Modified abdominal advancement flap with or without the Ochikomanai method: Oncoplastic surgery using a simple volume replacement technique.

Ten patients (11%) had complications; however, no fat necrosis was observed, and all complications improved with conservative treatment.

With regard to cosmetic results, 41 breasts (58%) were rated excellent, 26 (37%) were rated good, and only 4 ([6%]) were unacceptable, all of which were rated fair.

Patients with medium- or larger-sized breasts and older patients who underwent breast-conserving surgery using the modified AAF had acceptable cosmetic results.