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The Voice of People With Breast Cancer

helping you understand your surgical options

SurgeryGuide

Reconstruction Options After a Lumpectomy

Reconstruction after a lumpectomy is a personal choice, influenced by past treatments, breast shape, and personal goals. A plastic surgeon can help you decide which options best suit your needs. Below are some of the most common approaches.

  • Lipofilling or Fat Grafting

    Uses fat from other areas of the body to fill in dents after a lumpectomy

    • Fat is usually taken from the abdomen or buttocks
    • Uses your own tissue, reducing the risk of rejection
    • Creates a natural feel similar to the rest of the breast
    • People with less body fat may need fat take from multiple areas
    • May not be publicly covered, so check with your healthcare provider about costs
  • Tissue Flap Reconstruction

    Restores breast shape using tissue from another part of the body

    • Often taken from the abdomen, buttocks, back, or thigh
    • Best for correcting larger dents after lumpectomy
    • For more details on different tissue flap techniques, visit our autologous reconstruction section
  • Partial Prosthesis 

    A soft, silicone breast form used to restore balance and shape after a mastectomy 

    • Fits inside a bra to add volume and create a smoother, fuller shape
    • Made from soft materials like silicone, similar to full prostheses
    • Available in different sizes and materials for comfort

    I had a hard time feeling comfortable with something that wasn’t my own flesh filling up a gap that had been left by my lumpectomy. No matter how many bras I tried it in I just couldn’t get used to the weight and feel. I think now that part of that is that it was just too big. I now actually have a much smaller one and it is much better and feels more like me but I still don’t wear it all the time, sports bras fit me fine without it and are a big part of my daily wear.”
    ~Deborah~

Related reading from Our Voices Blog:

Medical Reviews by Siba Haykal, MD, PhD, FRCSC, FACS, October 2025 and Mark Basik, MD, FRCSC, December 2025

References

American Cancer Society. (2021). Breast-conserving surgery (lumpectomy). https://www.cancer.org/cancer/types/breast-cancer/treatment/surgery-for-breast-cancer/breast-conserving-surgery-lumpectomy.html

American Cancer Society. (2021). Breast reconstruction after breast-conserving surgery. https://www.cancer.org/cancer/types/breast-cancer/reconstruction-surgery/breast-reconstruction-options/breast-reconstruction-after-lumpectomy-or-partial-mastectomy.html

American Cancer Society. (2021). Breast reconstruction using your own tissues (flap procedures). https://www.cancer.org/cancer/types/breast-cancer/reconstruction-surgery/breast-reconstruction-options/breast-reconstruction-using-your-own-tissues-flap-procedures.html

Arnaout, A., Ross, D., Khayat, E., Richardson, J., Kapala, M., Hanrahan, R., Zhang, J., Doherty, C., & Brackstone, M. (2019). Position statement on defining and standardizing an oncoplastic approach to breast-conserving surgery in Canada. Current Oncology (Toronto, Ont.), 26(3), e405–e409. https://doi.org/10.3747/co.26.4195

Canadian Breast Cancer Network. (2022). Breast cancer and you: A guide for people living with breast cancer [PDF].                             https://cbcn.ca/web/default/files/public/Reports/Breast%20Cancer%20and%20You_ENG_edit_web.pdf

Chatterjee, A., Gass, J., Patel, K., Holmes, D., Kopkash, K., Peiris, L., Peled, A., Ryan, J., El-Tamer, M., & Reiland, J. (2019). A consensus definition and classification system of oncoplastic surgery developed by the American Society of Breast Surgeons. Annals of Surgical Oncology, 26(11), 3436–3444. https://doi.org/10.1245/s10434-019-07345-4

Citgez, B., Yigit, B., & Bas, S. (2022). Oncoplastic and reconstructive breast surgery: A comprehensive review. Cureus, 14(1), e21763. https://doi.org/10.7759/cureus.21763

Conner, K. (2023). Oncoplastic lumpectomy. Breastcancer.org. https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/oncoplastic-lumpectomy

Conner, K. (2023). What is oncoplastic lumpectomy surgery? Breastcancer.org. https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/oncoplastic-lumpectomy

Conner, K., & Uscher, J. (2025). Lumpectomy. Breastcancer.org. https://www.breastcancer.org/treatment/surgery/lumpectomy

Knowles, S., Maxwell, J., Lumsden, A., Pearson, L., Pulhin, J., McLean, J., Brackstone, M., & Hanrahan, R. (2020). An alternative to standard lumpectomy: A 5-year case series review of oncoplastic breast surgery outcomes in a Canadian setting. Canadian Journal of Surgery. Journal Canadien de Chirurgie, 63(1), E46–E51. https://doi.org/10.1503/cjs.003819

Peiris, L., Olson, D., & Kelly, D. (2018). Oncoplastic and reconstructive breast surgery in Canada: Breaking new ground in general surgical training. Canadian Journal of Surgery. Journal Canadien de Chirurgie, 61(5), 294–299. https://doi.org/10.1503/cjs.016717

Piccotti, F., Rybinska, I., Scoccia, E., Morasso, C., Ricciardi, A., Signati, L., Triulzi, T., Corsi, F., & Truffi, M. (2021). Lipofilling in breast oncological surgery: A safe opportunity or risk for cancer recurrence?. International Journal of Molecular Sciences, 22(7), 3737. https://doi.org/10.3390/ijms22073737

St. Joseph's Health Care London. (n.d.). New breast cancer surgery approach improves survivorship and leaves women looking and feeling whole. https://www.sjhc.london.on.ca/news-and-media/our-stories/new-breast-cancer-surgery-approach-improves-survivorship-and-leaves