![]() ![]() The Goldilocks mastectomy hasn’t been used long enough to determine whether it is oncologically safe or whether it affects recurrence.Īnd obesity doesn’t automatically preclude women from having immediate or delayed breast reconstruction. ![]() New breast mound is usually cosmetically inferior to a reconstructed breast.Produces a breast that is somewhat flattened on the chest and in the upper pole.Only obese women with very large breasts are candidates.Less pain and a shorter recovery time than traditional breast reconstruction.Completed in a single visit to the operating room, unless complications occur.Provides an option to being flat without an implantor your own tissue.Reconstruction with a breast implant or tissue flap is also an option for women who are willing to undergo further procedures and recovery. If you're dissatisfied with your results, your new breast mound can be subsequently improved with fat grafting. If a unilateral Goldilocks mastectomy is performed, the opposite breast can be reduced for better symmetry. ![]() #GOLDILOCKS PROCEDURE FREE#The nipple and areola are removed or treated as a free nipple graft (the nipple is removed from the breast and then relocated on the remaining post-mastectomy breast mound. Goldilocks works best for women who have large, pendulous breasts because they have more fat to sculpt into a breast mound once breast tissue is removed. The incision edges are then pulled together and sutured in place. #GOLDILOCKS PROCEDURE SKIN#The layer of fat just beneath the breast skin that is normally removed and discarded during mastectomy is then rearranged into a small breast mound. A Wise-pattern incision, which is often used in breast reduction, is then made, and the skin inside the outline is removed. The Goldilocks procedure begins with a traditional skin-sparing mastectomyincision: a circular or elliptical mastectomy incision is made around the nipple and areola, through which all visible breast tissue is removed. The analogy may be a bit of a stretch, but rather than being “too flat” (traditional mastectomy) or “too complex/involved” (breast reconstruction), surgical Goldilocks is meant to be “just right” for obese women with large, ptotic (drooping) breasts who don’t want to be flat after mastectomy but don’t want or can’t have breast reconstruction. The procedure is a middle-of-the-road approach to mastectomy and breast reconstruction : patients aren’t flat or reconstructed after mastectomy. Heather Richardson and plastic surgeon Dr. The Goldilocks mastectomy was developed in 2011 by breast surgeon Dr. Now, a new type of mastectomyis named for her. She tried the beds of The Three Bears, finding one to be too soft, one too hard, and finally, one that was just right. ![]()
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