Mastectomy vs. Lumpectomy – Which One Feels Right for You?

Choosing your path after a breast cancer diagnosis isn’t just clinical—it’s deeply personal. Whether you're considering a lumpectomy or a mastectomy, the right choice is the one that aligns with your diagnosis, your goals, and your sense of self.

At The Premier Surgical Network, our board-certified breast surgeons guide you through every step of this decision with empathy and expertise—so you can move forward with confidence, not fear.As Dr. Yolanda Tammaro, a board-certified breast surgeon with Premier Surgical Network, explains, “We help our patients weigh the pros and cons of each option, so they feel empowered to make a decision that’s right for them—not just medically, but emotionally.”

Lumpectomy – Preserve the Breast, Treat the Cancer

A lumpectomy, also called breast-conserving surgery or partial mastectomy, removes only the tumor and a small rim of healthy tissue. It's often ideal for early-stage breast cancer, where the cancer is localized and the breast shape can be preserved.

Why some patients choose this path:

• Keeps most of the natural breast intact
• Typically involves a shorter surgery and faster recovery
• Often followed by radiation therapy to reduce recurrence risk

Good to know: Studies show that when combined with radiation, lumpectomy offers survival outcomes similar to mastectomy in many early-stage cases.

Mastectomy – A Bigger Step Toward Peace of Mind

A mastectomy involves removing all breast tissue and may be recommended when cancer is more widespread or when genetic risks (such as a BRCA mutation) are present.

Why some patients choose mastectomy:

• Reduces the risk of recurrence, especially in high-risk cases
• May eliminate the need for radiation
• Offers peace of mind for those with a strong desire to minimize future cancer risk

Mastectomy techniques vary—some preserve the skin or nipple to support future reconstruction. Your surgeon will walk you through which approach may work best for your diagnosis and goals.

“Some patients find strength in taking a bigger step now to avoid uncertainty later. We respect every reason behind that choice.” — Dr. Yolanda Tammaro.

Comparing the Two Procedures

If you’re not sure which surgical option is right for you, below is a side-by-side comparison to help highlight the key differences between lumpectomy vs. mastectomy:

*When comparing mastectomy vs. lumpectomy recurrence rates, experts report that while lumpectomy may carry a slightly higher risk for local recurrence, overall survival rates between the two procedures are nearly identical when followed by appropriate therapy. 

You’re Not Just Choosing a Surgery. You’re Choosing What Feels Right.

• Your cancer stage and size
• Genetic test results
• Previous treatments or surgeries
• Your emotional response to risk
• Your reconstruction goals, if any

And that’s okay. You’re not expected to have all the answers today.
What matters most is that you have a care team who listens.

Lumpectomy or Mastectomy—You’re Still You

Choosing between these two options doesn’t define your strength, your femininity, or your outcome. What defines you is your ability to face this with clarity, with support, and with self-compassion.

And you won’t face it alone.

At the Premier Surgical Network, we specialize in helping you understand your options—not just medically, but emotionally. Our team coordinates every aspect of your care, from second opinions to post-operative support, and when appropriate, connects you with advanced reconstruction options through our partner practices, like The Institute for Advanced Reconstruction.

“Nothing about breast cancer treatment is a one-size-fits-all approach,” Dr. Tammaro notes. “We work closely with each patient to understand their values and preferences before recommending a surgical plan.”

Take the First Step. Let’s Talk.

Whether you're just starting to explore your options or looking for a second opinion, we’re here to help. Schedule a consultation and let’s find the right path for you - together.