(A) Initial extensive skin undermining.
(B) Excision of the lesion from subcutaneous tissue to pectoralis fascia.
(C) Reapproximation and suturing of the gland.
(D) A skin crescent is deepithelialized opposite to the lumpectomy bed in the upper outer quadrant.
(E) The NAC is recentralized to avoid NAC deviation post-lumpectomy.
Reprinted by permission from: Springer: Annals of Surgical Oncology. Clough KB, Kaufman GJ, Nos C, et al. Improving breast cancer surgery: A classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol 2010; 17:1375. Copyright © 2010.
https://link.springer.com/journal/10434.
