(a–c) Preoperative view, preoperative drawings. The patient had tumor quadrantectomy of the right breast (scar in the upper outer quadrant); the tumor recurrence was in the upper central quadrant (circle). The ideal technique for the tumor location would have been an inferior-based pedicle reduction mammoplasty. However, due to the risk of skin/nipple necrosis due to prior surgery, a Batwing quadrantectomy was planned