**10. Oncoplastic breast reconstruction**

In certain BC patients, particularly if they have larger breast size, it is oftentimes possible for them to have the excision of the tumor and have the plastic surgeon perform local breast tissue rearrangement by either lifting the breast or reducing the total size of the breast at the same time that the tumor is being removed. This technique is ideal for a patient with large ptotic breasts who desires breast reduction or lift at the same time of oncologic excision surgery. The advantages are that the tumor is removed with very wide margins and once the tissues are rearranged by way of lifting or reduction, the new breast mound appears even more esthetically pleasing then prior to the patient undergoing surgery. The disadvantages are that the contralateral breast which is not affected from oncologic standpoint is undergoing a surgical procedure as well. Also, many patients are not candidates for this technique especially if their breasts are too small or if the tumor is not in a favorable location (**Figure 12**) [45, 46].

**Figure 12.**

*46 year old female diagnosed with left invasive breast cancer. Left: preoperative photos. Right: patient after Oncoplastic Surgery with excision of left breast tumor with concurrent bilateral breast reduction.*
