(a) This 63-year-old patient with large ptotic breasts presented with a tumour in the right breast. The skin markings show the planned incisions for a therapeutic inverted-T mammoplasty. (b) Postoperative images of the same patient after completion of adjuvant chemotherapy and prior to commencing radiotherapy. The inverted-T mammoplasty gives a satisfactory result and is in proportion to the patient’s body habitus. Reduction mammoplasty of the contralateral breast, to improve symmetry, is planned to be performed six months after completion of adjuvant radiotherapy.
