Breast cancer is the most common cancer among women and is the second leading cause of cancer deaths. Central tumors represent 5–20% of breast cancers. Tumors localized in the central quadrant have always represented a challenge for the surgeon because of the critical aesthetical matters related to the nipple- areola complex (NAC).   Patients and methods: In this study, we have 30 patients with central breast cancer. Patients were divided into two groups, each is formed of fifteen patients, the first group underwent Grissoti technique and the other inferior pedicle technique with wide local excision of NAC with safety margins.   Conclusion: It is ideal for women with medium to large breasts, having a Paget's disease or harboring central tumors to perform these oncoplastic techniques which are considered to be safe and satisfactory options for women with retro-areolar malignancy wishing to preserve their breasts