The past decade has been witness to a paradigm shift in the treatment of macromastia and breast ptosis. With a blending of surgical techniques from every corner of the globe,the era of reduced scar breast surgery has arrived and is here to stay. These innovative techniques for breast reduction and mastopexy are applicable to almost any conceivable breast size or shape, provide consistent and reliable results that are maintained over time, and accomplish all this with roughly half the scar of older, more established approaches. This book details the various surgical techniques that allow this to be accomplished and draws on the experience of the finest breast surgeons in the world. Truly these times are academically and artistically a high-water mark in the history of breast surgery. My personal journey into this field has been influenced by many of the major contributors to the field of short scar breast surgery including Claude Lassus,Joca Sampaio Goes, Louis Bennelli,and Madeline Lejour. However, my greatest teachers have been Pat Maxwell and Jack Fisher. It was during my fellow ship with these two fine surgeons that my artistic sensibilities were awakened and I discovered the courage to challenge conventional thinking. I developed the SPAIR mammaplasty drawing on the wisdom and expertise of those who came before me; however, I would be remiss if I did not recognize those who encouraged me and shared in our success as the procedure was developed. So to my wife Machelle and my children Rebecca, Sarah, and Andrew, who missed their husband and dad, all my love. To Joanie Bouwense, my nurse, first assistant, sounding board, and dear friend, my deepest thanks. To Mary McClain, who withstood the early struggles in the OR, my heartfelt appreciation. To John Beernink, MD, William Passinault, MD, Ron Ford, MD, and Carrie Bouwense, thank you for believing. It is my fervent hope that this book will allow every surgeon to embrace short scar breast surgery and achieve results never before seen. Our patients deserve nothing less. Good luck!

Dennis C. Hammond, MD

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