Abstract
Ann R Coll Surg Engl 2010; 92: 437–443 439 improved body image and sexuality.2 The recent advent of oncoplastic approaches has allowed breast-conserving surgery to be applied to larger tumours in various positions with reasonable cosmetic outcomes.3 Tumours located at the 6 o’clock position in the peri-areolar region pose a particular challenge. A technique to overcome this is described. TECHNIQUE The ‘golf-tee’ incision is a modification of the boomerang incision.4 (Fig. 1) Segment resection is planned as an ellipse with its long axis lying radially. To allow for optimum cosmesis with minimal nipple distortion when apposition is complete, triangular extensions of resection may be made at the mid-points on both sides of the segment.
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