Reconstruction with tumor at 10 o’clock position

Has anyone had a good outcome from lumpectomy with reconstruction in that area? My PS estimates with clean margins, the surgeon will have to remove about a 3cm sphere, perhaps part of areola, too. Aesthetically, he recommends mx plus diep because I’d like to stay close to my current size, and fat grafting to a lumpectomy in that area will not contour correctly.

This is so complicated. I got used to the idea of radiation, and even felt relieved at the thought of getting it. Are the slightly better odds with lumpectomy plus radiation skewed because these women are getting better surveillance?

Also, once everything’s healed from diep, does that breast feel completely different, like more firm or something, than the other untreated breast?

Also, who do lifts associated with BC look so weak compared to normal breast lifts?