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The upper and lower rows represent the schematic and surgical diagrams of the operative procedure for pattern 4 (butterfly-shaped incision). (A,E) Outline of the butterfly-shaped incision. (B,C,F) Harvest and mobilization of the BDGF. (D,G) Closure of the wound. Solid line: surgical incision; dotted line: lesion area. BDGF, breast dermo-glandular flap.
