Modified wise pattern skin reduction for plexiform neurofibromatosis of the breast

Von Recklinhausen's neurofibromatosis is an autosomal dominant condition occurring typically with café au lait patches, axillary freckling, multiple fibromata, and Lisch nodules. We present a case of a 36-year-old female who presented with severe neurofibromatosis involving the lower half of the breast. The patient was not keen on mastectomy and pedicle flap reconstruction. A modified wise pattern incision was employed to remove the lower half of the breast and neurofibromatosis leading to a reasonable result.