The diameter of the new areola was drawn with a cookie cutter. The new NAC was circumcised, and the inferior pedicle was de-epithelialized. A skin flap was dissected subcutaneously in the cranial direction and beyond the location of the tumor. The tumor was not close to the skin, and therefore a quadrantectomy without resection of skin was done. Frozen section of the tissue specimen found a 21 mm tumor with the closest margin of 10 mm toward the skin. A craniomedial and craniolateral pedicle was mobilized from the skin and closed in the midline with absorbable sutures to reconstruct the quadrantectomy defect. The inferior pedicle was transferred cranially into the defect, and the NAC was reconstructed in a position slightly above the inframammary fold. Sentinel lymph node biopsy found two negative sentinel nodes, and no further axillary dissection was needed. A contralateral reduction mammoplasty with an inferior-based pedicle was done concomitantly for symmetrization.