Review Article

Breast Conservation Surgery: State of the Art

Figure 4

(a) This 41-year-old patient had previously undergone wide local excision of a tumour in the left breast. The lateral margin was involved, necessitating a further central wide local excision to include the nipple-areolar complex. (b) In view of the predicted loss of volume, a latissimus dorsi miniflap was utilised to both fill the resultant defect and also replace the skin of the areola. The volume of the partially reconstructed breast is very similar to that of the contralateral side, although postoperative swelling is apparent.