After obtaining informed consent, the skin of the left breast at the 9 o’clock aspect was prepped with Betadine. I then infiltrated 10 cc’s of lidocaine.
I made a 4.0 cm X 2.0 cm elliptical incision around her previous biopsy site and went deep down into the fatty tissue. The lesion was removed. The margins are labeled. The wound was closed in 3 layers.
The deep layer with 3.0 vicryl, the intermediate layer with 3.0 vicryl and the skin with 4.0 monocryl in a running subcuticular fashion.