(a) This 51-year-old patient with large, ptotic breasts and nipple-areola complexes situated medial to the breast meridian presented with a left breast cancer. These images show the skin markings used to plan a therapeutic inverted-T mammoplasty and simultaneous contralateral reduction mammoplasty for symmetrisation. (b) Adjuvant radiotherapy to the left breast has resulted in mild changes in skin pigmentation but symmetry is still good with the contralateral breast being still satisfactory.
