The use of mammaplasties to remove breast tumors was first described more than 20 years ago. They were initially indicated for tumors located in the lower quadrants and in large breasts, in order to mimic breast reductions used in aesthetic surgery. These techniques have been subsequently conformed to tumors located in every breast quadrant, including the central part. In some circumstances, some adaptations even allow the removal of skin areas outside the traditional Wise pattern. We report two cases illustrating some of these developments.Therefore, oncoplastic surgery has evolved according to the constraints induced by the disease, becoming a full discipline on its own.