Circumareolar approach for segmental resection. (a) Shows location of circumareolar skin incision. (b) Shows multiple “stars” indicating possible tumor locations suitable for this approach. (c) Shows lumpectomy cavity after segmental resection of breast glandular tissue only with arrows denoting the extent of undermining of the overlying skin flap. (d) Shows results of glandular flaps advancements that allow the medial and lateral margins to be sutured together below the skin flap. Frontal and transverse views are shown. (e) Shows breast following closure of the circumareolar incision.