The Angel Wings Incision: A novel solution for mastectomy patients with increased lateral adiposity

Breast J. 2019 Jul;25(4):687-690. doi: 10.1111/tbj.13301. Epub 2019 May 20.


Many techniques have been proposed to address the problem of increased lateral adiposity in patients undergoing mastectomy, however, there is no standard approach. This cosmetic deformity at the lateral end of the mastectomy scar, also known as a dog ear, is especially common in obese patients. This defect can be unsightly and uncomfortable. We describe a technique for creating a winged incision to eliminate the dog ear deformity. The Angel Wings Incision results in tissue flaps that create a smooth body contour upon closure in patients with increased lateral adiposity. The technique is reproducible, aesthetically pleasing, and improves patient satisfaction.

Keywords: angel wing; cosmetic results; dog ear; mastectomy incision; oncoplastic technique.

MeSH terms

  • Adipose Tissue / surgery
  • Adiposity*
  • Breast Neoplasms / surgery*
  • Female
  • Humans
  • Mastectomy / methods*
  • Patient Satisfaction
  • Retrospective Studies
  • Surgical Flaps