Early experience with SPAIR mammaplasty: a useful alternative to vertical mammaplasty

The short-scar periareolar inferior pedicle reduction (SPAIR) mammaplasty is a recently developed "limited-scar" technique that attempts to combine favorable elements of several well-established mammaplasty operations. Parenchymal resection and nipple transposition are achieved in a manner similar to the standard inferior pedicle reduction. Skin closure is achieved through a combination of periareolar and vertical techniques. Indications, operative technique, and pitfalls of the operation are discussed. Early experience with this technique in 102 breasts in 61 patients has been very favorable.