A transverse incision is reported with an oblique counterincision performed in such a manner as to satisfy all Halstedian criteria for tissue removal and to allow as little as possible skin incision to approach the clavicular area. Closure is planned so that there is no tenting of skin or limitation of shoulder motion.
Lambert A. Primary Closure of Radical MastectomyA New Method. Arch Surg. 1975;110(7):843-844. doi:10.1001/archsurg.1975.01360130075017