Figure 1

Combined pedicle flap surgical technique. (A) Through an incision (1), the partial mastectomy was done (2). The width of TEF (3) should be more than 8 cm. (B) The obtained TEF placed at the lower outer border of LDMCF (3’). Defect from partial mastectomies would be filled with LD flap (4) and TEF. (C) The counter traction (5) of the inferior pedicled rotational local flap was done and the ‘dog ear’ (6) was trimmed off both sides of the incision. (D) Completion of the combined pedicle flap.