What is Breast-Conserving Surgery?

Breast-Conserving Surgery (BCS), also known as lumpectomy or wide local excision, is a procedure to remove a breast cancer lump along with a small margin of surrounding healthy tissue—while preserving the rest of the breast. It is usually followed by radiotherapy to reduce the risk of cancer recurrence.

Why Might Reconstruction Be Needed After BCS?

Although only part of the breast is removed, BCS can sometimes result in:

• A visible dent or depression
• Asymmetry between the breasts
• An uneven shape or size difference

Reconstruction after BCS can help restore breast symmetry and improve appearance and self-confidence.

Types of Reconstruction After BCS

Several reconstruction techniques are available. The best option depends on factors such as:

• Your breast size
• The location and size of the tumor
• Your personal preferences and overall treatment plan

Oncoplastic Surgery

This approach combines cancer removal with plastic surgery techniques to reshape the breast during the same operation.

Common Oncoplastic Techniques:

Therapeutic Mammaplasty:

• Reshapes the breast similar to a breast reduction.
• The opposite breast may also be reduced or lifted to achieve symmetry.

Local Tissue Rearrangement:

• Uses nearby breast tissue to fill the space left after tumor removal.

Flap-Based Reconstruction:

• Tissue from another part of the body, such as the back (LD flap), may be used to recreate breast contour when needed.

Timing of Reconstruction

Immediate Reconstruction:

• Performed during the same surgery as the lumpectomy.

Delayed Reconstruction:

• Performed at a later date, usually after completing radiotherapy.

What to Expect After Surgery

• You may go home the same day or stay overnight, depending on the complexity of the procedure.
• Temporary bruising, swelling, and discomfort are common.
• Most patients return to normal activities within a few weeks.

Benefits of Reconstruction After BCS

• Restores a more natural breast shape and appearance
• Enhances self-image and confidence following cancer treatment
• Can often be done in the same operation as the cancer removal

Considerations

• Scarring will be present but typically fades over time.
• Radiotherapy after reconstruction may affect the appearance or feel of the reconstructed breast.
• Additional procedures may be needed to achieve symmetry or improve results.

Is This Right for You?

Your surgeon will help determine the best reconstruction approach for you, considering your body type, cancer treatment, and aesthetic goals. A tailored plan ensures the best outcome for both cancer treatment and cosmetic satisfaction.