There were no problems intra- and postoperatively. The patient started wearing compression sleeve 1 week after the operation, as she wore preoperatively. She did not undergo manual lymph drainage. The right upper limb of the patient got softer, and she was satisfied with the result 3 months after the operation (Fig 4). The average circumference change at the 5 points in the right upper limb was −1.26 cm (range, −2.3 to −0.3 cm), and the decrease was statistically significant with the Student t test (P = .042).