscle, skin and fat taken from the back or the abdomen, transferred to the chest and shaped into a new breast.

General5 to 6 days6 days
See the page
R6

Prophylactic mastectomy

Removing the breast gland in a high-risk patient, before a lesion appears, and rebuilding the breast in the same operation. A decision taken by a board.

GeneralMultidisciplinary board7 to 8 cm if areola removed
See the page
R7

Nipple and areola

The last step of the reconstruction, about three months after the breast mound: the nipple grafted from the other breast, the areola rebuilt by medical dermopigmentation, in a single session.

Local3 months after the mound1
See the page
R8

Sequelae of breast-conserving treatment

Correcting a quadrant defect and a distorted areola after lumpectomy and radiotherapy. Fat grafting fills and reshapes, over two sessions as a rule.

GeneralFat grafting2 as a rule
See the page
R9

Symmetrisation of the opposite breast

Operating on the breast that has not been operated on, so that it answers the reconstructed one: augmenting it, reducing it or correcting its ptosis, during the same operation whenever possible.

GeneralAugmentation, reduction, mastopexySame operation as reconstruction
See the page

Meet us

Consultation

A first consultation is there to understand your request and tell you what is possible — including when the answer is that it is better to do nothing.

Clinique Esthétique Ferrère

16 ter rue Ferrère
33000 Bordeaux

05 56 79 02 02
ConsultationsBy appointment, Monday to Friday, 9 am to 1 pm and 2 pm to 6 pm
Quotegiven in consultation
Cooling-off period15 days minimum
The reception desk of the Clinique Esthétique Ferrère in Bordeaux
The reception, 16 ter rue Ferrère

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