fig5

Figure 5. Modified wise-pattern for upper quadrant skin resection (skin-sparing mastectomy type-V) was applied on the affected breast. Standard wise-pattern was used to perform mastopexy/reduction on the opposite side. Deep inferior epigastric perforator flap markings with a round skin paddle and the de-epithelialized area (pink color) of the flap. The round skin paddle can replace the nipple areola-complex (NAC) if intraoperative frozen sections are positive