Oncoplastic Breast Reconstruction in Newport Beach

Conveniently located to serve Newport Beach and the surrounding areas of Orange County, Huntington Beach, Costa Mesa, and Irvine

Book a consultation

A woman with long brown hair sits relaxed on a light-colored sofa, resting her head on her hand, wearing a light blue shirt and beige pants.

A person in a pink bra is performing a breast self-exam, pressing fingers into their breast, with a focus on health awareness.

Overview

About Oncoplastic Breast Reconstruction

For women facing a lumpectomy, one of the harder questions to plan around is what the breast will actually look like afterward. Removing a tumor while preserving as much healthy breast as possible is the priority, but the tissue that's left behind doesn't always heal into a shape a patient recognizes as her own.

Oncoplastic breast reconstruction addresses this by reshaping the breast at the same time cancer is removed, or shortly after, rather than leaving contour and symmetry as an afterthought. It typically involves close coordination between the surgeon removing the tumor and a plastic surgeon focused on reshaping the breast, sometimes including a matching procedure on the other breast to keep both sides balanced.

Dr. Ali Roham works alongside patients' oncology teams to provide the reconstructive portion of this care.

Why Choose Dr. Roham for Your Oncoplastic Breast Reconstruction?

Reconstructive work tied to cancer treatment carries a different weight than purely cosmetic surgery. Timing has to work around chemotherapy or radiation schedules, tissue that has been or will be irradiated behaves differently than untouched tissue, and the surgical plan has to stay flexible as a patient's broader treatment evolves.

Dr. Roham's background spans general surgery and plastic surgery, and he works in coordination with each patient's oncology team to plan reconstruction that fits safely into their overall care, rather than treating it as a separate, disconnected procedure.

Learn more about Dr. Roham

Our Patients Are Saying...

Daniela L.

My experience with Dr. Ali Roham has always been a positive one. I appreciate going to this office for the simple fact that they do not try to push treatments or procedures to help me look better. This has happened to me in the past at another establishment, and I was completely turned off and will never go back.

Athena

In a world where it can sometimes feel like healthcare is rushed, Dr. Ali Roham stands out as a beacon of compassion, honesty and professionalism. I wholeheartedly recommend him to anyone seeking a dedicated physician who truly cares about their well-being.

Sogi A.

I have been a patient of Dr. Roham for many years and this review is well overdue.
It's very rare to come across a plastic surgeon who is so humble, down to earth and is always smiling. He listens and provides options but mostly he makes you feel comfortable and relaxed.

Jenna S.

Dr. Ali is amazing! I had breast augmentation 3 months ago and the pain was minimal to none. The results look and feel super natural. Minimal visible scarring. Dr. Ali's team has been super attentive to all of my concerns and questions, which made me feel at ease with the whole recovery process. Dr. Ali is the only surgeon I trust!

Darlene M.

Dr. Roham was recommended by a friend of mine who did her procedure with him. I truly must say his office is the best! I came in with my vision and he truly achieved it! His bedside manners are amazing! I had my liposuction 360, augmentation, and tummy tuck... What I loved most is Dr. Ali keeps your expectations realistic.

A woman with long hair, wearing a white shirt, sits in a chair reading a book near a window with a potted plant nearby.

What is Oncoplastic Breast Reconstruction?

Oncoplastic breast reconstruction is reconstructive surgery performed alongside breast-conserving treatment, meaning a lumpectomy rather than a full mastectomy. Instead of simply closing the space left behind after the tumor is removed, the remaining breast tissue is reshaped, and in some cases the opposite breast is adjusted too, so both sides stay proportionate.

The approach generally falls into two categories. Smaller defects, where less of the breast is removed, are often addressed by rearranging the remaining tissue in place. Larger defects, or cases involving a breast lift or reduction pattern, call for more extensive reshaping and frequently include a matching procedure on the healthy breast to preserve symmetry.

This is different from reconstruction after a full mastectomy, which typically rebuilds the breast using an implant or the patient's own tissue after the entire breast has been removed.

A female doctor in a white coat with a stethoscope talks to a patient while holding a clipboard.

Ideal Candidates for Oncoplastic Breast Reconstruction

Candidacy is determined together with your oncology team, but patients who tend to be good fits share some common ground:

Undergoing or planning a lumpectomy rather than a full mastectomy
Concerned about how their breast shape or symmetry will look after tumor removal
In stable enough health to tolerate the planned surgical approach
Open to the possibility of a matching procedure on the healthy breast for symmetry
Realistic about the fact that results depend partly on tumor size, location, and radiation plans outside anyone's control

Dr. Roham evaluates each patient's medical history, tissue quality, prior treatments, and aesthetic goals to to determine what reshaping approach makes sense and how it fits into your treatment timeline.

Find out if you're a candidate for oncoplastic breast reconstruction surgery. Call (949) 269-7990 to book your consultation with Dr. Roham.

Book Now

A person in a light dress walks along the shoreline of a tranquil beach, with gentle waves lapping at their feet and a cloudy sky in the background.

Benefits of Oncoplastic Breast Reconstruction

Addresses breast shape and symmetry at the time of cancer treatment, rather than leaving it unaddressed
Can reduce visible dents, divots, or distortion that sometimes follow lumpectomy alone
Offers the option of a matching procedure on the healthy breast to preserve balance
May help patients avoid a more extensive mastectomy in some cases by making larger, better-margined resections cosmetically manageable

For many patients, having a plan for how the breast will look, rather than confronting the result for the first time after healing, is itself a meaningful part of feeling in control during cancer treatment.

Schedule your consultation

Oncoplastic Reconstruction Approaches

Tissue Rearrangement

Is often used for smaller defects, where the remaining breast tissue is repositioned to fill the space left behind and the incision is placed where it will be least noticeable. This approach usually doesn't require touching the opposite breast.

Reduction and Lift-Based Reshaping

Is typically used for larger defects, particularly in patients with more breast volume or sagging to begin with. The surgeon removes the affected tissue along with a reduction or lift pattern, often repositioning the nipple in the process.

Contralateral Symmetry Surgery

On the healthy breast, using a matching lift, reduction, or augmentation, is often performed alongside either approach above to keep both breasts proportionate to one another.

Tissue Rearrangement

Reduction and Lift-Based Reshaping

Contralateral Symmetry Surgery

On the healthy breast, using a matching lift, reduction, or augmentation, is often performed alongside either approach above to keep both breasts proportionate to one another.

Recovery After Oncoplastic Breast Reconstruction

First Week:

Limited arm and upper body movement to protect the surgical site
Surgical drains in place if a more extensive reshaping or symmetry procedure was performed
Pain managed with prescribed medication as swelling and bruising peak

Weeks 2-4:

Gradual return to light daily activities while avoiding lifting or strenuous movement
Drain removal as fluid output decreases, if applicable
Follow-up appointments to monitor healing and coordinate with any upcoming radiation or additional cancer treatment

Months 1-6:

Continued healing as swelling resolves and breast shape settles
Radiation, if part of your treatment plan, may affect tissue texture and healing during this window
Final shape and symmetry become clearer as healing completes

Dr. Roham coordinates recovery guidance with your oncology team, since chemotherapy or radiation scheduling can affect healing timelines and follow-up planning.

Insurance Coverage for Oncoplastic Breast Reconstruction

Reconstruction performed in connection with breast cancer treatment is often covered by insurance. Coverage details, required documentation, and out-of-pocket costs vary by plan.

Cost of Breast Reconstruction

Pricing varies depending on your treatment plan and the technique used, which will be discussed during your private consultation with Dr. Roham.

We also offer financing options to help manage the investment over time with affordable monthly payments. During your consultation, you'll receive a detailed cost estimate specific to your reconstructive plan.

Get pricing information

Frequently Asked Questions

What's the difference between oncoplastic reconstruction and reconstruction after mastectomy?

Oncoplastic reconstruction reshapes the breast tissue that remains after a lumpectomy, while post-mastectomy reconstruction rebuilds the breast after it has been entirely removed, typically with an implant or the patient's own tissue.

Will I need surgery on my healthy breast too?

Not always. It depends on how much tissue is removed and how it affects symmetry. Many patients do have a matching procedure on the other side, which Dr. Roham will discuss based on your specific case.

Does this happen at the same time as my cancer surgery?

Often, yes. Reshaping is frequently done in the same operation as the lumpectomy, in close coordination with your breast surgeon, though timing can vary based on your treatment plan.

How does radiation affect the results?

Radiation, which frequently follows breast-conserving surgery, can affect tissue texture, firmness, and healing over time. Dr. Roham factors your radiation plan into the reconstructive approach and follow-up timeline.