Versatility of therapeutic reduction mammoplasty in oncoplastic breast conserving surgery

Figure 4 A 44-year-old premenopausal female with an invasive ductal carcinoma at upper outer quadrant of the left breast which sized 35 mm on mammograms who was treated with neoadjuvant chemotherapy before surgery. A therapeutic bilateral reduction mammaplasty with T inverted pattern incision and superomedial pedicle used for shifting nipple areola complex and an infero-lateral one to fill the breast defect caused by extirpation of a surgical specimen weighted 223 g was carried out. Pathological study showed a tumor size 12 mm, one negative sentinel lymph node and free surgical margins. A: Design of pattern incision with three wires inserted to guide tumor excision; B: X-ray of surgical specimen showed complete radiological removal of tumor; C: Appearance on early postoperative period; D: Long-term aesthetic outcome three years after breast conserving treatment shows both breasts with pseudotosis.