A Safe Alternative for Breast Reconstruction in Women with Macromastia: The Goldilocks Technique

Current Outcomes in Breast Reconstruction

“…Ghanouni et al show a relatively low rate of complications using the Goldilocks procedure; however, they report that the majority of patients require a second procedure to complete the reconstruction. 4 Asaad et al compared outcomes in 694 two-stage prepectoral and subpectoral breast reconstructions, and found similar rates of complications and patient satisfaction. 5 In their prospective short-term quality-of-life assessment, Sadok et al found that despite increased rates of complications in autologous versus alloplastic breast reconstruction, patient satisfaction was higher overall with autologous reconstruction.…”

“Outcomes of the Goldilocks technique in High-risk Breast Reconstruction Patients.”

“…Specifics of the surgical technique have been described in the literature elsewhere. 8 Although occasionally this technique will suffice on its own as a definitive procedure, it does allow patients to undergo safe revision or augmentation of their reconstruction with other techniques at a secondary stage without the challenges of true delayed reconstruction. The purpose of this report was to describe the technique and evaluate outcomes and secondary surgery in this higher-risk patient population.…”

Discussion: Outcomes of the Goldilocks Technique in High-Risk Breast Reconstruction Patients

“…We read with great interest the article “Outcomes of the Goldilocks Technique in High-Risk Breast Reconstruction Patients” by Ghanouni et al 1 The authors describe the technique outcomes, complications, and the likelihood of secondary reconstructive surgery in high-risk patients. There is growing evidence showing that obese patients are two to three times more prone to develop complications after breast reconstruction.…”