Lumpectomies don't usually require reconstruction, though if you are very small breasted they may. I had a lumpectomy and then re-excision for margins. I had big boobs and I could see that the right boob sat a tiny bit higher than the left, but geeze, no one would have noticed unless I was standing very still and naked!
The surgeon will only take away the cancer. Often it is larger than appears on the mammogram, and sometimes that can change the course of treatment from lumpectomy to mastectomy. This will become clear after your first, and hopefully, only surgery.
With BC it always pays to ask about reconstruction. If you go public there are waiting lists of various lengths, though not if you have it done in the same procedure as the mastectomy. If you go private you avoid the waiting but can be stung for huge sums of money. Ask early so you have time to think. K xox
