Lumpectomy vs. Mastectomy: Understanding Your Breast Surgery Options

A breast cancer diagnosis often brings many questions — and one of the biggest is, “What kind of breast surgery is right for me?”

Tara Chandran, DO, a breast surgical oncologist at The Oklahoma Breast Center, explains the main types of breast surgery, how she helps patients decide between a lumpectomy or mastectomy, and what to expect during recovery and reconstruction.

What Are the Main Surgical Options for Breast Cancer?

“The main surgical options for breast cancer are a lumpectomy or a mastectomy,” says Dr. Chandran.

A lumpectomy removes the tumor and a small rim of healthy tissue around it while preserving the rest of the breast.

“We want to make sure that we get all the cancer out, but we also want to make sure the patient has a good cosmetic outcome,” Dr. Chandran explains.

A mastectomy removes the entire breast. There are several variations, including:

• Simple mastectomy: Removes breast tissue and nipple, often followed by a flat aesthetic closure for those planning to use a prosthetic.
• Skin-sparing mastectomy: Preserves most of the breast skin, typically for patients planning reconstruction.
• Nipple-sparing mastectomy: Removes the breast tissue while leaving the nipple and outer skin intact, often through an incision beneath the breast.

“These are the two main surgeries,” says Dr. Chandran. “And from there, we have many reconstruction options to help patients feel confident in their recovery.”

Choosing Between a Lumpectomy and Mastectomy

Every patient’s situation — and every cancer — is unique.

“I think the discussion always starts with the cancer itself,” says Dr. Chandran. “Not every surgery will work with every type of cancer. We want to make sure you’re healthy, that your cancer is treated effectively, and that you’re happy with the outcome.”

At Norman Regional, Dr. Chandran partners closely with plastic surgeons to tailor care.

“We work together to determine what’s best for the patient based on both their cancer and their personal goals,” she explains.

What Does Recovery Look Like?

Recovery depends on the type of surgery performed:

• Lumpectomy: Most patients feel close to normal in two to four weeks.
• Mastectomy: Recovery may take four to six weeks, especially if reconstruction is included.

Each patient receives clear post-operative instructions, including activity guidelines and pain management support.

“We make sure pain is well controlled after surgery,” Dr. Chandran says. “And my patients can always contact me if they have questions during recovery.”

When Is Reconstruction Discussed?

Reconstruction isn’t an afterthought — it’s part of the initial planning process.

“Reconstruction is something we talk about during the first consultation,” says Dr. Chandran. “That way, we can plan incisions and coordinate care with our plastic surgery colleagues so everything aligns with the patient’s goals.”

Options include:

• Flat aesthetic closure (flat chest contour)
• Implant reconstruction
• Autologous tissue reconstruction (using the patient’s own tissue, coordinated with a plastic surgeon)

The Importance of the First Consultation

A patient’s first visit sets the tone for their care journey.

“I cater to what the patient wants,” says Dr. Chandran. “Some people want every detail, while others just want to know the basics and move forward. My goal is to present all options up front so there are no surprises later.”

The Role of a Support System

Support is an essential part of recovery — both physically and emotionally.

“We hope their biggest support system will be us,” Dr. Chandran says. “But it’s so important to have family and friends involved, too. I encourage patients to bring someone with them or call loved ones during appointments. There’s a lot of information to take in, and having support makes a difference.”

Dr. Chandran wants patients to feel empowered from the very beginning.

“There’s no question too small or unimportant,” she emphasizes. “We’re here to help — every step of the way.”

Talk to Your Surgeon About Which Surgery Is Right for You

If you’ve been recently diagnosed with breast cancer or need a second opinion, our experienced breast surgery team is here to help you explore your options with compassion and expertise.

Schedule a consultation today by calling 405-515-4099.