Download PDF
Semin Plast Surg 2004; 18(3): 203-210
DOI: 10.1055/s-2004-831907
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Superomedial Pedicle Reduction with Short Scar

Scott L. Spear1 , Steven P. Davison1 , Ivan Ducic1
  • 1Georgetown University Hospital, Washington, DC
Further Information

Publication History

Publication Date:
19 August 2004 (online)

Also available at
    Permissions and Reprints

Reduction mammaplasty combining a superomedial pedicle with a circumareolar/vertical pattern skin excision avoids an inferior pedicle that can interfere with vertical scar technique, yet it is flexible enough to allow for a short transverse skin excision. This technique is suitable for small to moderate-size reductions.

KEYWORDS

Vertical reduction - mammaplasty - superomedial pedicle - SPEAR technique

REFERENCES

  • 1 Hall-Findlay E J. A simplified vertical reduction mammaplasty: shortening the learning curve.  Plast Reconstr Surg. 1999;  104 748-759
    CrossrefPubMedSearch in Google Scholar
  • 2 Lassus C. A 30-year experience with vertical mammaplasty.  Plast Reconstr Surg. 1996;  97 373-380
    CrossrefPubMedSearch in Google Scholar
  • 3 Lejour M. Vertical mammaplasty and liposuction of the breast.  Plast Reconstr Surg. 1994;  94 100-114
    CrossrefPubMedSearch in Google Scholar
  • 4 Hammond D C. Short scar periareolar-inferior pedicle reduction (SPAIR) mammaplasty.  Operative Techniques in Plastic and Reconstructive Surgery. 1999;  6 106
    PubMedSearch in Google Scholar
  • 5 Hammond D C. Short scar periareolar-inferior pedicle reduction (SPAIR) mammaplasty.  Plast Reconstr Surg. 1999;  103 890-901
    PubMedSearch in Google Scholar
  • 6 Marchac D, de Olarte G. Reduction mammaplasty and correction of ptosis with a short inframammary scar.  Plast Reconstr Surg. 1982;  69 45-55
    CrossrefPubMedSearch in Google Scholar
  • 7 Asplund O A, Davies D M. Vertical scar breast reduction with medial flap or glandular transposition of the nipple-areola.  Br J Plast Surg. 1996;  49 507-514
    CrossrefPubMedSearch in Google Scholar
  • 8 Spear S L, Howard M A. Evolution of the vertical reduction mammoplasty.  Plast Reconstr Surg. 2003;  112 855-868
    PubMedSearch in Google Scholar
  • 9 Weiner D L, Aiache A E, Silver L, Tittiranonda T. A single dermal pedicle for nipple transposition in subcutaneous mastectomy, reduction mammaplasty, or mastopexy.  Plast Reconstr Surg. 1973;  51 115-120
    CrossrefPubMedSearch in Google Scholar
  • 10 Orlando J C, Guthrie Jr R H. The superomedial dermal pedicle for nipple transposition.  Br J Plast Surg. 1975;  28 42-45
    CrossrefPubMedSearch in Google Scholar
  • 11 Hauben D J. Experience and refinements with the superomedial dermal pedicle for nipple-areola transposition in reduction mammaplasty.  Aesthetic Plast Surg. 1984;  8 189-194
    CrossrefPubMedSearch in Google Scholar
  • 12 Hauben D J. Superomedial pedicle technique of reduction mammaplasty: discussion.  Plast Reconstr Surg. 1989;  83 479
    PubMedSearch in Google Scholar
  • 13 Finger R E, Vasquez B, Drew G S, Given K S. Superomedial pedicle technique of reduction mammoplasty.  Plast Reconstr Surg. 1989;  83 471-478
    PubMedSearch in Google Scholar
  • 14 Shin K S, Chung S, Lee H K, Lew J D. Reduction mammaplasty by central pedicle flap with short submammary scar.  Aesthetic Plas Surg. 1996;  20 69-76
    PubMedSearch in Google Scholar
  • 15 Mofid M M, Dellon A L, Elias J J, Nahabedian M Y. Quantitation of breast sensibility following reduction mammaplasty: a comparison of inferior and medial pedicle techniques.  Plast Reconstr Surg. 2002;  109 2283-2288
    CrossrefPubMedSearch in Google Scholar
  • 16 Courtiss E H, Goldwyn R M. Breast sensation before and after plastic surgery.  Plast Reconstr Surg. 1976;  58 1-13
    CrossrefPubMedSearch in Google Scholar
  • 17 Craig R DP, Sykes P A. Nipple sensitivity following reduction mammaplasty.  Br J Plast Surg. 1970;  23 165-172
    CrossrefPubMedSearch in Google Scholar
  • 18 Farina M A, Newby B G, Alani H M. Innervation of the nipple-areola complex.  Plast Reconstr Surg. 1980;  66 497-501
    CrossrefPubMedSearch in Google Scholar
  • 19 Benelli L C. Periareolar Benelli mastopexy and reduction: the “round block”. In Spear SL Surgery of the Breast: Principles and Art. Philadelphia; Lippincott-Raven 1998: 685-696
    Search in Google Scholar

Scott L SpearM.D. F.A.C.S. 

Georgetown University Hospital

3800 Reservoir Road, Washington, DC 20007