I had a lumpectomy. It all turned of fine. I have two scars -- one underneath my armpit, one across the side of my left breast -- and while they are sometimes obvious if I wear a sleeveless shirt, they don't really bother me so much.

Some women -- about one-third to be exact -- are bothered by their lumpectomy results. Even though lumpectomy is intended to conserve the breast, these women say they are so unhappy about how their breasts look, they would consider reconstruction surgery.

According to a study presented at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2006 conference in San Francisco, 28 percent of breast cancer patients stated they were dissatisfied with the cosmetic outcome of surgery. Of these, 46 percent believed their physical appearance was worse or much worse after surgery. Interestingly, 26 percent of these unsatisfied patients still said surgery gave them an improved sense of body image. Plastic surgeons believe this disparity stems from the relief of having had cancer removed from their bodies, leading them to feel better even though they were not happy with how their breasts looked.

It all comes down to this: "Patients should know their options and understand that just because they undergo a lumpectomy to save their breast does not mean they will be happy with the cosmetic outcome," said Howard Wang, ASPS Member Surgeon and co-author of the study. "Oncologists need to work with patients to help them understand the potential physical outcomes and refer them to a board-certified plastic surgeon to consider all of their choices."