Breast reduction is one of the most common plastic surgery procedures performed on the breast. There are now numerous alternatives to the standard inverted-T inferior pedicle technique. The short scar periareolar inferior pedicle reduction (SPAIR) mammaplasty is one of these techniques. The procedure was designed to reduce the scar burden associated with breast reduction. However, postoperative complications can occur. The purpose of this article is to outline these potential complications that are of particular concern with the SPAIR mammaplasty and describe methods for their treatment and prevention.
Key points
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The skin pattern of the short scar periareolar inferior pedicle reduction mammaplasty creates inequality in the incision lengths around the periareolar and vertical incisions.
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This inequality can lead to delayed wound healing, widened or unattractive scars, and shape distortion.
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Based on an inferior pedicle, blood supply issues to the nipple-areolar complex are rare.
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The overall complication rate is low, and the aesthetic results are excellent.
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