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Lumpectomy and radiation are a reasonable method to treat many breast cancers. The goals after lumpectomy are to get all of the wounds healed by six weeks so that the patient can proceed to radiation in a timely manner. The skin often tolerates radiation well after lumpectomy. The more intact and heartier the blood supply to the skin, the better the skin tolerates radiation and has a better aesthetic outcome. The photograph demonstrates before and after right breast lumpectomy and oncoplastic reconstruction and radiation therapy. The left breast underwent mastopexy reduction for symmetry.