The patient underwent breast conservation surgery using a batwing (omega) quadrantectomy. Sentinel node biopsy was done through the same incision and found two negative sentinel nodes. Following quadrantectomy, the mammary gland was dissected off the pectoralis major muscle fascia, and the caudal breast tissue was raised superiorly to close the defect. No drain was used.

Postoperative course was uneventful. Final histology found a 24 mm tumor with the closest margin being 12 mm cranially. The patient received radiation and endocrine treatment.

The cosmetic result was rated excellent by both the surgeon and the patient. The right breast showed good breast volume (although being smaller than the left breast) and location of the nipple (Fig. 8.2a, b). The patient declined symmetrization mastopexy of the left breast.