• The patient was a 51 year old female who presented with 8 cm of screen-detected calcifications, ductal carcinoma in situ (dcis), in the upper outer quadrant of the left breast.
• Oncoplastic excision with Racquet mastopexy was planned along with NAC recentralization.
• This technique is appropriate for a range of breast-to-lesion ratios. In patients with large-volume breasts the entire upper outer quadrant can be removed with comparable aesthetic outcomes to smaller volume resections done using this technique.
• This technique is also appropriate for a range of breast densities, including fatty and dense breasts as dermo-glandular flaps preserve blood supply and decrease the risk of necrosis.
• Racquet Mastopexy with NAC recentralization avoids the common pitfalls in direct lumpectomies of upper outer lesions including postoperative denting, NAC retraction, and tear-dropping of the NAC, providing the patient with optimal, functional, and cosmetic results.

The Breast Surgical Oncology chapter is supported by Judy Winberg and Andy Pollack through the Winberg Foundation.