Purpose of Review <p>Oncoplastic breast reconstruction integrates oncologic safety with aesthetic refinement, combining breast-conserving therapy (BCT) and reconstructive techniques. This review aims to summarize recent advances in partial breast reconstruction, focusing on patient selection, surgical approaches, and evolving technology.</p> Recent Findings <p>Recent literature highlights improved aesthetic and psychosocial outcomes with immediate oncoplastic approaches. Historically, Clough’s Level I–II classification system emphasized resection volume, but newer algorithms prioritize the degree of breast ptosis as the key determinant of technique selection. Mastopexy and reduction procedures are increasingly complemented by secondary pedicle rearrangements and volume replacement using perforator flaps such as LICAP, TDAP, and LTAP. Advances in nipple-sparing mastectomy (NSM), staged mastopexy, and combined approaches have expanded eligibility for women with ptosis or high oncologic risk.</p> Summary <p>Oncoplastic reconstruction continues to expand indications for breast conservation and nipple-sparing mastectomy while improving safety and aesthetic outcomes. Integration of new flap techniques and staged procedures will further enhance personalization of treatment and optimize patient satisfaction.</p>