Burow’s triangle advancement flap: a reliable oncoplastic surgery for upper/upper inner quadrant breast cancer

The oncologic outcome of breast-conserving surgery (BCS) is equivalent to mastectomy, when free margins are achieved and adjuvant radiotherapy of the operated breast is applied. Oncoplastic breast conserving techniques combine two aspects: oncological safety with a resection of the tumor with free margins and optimal aesthetic aspects. The modified Burow’s triangle advancement flap for upper/upper Inner quadrant breast cancer is a safe and effective technique to manage tumors at this complex location. It provides adequate oncological margins, good cosmetic results, and contralateral symmetry, with complication rates similar to those of standard conservative surgery.