on behalf of The American Society of Plastic Surgeons. The Goldilocks procedure involves a skin-sparing mastectomy (SSM) or a skin & nipple-sparing mastectomy (SNM) where the Oncological Surgeon removes the glandular breast tissue completely, and healthy fatty tissue and skin (the breast envelope) is preserved.
Furthermore, avoidance of the vertical incision reduces breakdown at the T-junction and is aesthetically beneficial.Ĭopyright © 2021 The Authors. Webb uses the remaining breast skin and subcutaneous fat to reconstruct a breast mound without implants or tissue transfer from other areas. Simply put, the breast surgeon performs a mastectomy on one or both breasts and then Dr. It is possible to utilize the superior flap in conjunction with the de-epithelialized inferior flap of the breast and obtain good projection with this method. The Goldilocks mastectomy is a surgical procedure that removes unhealthy breast gland tissue while preserving healthy fatty tissue and skin that is then rearranged to have the appearance of a smaller breast mound. The Goldilocks procedure without a vertical incision can be performed in patients with large breasts for breast reconstruction postmastectomy. From the literature search, 13 articles inclusive of 222 patients were identified.
Three cases of breast reduction using the Goldilocks procedure without a vertical incision are described. A narrative literature review on surgical techniques and outcomes was also conducted. The purpose of this study was to perform a literature review on the healing outcomes and patient satisfaction of the Goldilocks procedure along with presenting our approach using a horizontal inframammary incision without a vertical incision.Ī retrospective chart review of patients presenting to a single surgeon for breast reconstruction surgery using the Goldilocks procedure without a vertical incision from March of 2018 to October of 2020 was performed. The tissue from the lateral breast and chest wall can also be recruited to provide additional volume. A novel technique using the Goldilocks procedure offers promising postoperative results as a more aesthetic alternative. Traditionally Goldilocks Breast Reconstruction was used to describe a type of breast reconstruction where the skin and fat left after a mastectomy was rearranged in such a way to create a breast.
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It is utilized in select patients along with the addition of a free nipple graft, fat grafting, and/or tattoo. Surgical procedures performed shortly after a patients recovery from. The Goldilocks technique is a postmastectomy breast reconstruction procedure adopted in 2012, which is performed by preserving and de-epithelializing the residual mastectomy flap to create an autologous tissue breast mound using an anchor, inverted T, or lateral incision. For a selected group of breast cancer patients, the Goldilocks mastectomy may be a.
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