This paper introduces a localized masked thermal therapy method for only the breast through the Fresnel region. A pyramidal horn antenna has been used as a hyperthermia system applicator. The antenna is fed by a Yagi array and resonates at 4.74 GHz. A metal plate with a square slot masked the breast phantom. The antenna irradiates the breast phantom for 5 and 10 minutes with input power of 10 and 20 watts (W). Thermal and specific absorption rate (SAR) distributions are studied under the same conditions for a fair comparison between masked and unmasked system performance. The square slot dimensions are altered, and their effects are studied considering the phantom heated area. Moving from unmasked to masked hyperthermia scenarios, a heated area size reduction of 99.87 % is achieved along with a very considerable SAR value reduction. The masked scenario elevates the breast temperature to 43 C∘ in a very concentrated area. The proposed system can elevate only an area of 2×2mm2 of the breast tissue to a temperature of 40 C∘ in 5 minutes, and that is a very promising result in hyperthermia therapy applications.