Subscribe to RSS
Download PDF
DOI: 10.5999/aps.2018.00808
The Goldilocks technique: An alternative method to construct a breast mound after prosthetic breast reconstruction failure
Authors
The Goldilocks technique for breast reconstruction utilizes redundant mastectomy flap tissue to construct a breast mound. This technique is suitable for women who decline, or are poor candidates for, traditional postmastectomy reconstruction. Moreover, this technique can be applied in secondary operations after the failure of initial reconstruction efforts. A 74-year-old patient underwent the Goldilocks procedure after reconstruction failure with an implant and acellular dermal matrix. At her 6-month follow-up, the cosmetic outcome of the procedure was satisfactory, and no complications were noted. Therefore, the Goldilocks procedure is a safe alternative to reconstruct breast mounds following reconstruction failure, especially in obese patients.
Publication History
Received: 10 July 2018
Accepted: 09 March 2019
Article published online:
03 April 2022
© 2019. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
REFERENCES
- 1 Bletsis P, Bucknor A, Chattha A. et al. Evaluation of contralateral and bilateral prophylactic mastectomy and reconstruction outcomes: comparing alloplastic and autologous reconstruction. Ann Plast Surg 2018; 80: S144-9
- 2 Di Napoli A, Pepe G, Giarnieri E. et al. Cytological diagnostic features of late breast implant seromas: from reactive to anaplastic large cell lymphoma. PLoS One 2017; 12: e0181097
- 3 Heidemann LN, Gunnarsson GL, Salzberg CA. et al. Complications following nipple-sparing mastectomy and immediate acellular dermal matrix implant-based breast reconstruction-a systematic review and meta-analysis. Plast Reconstr Surg Glob Open 2018; 6: e1625
- 4 Richardson H, Ma G. The Goldilocks mastectomy. Int J Surg 2012; 10: 522-6
- 5 Schwartz JC. Goldilocks mastectomy: a safe bridge to implant-based breast reconstruction in the morbidly obese. Plast Reconstr Surg Glob Open 2017; 5: e1398
- 6 Ter Louw RP, Bruce SB, Nahabedian MY. Partial breast reconstruction with goldilocks technique after excision of giant fibroadenoma: a case report. Plast Reconstr Surg Glob Open 2017; 5: e1200
- 7 Ogawa T. Goldilocks mastectomy for obese Japanese females with breast ptosis. Asian J Surg 2015; 38: 232-5
- 8 Schwartz JC, Skowronski PP. Case report of a definitive autologous reconstruction in a patient requiring immediate postoperative anticoagulation and reduced operative time. Int J Surg Case Rep 2016; 25: 86-8
- 9 Schwartz JD, Skowronksi PP. Extending the indications for autologous breast reconstruction using a two-stage modified Goldilocks procedure: a case report. Breast J 2017; 23: 344-7
- 10 Kim JY, Davila AA, Persing S. et al. A meta-analysis of human acellular dermis and submuscular tissue expander breast reconstruction. Plast Reconstr Surg 2012; 129: 28-41
- 11 Weinstein B, Kumar A, Smith P. et al. Moffitt cancer center experience of tissue expander breast reconstruction: does acellular dermal matrix increase return to the operating room?. Ann Plast Surg 2018; 80: S377-80
- 12 Hatem J, Tobey JD, Solomon MP. et al. FNA of peri-implant seroma of the breast. Cytopathology 2018; 29: 300-2