title: A new level 1 oncoplastic technique for breast conserving surgery: rotation glandular flap.
abstract: BACKGROUND
  When performing conservative surgery for breast cancer, breast reshaping can be a challenging procedure. Level 1 oncoplastic surgery (OPS) techniques, i.e., advancement or rotation of glandular flaps, should be performed when less than 20 per cent breast volume is excised.
  
  
  OBJECTIVE
  A new Level 1 OPS technique is described. A wide centro-lateral glandular flap is created after extensive undermining of the skin and nipple-areolar complex, and rotated into the cavity.
  
  
  CONCLUSIONS
  This rotation glandular flap is a new technique for use following a wide excision, in glandular, not fatty, breasts, and when standard closure of the cavity would not leave a satisfactory cosmetic result.
authors: Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
authors: E J D
authors: EJD
authors: Massey
authors: Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
authors: P F
authors: PF
authors: Gouveia
authors: Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
authors: C
authors: C
authors: Nos
authors: Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
authors: B
authors: B
authors: Poulet
authors: Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France.
authors: I
authors: I
authors: Sarfati
authors: Paris Breast Centre - L'Institut du Sein, 7 Avenue Bugeaud, 75116 Paris, France. Electronic address: krishna.clough@orange.fr.
authors: K B
authors: KB
authors: Clough
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D015412:Mastectomy, Segmental / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques