Breast cancer can be treated with lumpectomy or mastectomy, depending upon the size of the cancer, location, size of the breast, and genetic positivity for cancer syndromes. Oncoplastic reconstruction of lumpectomy defects involves reconstructing the patients breast with their own breast tissue. Typically the breasts are made smaller and placed into a better position. This improved position often facilitates radiation therapy post lumpectomy. Implants can often be removed at the time of oncoplastic reconstruction which may also facilitate radiation therapy or prevent implant related distortion following radiation therapy. Some patients may choose to proceed with mastectomy following oncoplastic reconstruction of lumpectomy defects and the nipple areola complex is now positioned in a more favorable position.