A round block quadrantectomy was done, and this included resection of the nipple and the breast duct with the nipple discharge. This duct was identified through ductoscopy and marked with a thin wire inserted through the ductoscope. The medial and lateral pillars of breast tissue were mobilized off the skin and the pectoralis muscle fascia and closed to avoid any dead space. The skin of the areola complex was dissected off the breast tissue and the wound closed as a round block quadrantectomy (Fig. 3.2a–e).