Rebuild
These are sequelae caused by trauma or, more often, by birth. A consultation will provide the diagnosis and find the surgical solutions to remedy this physical disorder. Several interventions will sometimes be necessary.
Dr. Lekieffre will explain the progress of the treatment, the risks and the expected result.
The goal is the culmination of a harmonious shape, a breast asymmetry and a natural result.
It is a question of repairing all the morphological disgrace of origin most often traumatic (accidents, burns, surgical sequelae ...) but also malformative.
This is to repair the sequelae caused by facial cancers, repeated interventions, burns, malformations.
Dermatological surgery is most often done following a consultation with a specialist in dermatology. This is the management of a suspicious lesion that will require a biopsy (often performed by the dermatologist). Depending on the results, an additional excision may be requested. The surgical procedure may result in closure by a local or loco-regional flap.
Dermatological surgery also includes the management of scar (acne, secondary to trauma, burns), the removal of unsightly nevi (moles), benign lesions such as lipomas or cystic lesions.
Breasts
Breast augmentation consists of the placement of breast prostheses (implants silicone gel). This intervention is indicated at the request of the patient when she judges that her breast volume is not sufficient.
There are many shapes and sizes of prostheses. The most suitable prosthesis will be chosen during the consultation with Dr. Lekieffre. During this consultation should be chosen the location of the scar (areolar, axillary or sub-mammary) according to the morphology of the breasts and the wish of the patient. The prosthesis may be positioned in front of the pectoral muscle or behind (young and thin patient).
This intervention requires a night of hospitalization. A restraining bra will be required for a period of two months (day and night the first month and that day the second month). A sport stop will be required for a period of two months. Breast augmentation is not without risks, like any surgical procedure. They will be explained during the consultations.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 708 ko)
It is about raising the breasts that have undergone the aging process. The purpose of the intervention is to be able to find a curve and a satisfactory volume.
If the volume is satisfactory, the gesture will be to raise the breasts by a "breast pexie" with scar that can be only around the areolas but sometimes requiring an inverted "T" scar.
If the volume is too large, it will be necessary to associate a breast reduction with a "pexie" which will require an inverted "T" scar.
If the breast volume is too low it will be necessary to perform a breast augmentation associated with a "pexie" with scars depending on the shape of the initial breast.
This intervention is necessary when the breast volume is too large and generates functional discomfort (back pain, neck pain, difficulty in sports ...). The scars will be in inverted "T".
This procedure will require one to two nights of hospitalization. The stitches can be removed from the 7th day. A compression bra must be worn for 2 months (1 month day and night and 1 month that night).
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 606 ko)
These are sequelae caused by trauma or, more often, by birth. A consultation will provide the diagnosis and find the surgical solutions to remedy this physical disorder. Several interventions will sometimes be necessary.
Dr. Lekieffre will explain the progress of the treatment, the risks and the expected result.
The goal is the culmination of a harmonious shape, a breast symmetry and a natural result.
The face
The cervico-facial lifting helps to fight against the marks of aging and improves the aesthetics of the face. It is indicated from 45 years old.
There are several types of facelift to meet the most often targeted demand of patients.
The scars are discreet: they are hidden in the hair or at the root.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 578 ko)
The complete cervico-facial lifting
It aims to treat the marks of aging of the neck area, cheeks and cheeks, temples. The facelift of the facial oval or mini-facelift that aims to take care of the cheeks and cheeks.
The temporal lifting alone
Other techniques may be associated with cervicofacial lifting to obtain the best possible result. Dr. Lekieffre may have to perform at the same time sub-mental liposuction, fat injection in deep wrinkles (nasolabial fold, lion's wrinkles ...), blepharoplasty (eyelid surgery), injection of hyaluronic acid or botulinum toxin, a dermabrasion around the lips or cheeks.
Blepharoplasty or eyelid surgery allows the treatment of excess skin as well as puffiness and dark circles of physiological origin or secondary to skin aging. The goal is to restore glamor to the look, youth and easier access to makeup.
This treatment can be supplemented by a temporal lift to treat the fall of the eyebrow and spread the wrinkles of the crow's feet at the corner of the eye.
The use of botulinum toxin may give the same effect but will persist for a shorter time. Dr. Lekieffre will perform a detailed clinical examination to determine the best indication for each patient.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 584 ko)
Rhinoplasty can treat unsightly abnormalities of the nose. The goal is to obtain the most natural result possible.
It is a question of answering the request concerning an unsightly hump, an improvement of the tip (too broad, falling, asymmetry ..), an overall improvement of the nose (too long, too broad, too small, not enough projected .. ), a repair (trauma, cancer ..), a resumption of anterior surgery (secondary rhinoplasty).
The intervention will require one night of hospitalization. Wicks will be put in place to prevent the formation of a hematoma of the wall and will be removed at 48h, and a plaster that will be removed after one week.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 584 ko)
Otoplasty is a surgery that can be performed in children from 7 years but also in adults. This procedure involves reshaping the cartilage of the ear.
The incision is very discreet because it is behind the ear. The intervention is performed on an outpatient basis. A headband should be worn 10 days day and night then 3 weeks that night.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 591 ko)
Silhouette
The remodeling of the glutes is an intervention to increase the volume of the buttocks by an injection of fat. This is to take care of a curve too flat, falling.
The objective of this intervention is to take volume without foreign body with a natural result while improving the quality of the skin on the injected area. It has another benefit: that of refining the liposuction zone chosen for the removal of fat (abdominal, hip, breeches).
Dr. Lekieffre practices this procedure under general anesthesia. The remodeling of the glutes requires a patient with areas of steatomeries (excess localized fat) and in demand for a moderate increase in volume. Effective fat intake is estimated at 70%. This percentage may vary according to the quality of the fat and according to the individuals.
The bodylift is most often performed in patients who have experienced significant weight loss either by diet but also in the aftermath of bariatric surgery (gastric band, sleeve gastrectomy, bypass).
This procedure involves removing excess skin all around the waist.
This is a heavy surgery requiring 5 nights of hospitalization with significant scars.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 1,7 mo)
The abdominoplasty allows to remove an important cutaneo-fat surplus secondary to a slimming, multiple pregnancies ...
Dr. Lekieffre can sometimes complete this procedure with a lipoaspiration (ilio-lumbar, abdominal ..) to get the best result possible. The scar is important but can be easily hidden by the undergarment.
This procedure requires two to three nights of hospitalization and the wearing of an abdominal compression sheath for 2 months (day and night the first month and the night the second month).
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 614 ko)
The lifting of the arms or thighs is the surgical management of excess skin secondary to weight loss or age-related. Scars are important but hidden in clothes.
This intervention requires a night of hospitalization. A compression garment should be worn for 2 months (day and night for one month and that day for an additional month).
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information - Lifting des bras
(pdf, 632 ko)
> Télécharger la fiche d'information - Lifting des cuisses
(pdf, 591 ko)
Lipoaspiration allows the excision of localized fat overloads called "lipomeries". These areas never disappear even after a diet or intense sports practice. They are located in the abdomen, hips, thighs, and the inner side of the knees.
The scars are minimal and the results are very satisfactory but sometimes require some remodeling at a distance from the initial surgery. Liposuction can be performed as an outpatient or require a night of hospitalization. Some areas may sometimes be treated under local anesthesia.
Dr. Lekieffre will prescribe a garment of contention that will be necessary to wear 2 months (1 month day and night and 1 month that day).
Liposuction is not an alternative to weight loss.
Zones habituelles de Liposuccion
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 576 ko)
Aging
The cervico-facial lifting helps to fight against the marks of aging and improves the aesthetics of the face. It is indicated from 45 years old.
There are several types of facelift to meet the most often targeted demand of patients.
The scars are discreet: they are hidden in the hair or at the root.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 578 ko)
The complete cervico-facial lifting
It aims to treat the marks of aging of the neck area, cheeks and cheeks, temples. The facelift of the facial oval or mini-facelift that aims to take care of the cheeks and cheeks.
The temporal lifting alone
Other techniques may be associated with cervicofacial lifting to obtain the best possible result. Dr. Lekieffre may have to perform at the same time sub-mental liposuction, fat injection in deep wrinkles (nasolabial fold, lion's wrinkles ...), blepharoplasty (eyelid surgery), injection of hyaluronic acid or botulinum toxin, a dermabrasion around the lips or cheeks.
Blepharoplasty or eyelid surgery allows the treatment of excess skin as well as puffiness and dark circles of physiological origin or secondary to skin aging. The goal is to restore glamor to the look, youth and easier access to makeup.
This treatment can be supplemented by a temporal lift to treat the fall of the eyebrow and spread the wrinkles of the crow's feet at the corner of the eye. The use of botulinum toxin may give the same effect but will persist for a shorter time.
Dr. Lekieffre will perform a detailed clinical examination to determine the best indication for each patient.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 584 ko)
Aging is global and also affects the hands. They present tasks, an emaciated appearance.
Dr. Lekieffre uses an injection of filling product (hyaluronic acid) to remedy it.
The treatment is simple and the result is very satisfying.
Hyaluronic acid is a filling product that makes it possible to easily correct the loss of skin volume secondary to aging (deep wrinkles, loss of volume, fatty melt, etc.). It involves injecting the product without surgery or anesthesia.
This technique allows to answer the losses of volumes located at the level of the grooves (naso-geniens, labio-mentonniers, corners of the mouth), lines and wrinkles (forehead, corner of the eyes, cheeks, chin), lips (volumizer), depressions (hollow), lack of volume (cheekbones, sequelae of scars), aging of hands ...
Dr. Lekieffre offers the best tolerated products with the minimum of side effects for the best possible result. It is only used resorbable products, synthetic, meeting the safety standards. The quantity and its density will be chosen according to the area to be treated.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 522 ko)
This is a very effective product. It is a toxin that helps prevent muscle contraction and causes wrinkles and fine lines to fade while fighting wrinkles in facial expressions. We thus obtain a frontal lifting effect and a rejuvenation of the look.
The wrinkles concerned are the lion's wrinkles (inter-eyebrows), wrinkles of the crow's feet (corner of the eyes) and wrinkles of the forehead.
Botulinum toxin can be a complementary treatment to face surgery (lifting) or eyelids (blepharoplasty).
The effect is visible 5-7 days after the first injection. It will be necessary to repeat the injection at 3 months and then every 6 months for optimal results.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 588 ko)
It is a question of this technique to achieve a mechanical or thermal dermabrasion of the skin to reduce superficial wrinkles as well as fine lines.
Redness of the skin (erythema) may persist for several months after the procedure.
Sheet of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOFCPRE) :
> Télécharger la fiche d'information
(pdf : 532 ko)
Intimate surgery
Nymphoplasty is a surgical technique that reduces the size of the labia minora.
It is a question of answering the request of the patients feeling an embarrassment secondary to their hypertrophy (aesthetics, irritation and discomfort to the wearing of the clothes, discomfort to the practice of the sport, dyspareunia (discomfort during the sexual intercourse)).
Several surgical techniques may be proposed after clinical examination of the patient.