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

Write to the practice
A question before booking a consultation?
Your message goes directly to Dr Azencot’s office.
In cosmetic surgery, French law requires a detailed written quote and a cooling-off period of at least fifteen days between the consultation and the operation. No deposit may be requested during that period. Two consultations are required before any operation.
