Tumor quadrantectomy was performed as part of a reduction mammoplasty. The areola was circumcised, and a superior pedicle and an inferior pedicle were de-epithelialized. The medial and lateral breast flaps were mobilized subcutaneously in the cranial direction, and the tumor was excised with wide margins. Reoperation sentinel node biopsy was performed through the same incision and found two negative nodes. The de-epithelialized inferior pedicle was mobilized, rotated into the quadrantectomy defect, and sutured to the pectoralis major muscle with two absorbable sutures. The wound was closed in an inverted T fashion.