Once around the front as it were, the surgeon shaves the excess skin from the ends of the ellipse to make a circle, replaces the orange peel-like flaps of breast skin over the top of the muscle so that it meets the new areola, and stitches it all together at that point. (See my previous post on the melon spoon myth for more food/breast analogies.) I have to say I'm in awe but also slightly perplexed at the notion that someone could actually enjoy slicing another human being like an orange, but there you go. Mr A loves what he does. Surgeons eh?