SPAIR

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SPAIR (Short-scar Periareolar-Inferior pedicle Reduction) is a short-scar breast surgery technique, innovated and coined by Dr. Dennis C. Hammond, M.D. [1][2] This surgery technique was designed to allow a better-shaped breast, a limited amount of scarring, and a more accelerated healing process, by eliminating the lateral scar beneath the breast found in conventional breast reduction surgery.[3] Richard Restifo reported on his experiences of 61 such operations, and considered the technique to be a good alternative to vertical mammoplasty.[4]

Short-scar refers to the smaller, shorter (when compared to conventional breast reduction methods), vertical-only scar. Periareolar refers to the cutting around the areola and running vertically down to the underside of the breast. Inferior Pedicle refers to leaving the nipple attached on the inside of the breast. It is of note that the inferior pedicle is the standard pedicle used in all breast reduction surgeries to preserve nipple function (breast feeding and sensitivity), not just SPAIR.[3]

SPAIR vs. Traditional Breast Reduction[edit]

Conventional breast reduction procedures typically result in a long scar which runs laterally along the underside of the breast from the chest wall to the mid-portion of the sternum. Additional scarring can be found up the center of the breast and around the nipple and areola. This operation successfully reduces the size of the breast, but is often associated with pronounced or hypertrophic scarring.[3] Also, the shape created at the time of surgery is often lost due to a large portion of the glandular tissue settling down below the nipple areola complex and the inframammary fold, creating what is referred to as a "bottomed-out" appearance.[5]

The SPAIR technique was designed to utilize the rounded contours of the breast, reduce breast volume, and maintain the natural curves of the breast. In the SPAIR technique, tissue is removed from around the nipple and the areola in a semi-circular fashion. The upper pole of the breast remains untouched, leaving the breast itself to maintain the natural soft curves. running from the outer portion of the breast, over to the inner chest wall.[1] In order to reposition the nipple upward onto the new breast mound, some of its attachments must be severed. However, the nipple is left attached to a stalk of tissue from within the breast which is designed to include nerve endings and blood supply. Scarring is minimal as a result of a single incision that passes around the nipple and areola and straight down to the inframammary fold. The wide scar along the underside of the breast found by conventional procedures is eliminated.

Published Chapters on SPAIR[edit]

  • Hammond, DC (2005). Vertical Scar Mammaplasty. Springer-Verlag. pp. 49–57. ISBN 978-3-540-22101-2. 
  • Hammond, DC (2004). "18". Seminars in Plastic Surgery: New Trends In Reduction and Mastopexy. [The Short Scar Periareolar Inferior Pedicle Reduction (SPAIR) Mammaplasty]. pp. 231–243. 
  • Hammond, DC (2002). "29". Clinics in Plastic Surgery. [The SPAIR Mammaplasty.]. W.B. Saunders Company. pp. 411–421. 

Published Papers and Articles on SPAIR[edit]

  • Hammond, DC (2001). Perspectives in Plastic Surgery [Short Scar Periareolar Inferior Pedicle Reduction (SPAIR) Mammaplasty/Mastopexy: How I Do It Step by Step] 15 (1). pp. 61–70. 
  • Hammond, DC (1999). "2". Short Scar Periareolar Inferior Pedicle Reduction (SPAIR) Mammaplasty. pp. 106–118. 
  • Hammond, DC (1999). "103". Short Scar Periareolar Inferior Pedicle Reduction (SPAIR) Mammaplasty. p. 890. 

SPAIR Surgical Demonstrations[edit]

  • SPAIR. Performed at the Medical College of Georgia - Augusta, Georgia, November 28, 2006.
  • SPAIR. Performed at the Corso Teorico Pratico di Chirugia Mammaria – Bergamo, Italy, December 11, 2003.
  • SPAIR. Performed again at the Corso Teorico Pratico di Chirugia Mammaria – Bergamo, Italy, December 12, 2003.
  • SPAIR. Performed at the New York Presbyterian Hospital – New York, New York, February 24, 2003.
  • SPAIR. Performed at the Naval Medical Center – San Diego, California, December 6, 2002.
  • SPAIR. Performed again at the Naval Medical Center – San Diego, California, December 6, 2002.
  • SPAIR. Performed at the Louisiana Society of Plastic Surgeons Spring Program – Baton Rouge, Louisiana, March 22, 2001.
  • SPAIR. Performed again at the Louisiana Society of Plastic Surgeons Spring Program – Baton Rouge, Louisiana, March 22, 2001.
  • SPAIR. Performed at the 17th Annual Breast Surgery Symposium – Atlanta, Georgia, January 19, 2001.

Professional Presentations of SPAIR[edit]

  • Dr. Dennis Hammond. SPAIR. Presented at the 2nd Annual QMP Aesthetic Surgery Symposium – Chicago, IL, December 3, 2006.
  • Dr. Dennis Hammond. SPAIR. Presented at the 43rd Annual Brazilian Meeting of Plastic Surgery – Recife, Brazil, November 12, 2006
  • Dr. Dennis Hammond. SPAIR Mastopexy. Presented at the Sacramento Society of Plastic Surgeons – Sacramento, CA, November 6, 2006.
  • Dr. Dennis Hammond. SPAIR Mastopexy. Presented at the Bariatric Plastic Surgery Workshop – Amelia Island, FL, November 3, 2006.
  • Dr. Dennis Hammond. SPAIR Mastopexy. Presented at the Bariatric Plastic Surgery Workshop – Amelia Island, FL, November 3, 2006.
  • Dr. Dennis Hammond. SPAIR. Presented at the 28th Annual Meeting of the Turkish Society of Aesthetic, Plastic and Reconstructive Surgeons – Ankara, Turkey, September 21, 2006.
  • Dr. Dennis Hammond. SPAIR. Presented at the Breast Surgery and Body Contouring Symposium – Santa Fe, New Mexico, August 25, 2006.
  • Dr. Dennis Hammond. SPAIR. Presented at the EURAPS Refresher Course – Istanbul, Turkey, May 26, 2006.
  • Dr. Dennis Hammond. SPAIR. Presented at the PSEF Perspectives & Advances in Plastic Surgery Symposium – Vail, Colorado, March 15, 2006.
  • Dr. Dennis Hammond. SPAIR Mastopexy. Presented at the Bariatric Plastic Surgery Workshop – Amelia Island, Florida, October 14, 2005.
  • Dr. Dennis Hammond. SPAIR. Presented at the British Association of Aesthetic Plastic Surgeons Meeting – London, England, September 23, 2005.
  • Dr. Dennis Hammond. The SPAIR Technique – Video. Presented at the Breast Surgery & Body Contouring Symposium – Santa Fe, New Mexico, August 26, 2005.
  • Dr. Dennis Hammond. SPAIR Vertical Reduction. Presented at the Perspectives and Advances in Plastic Surgery – Vail, Colorado, March 22, 2005.
  • Dr. Dennis Hammond. SPAIR. Presented at the First Annual Grand Rapids Symposium – Grand Rapids, Michigan, February 26, 2005.
  • Dr. Dennis Hammond. SPAIR. Presented at the Minnesota Society of Plastic Surgeons Meeting – Minneapolis, Minnesota, February 12, 2005.
  • Dr. Dennis Hammond. SPAIR. Presented at the Michigan Academy of Plastic Surgeons – Mackinac Island, Michigan, July 12, 2004.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the 4th Annual Toronto Breast Surgery Symposium – Toronto, Ontario, April 29, 2004.
  • Dr. Dennis Hammond. SPAIR. Presented at the Missouri Association of Plastic and Reconstructive Surgeons Meeting – St. Louis, Missouri, April 3, 2004.
  • Dr. Dennis Hammond. SPAIR Breast Reduction. Presented at the 17th Annual Perspectives and Advances in Plastic Surgery Symposium – Vail, Colorado, March 24, 2004.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the Corso Teorico Pratico di Chirugia Mammaria – Bergamo, Italy, December 13, 2003.
  • Dr. Dennis Hammond. SPAIR Technique in Reduction Mammaplasty and Mastopexy. Presented at the Corso Teorico Pratico di Chirugia Mammaria – Bergamo, Italy, December 13, 2003.
  • Dr. Dennis Hammond. SPAIR. Presented at the Florida Society of Plastic Surgeons – Aventura, Florida, December 7, 2003.
  • Dr. Dennis Hammond. SPAIR Video. Presented at the 2003 ASPS/PSEF/ASMS Annual Scientific Meeting – San Diego, California, October 27, 2003.
  • Dr. Dennis Hammond. The SPAIR Mammaplasty. Presented at the Breast Surgery and Body Contouring Symposium – Santa Fe, New Mexico, August 28, 2003.
  • Dr. Dennis Hammond. SPAIR Breast Reduction & Periareolar Surgical Techniques. Presented at the Southeastern Society of Plastic and Reconstructive Surgeons – West Palm Beach, Florida, June 4, 2003.
  • Dr. Dennis Hammond. SPAIR. Presented at the Emerging Technologies and Techniques in Plastic Surgery Symposium – New York, New York, May 30, 2003.
  • Dr. Dennis Hammond. SPAIR. Presented at the Annual Meeting of ASAPS and ASERF – Boston, Massachusetts, May 16, 2003.
  • Dr. Dennis Hammond. Limited Scar Breast Reduction – Does It Hold Up? 5 Year Follow Up – SPAIR. Presented at the 16th Annual Perspectives & Advances in Plastic Surgery – Vail, Colorado, March 12, 2003.
  • Dr. Dennis Hammond. SPAIR. Presented at the Naval Medical Center – San Diego, California, December 5, 2002.
  • Dr. Dennis Hammond. SPAIR. Presented at the Connecticut Society of Plastic & Reconstructive Surgeons – Meriden, Connecticut, November 19, 2002.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the 2002 Annual Scientific Meeting for the North Carolina Society of Plastic Surgeons – Wrightsville Beach, North Carolina, October 11, 2002.
  • Dr. Dennis Hammond. SPAIR. Presented at the Breast Surgery and Body Contouring Symposium – Santa Fe, New Mexico, August 22, 2002.
  • Dr. Dennis Hammond. SPAIR. Presented at the Emerging Technologies in Plastic Surgery – New York, New York, May 30, 2002.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the National Capital Society of Plastic Surgeons – Washington, D.C., May 9, 2002.
  • Dr. Dennis Hammond. SPAIR. Presented at the Annual Meeting of ASAPS and ASERF – Las Vegas, Nevada, April 28, 2002.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the 2002 Atlanta Breast Symposium – Atlanta, Georgia, January 25, 2002.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the Breast Surgery and Body Contouring Symposium – Santa Fe, New Mexico, August 23, 2001.
  • Dr. Dennis Hammond. Short Scar Periareolar Reduction (SPAIR) Mammaplasty. Presented at the New England Society of Plastic and Reconstructive Surgeons 42nd Annual Meeting – Mystic, Connecticut, June 3, 2001.
  • Dr. Dennis Hammond. Minimally Invasive Breast Surgery Panel – SPAIR Mammaplasty. Presented at the Annual Meeting of ASAPS and ASERF – New York, New York, May 8, 2001.
  • Dr. Dennis Hammond. SPAIR Mammaplasty. Presented at the Annual Meeting of ASAPS and ASERF – New York, New York, May 3, 2001.
  • Dr. Dennis Hammond. SPAIR Breast Reduction. Presented at the Midwest Association of Plastic Surgeons Meeting – Chicago, Illinois, April 22, 2001.
  • Dr. Dennis Hammond. SPAIR. Presented at the Louisiana Society of Plastic Surgeons Spring Program – Baton Rouge, Louisiana, March 23, 2001.
  • Dr. Dennis Hammond. SPAIR Mammoplasty Results, Complications. Presented at the Innovations in Aesthetic Surgery – Fort Lauderdale, Florida, March 2, 2001.
  • Dr. Dennis Hammond. SPAIR Breast Reduction. Presented at the 17th Annual Breast Surgery Symposium – Atlanta, Georgia, January 20, 2001.
  • Dr. Dennis Hammond. Experience and Results with the Short Scar Periareolar Inferior Pedicle Reduction (SPAIR) Mammaplasty. Presented at the XIII International Symposium of Plastic and Aesthetic Surgery – Fort de France, Martinique, December 14, 2000.
  • Dr. Dennis Hammond. SPAIR. Presented at the 49 Societa Italiana di Chirugia Plastica, Ricostruttiva ed Estetica – Torino, Italy, October 28 & 29, 2000.
  • Dr. Dennis Hammond. SPAIR CD-rom. Presented at the ASPS/PSEF/ASMS 69th Annual Scientific Meeting – Los Angeles, California, October 14–18, 2000.
  • Dr. Dennis Hammond. Technical Refinements in Mastopexy/Reduction – SPAIR. Presented at the Breast Surgery and Body Contouring: Evolving Technology Symposium – Santa Fe, New Mexico, August 23–27, 2000.
  • Dr. Dennis Hammond. Instructional Course: SPAIR Mammaplasty: Technical Details, Results and Complications. Presented at the Perspectives and Advances in Plastic Surgery – Vail, Colorado, March 12–15, 2000.
  • Dr. Dennis Hammond. Spair Mammaplasty. Presented at the Breast Surgery and Body Contouring – Current Alternatives Symposium – Santa Fe, New Mexico, August 25–28, 1999.
  • Dr. Dennis Hammond. Spair Mammaplasty. Presented at the Use of Gore-Tex suture in Aesthetic and Reconstructive Breast Surgery – Flagstaff, Arizona, August 23–24, 1999.

References[edit]

  1. ^ a b Hammond DC (1999), Short-scar periareolar-inferior pedicle reduction (SPAIR) mammoplasty, doi:10.1097/00006534-199903000-00018, PMID 10077079 
  2. ^ David L. Brown, Gregory H. Borschel (2004), Michigan Manual of Plastic Surgery 
  3. ^ a b c Moustapha Hamdi, Dennis C. Hammond, Foad Nahai (2005), Vertical scar mammaplasty, p. 3 
  4. ^ Restifo, Richard J. MD (April 1999), "Early Experience with SPAIR Mammaplasty: A Useful Alternative to Vertical Mammoplasty", Annals of Plastic Surgery 42  (C) 1999 Lippincott Williams & Wilkins, Inc.
  5. ^ Moustapha Hamdi, Dennis C. Hammond, Foad Nahai (2005), Vertical scar mammaplasty, p. 2 

External links[edit]