Aim: We report the results of four different oncoplastic procedures performed for upper outer quadrant 
breast cancer.
Methods: A total of 56 patients of early stage breast cancer were included in the current study. They were 
divided into 4 groups according to the surgical technique; Group I, round block technique, Group II, lateral 
breast mammoplasty, Group III: batwing and hemi batwing techniques, and Group IV: vertical 
mammoplasty technique. Each technique was evaluated regarding the procedure related complications, 
aesthetic result, and oncologic outcome.
Results: Thirteen patients underwent round block technique. Cosmetic outcome was excellent in 45% of 
patients and good in 55 %. One patient developed local recurrence and mastectomy was performed. Fifteen 
patients underwent lateral mammoplasty. Four patients showed excellent result (29%) while 7 patients
showed good results (50%) and 3 (21%) patients showed satisfactory result. Two patients developed local 
recurrence and mastectomy was performed. In batwing and hemi batwing group (n=18), the cosmetic 
outcome was good in 68.7 % of patients. Vertical mammoplasty was performed to 10 patients; two patients 
showed wound dehiscence treated by secondary sutures the cosmetic results were excellent in 60% of 
patients 
Conclusion: The use of oncoplastic techniques achieved negative margins with better cosmetic results and 
acceptable associated morbidities in the majority of patients.