Save Your Breast

A Kinder, Gentler, More Beautiful Approach To Breast Reconstruction

How Reconstruction Options Change after a Lumpectomy vs. after Mastectomy

Women undergoing cancer treatment may be candidates for either a lumpectomy or a mastectomy. Both procedures can be equally effective at treating breast cancer. However, it’s important for patients to understand their different breast reconstruction options after each.

Post-Lumpectomy Reconstruction

A lumpectomy removes the cancerous tumor from the breast(s) while preserving as much natural breast tissue as possible. A common misconception I often hear from my patients is that a lumpectomy inevitably leaves the affected breast(s) misshapen or indented.

At my practice, I specialize in oncoplastic surgery, an approach to reconstruction simultaneous with a lumpectomy that combines expert oncological care with a concern for the final cosmetic appearance. By reshaping the natural breast tissue after the tumor has been removed, I can create a beautiful final result without needing breast implants.

Reconstruction after a Mastectomy

A mastectomy removes most if not all of the existing breast tissue, although in some cases a nipple-sparing mastectomy may be performed. Patients undergoing a mastectomy have two options for breast reconstruction:

  • Breast reconstruction can be performed using saline or silicone implants. For optimal cosmetic results, a tissue expander helps gently stretch the breast skin to allow for accommodation of the implant. After the breast has expanded to the ideal size, I can place the implant, which can be followed with nipple reconstruction or nipple tattooing.
  • Muscle and tissue flap reconstruction uses skin and tissue from other areas of the body to form the breast mound rather than an implant. While I focus on implant-based reconstruction and oncoplastic surgery, I can refer patients to a flap reconstruction specialist.

In either case, the entire breast must be reconstructed to recreate a breast mound.

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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