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Mastectomy has traditionally been performed using a transverse elliptical incision. The disadvantages of this approach are a potentially visible scar medially and poor subincisional soft-tissue coverage of implants laterally. A more natural and aesthetic result is obtained with an oblique incision running parallel to the pectoralis major muscle fibers. This approach offers women more freedom of choice in clothing as well as the potential for complete subincisional muscle coverage in alloplastic breast reconstruction, in addition to other functional advantages.