Save Your Breast

A Kinder, Gentler, More Beautiful Approach To Breast Reconstruction

Extreme Oncoplasty: Replacing Mastectomy with Lumpectomy

The idea of conserving the natural breast as the default treatment for breast cancer has previously been dismissed due to contour abnormalities associated with larger tumor removal. However, a recently published study of mine examines the more recent theory of “extreme oncoplasty,” or performing a lumpectomy in patients who would normally be considered better candidates for mastectomy.

Advantages of Extreme Oncoplasty

Oncoplastic surgery carries a number of advantages over traditional mastectomy plus full breast reconstruction:

  • Cosmetic results are typically superior compared to a mastectomy followed by immediate breast reconstruction and radiation therapy.
  • Operative and post-operative complications are reduced.
  • Post-reconstruction radiation therapy is kinder to natural breast tissue than to the reconstructed breast.

Research Results

My colleagues and I looked at 245 standard patients with a median tumor size of 21 mm. After an average follow-up time of 24 months, recurrence was seen in only 1.6 percent of study participants. We also looked at 66 patients with extreme cases, or a median tumor size of 62 mm. Six patients required re-excision for wider margins and four were converted to mastectomy. A 1.5 percent recurrence was seen at the 24-month follow-up.

These numbers are encouraging for a two main reasons. First, because women who would prefer a lumpectomy instead of mastectomy may now have that option without additional concerns over the cosmetic appearance of their breast following oncoplastic surgery. Additionally, the low incidence of recurrence is reassuring for women and surgeons who previously believed that lumpectomy was a higher-risk procedure in terms of breast cancer recurrence.

Dr. Nirav Savalia


Dr. Savalia is known for the most innovative, advanced breast reconstruction techniques. He is a board certified plastic surgeon and artist who creates the most natural, elegant, personalized aesthetic results. He is as renown for his care and compassion as he is for extraordinary outcomes. This is why he was named one of Orange County’s Physicians of Excellence by his peers.

A Team Approach for the Best Breast Care Possible

Dr. Savalia’s Breast Health Center team includes the finest oncologists, radiation specialists, geneticists, and nurse navigators. Being cared for by an established team is a great advantage for patients.

"I prefer a light-handed approach that leaves my patients looking visibly rejuvenated, not surgically enhanced."

What Dr. Savalia's Patients Are Saying


Dr. Savalia is a very gifted surgeon and has true artistic ability. I would HIGHLY recommend Dr. Savalia for any type of plastic surgery. He truly exceeded my expectations. I feel very fortunate to have worked with him and his team and if I ever have any need for a plastic surgeon in the future he will be my first choice.

- RIMA, AGE 55

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