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Breast cancer is a common cancer among women. There are two different surgical ways to treat breast cancer. One way is to perform a mastectomy and the other way is to perform a lumpectomy. One simple but consistent way to approach the question to have either a lumpectomy or mastectomy is the size of the tumor relative to the size of the breast. If the tumor is small relative to the breast then a lumpectomy can be performed. Another factor that helps to choose between the two options is whether or not radiation will be needed as part of the treatment post surgery. The photograph demonstrates before and after lumpectomy and oncoplastic reconstruction of the lumpectomy defect and contralateral mastopexy for symmetry. At six weeks post-operatively scars tend to be their thickest and will continue to soften over time.