In small to medium-breasted women with larger areas of cancer/DCIS, it may be possible to recruit additional skin and fat from the surrounding chest wall. Depending on tumour location, perforator flaps can be used to fill the large defect following WLE. This is a good option for those women who wish to conserve their breasts and avoid mastectomy with reconstruction. All patients must have formal clinical assessments to determine suitability for this technique.