Immediate Breast Reconstruction Using the Goldilocks Procedure: A Balance between More Surgery and Patient Satisfaction

Schwartz, Jean-Claude D.

doi:10.1097/prs.0000000000010032

Cited by 1 publication

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“…Postmastectomy reconstruction in obese patients demonstrates increased complication rates. 1 Although the Goldilocks mastectomy (GM) was initially described for women who refused a breast amputation or formal breast reconstruction, 2 it has evolved into a strategy to provide higher-risk women a safe, first-stage surgery in preparation for second-stage surgery, 3,4 providing a well-healed, reduced skin envelope.…”

Section: Introductionmentioning

confidence: 99%

Second-stage Reverse Abdominoplasty after Goldilocks Mastectomy: A Safe Autologous Reconstructive Option in Obese Patients

Schwartz

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Obese patients undergoing mastectomy have been documented to have improved outcomes after autologous reconstruction. The Goldilocks mastectomy (GM) has been proposed as a low-risk first-stage bridge to a second-stage definitive reconstruction. Goldilocks patients who desire autologous reconstruction with significant volume increase must consent to a second-stage flap, which typically requires a donor site with additional scarring and morbidity. We have found that many obese Goldilocks patients have significant excess upper abdominal subcutaneous tissue and are good candidates for a second-stage reverse abdominoplasty, which can provide them a completely autologous reconstruction. This approach adds minimal additional scarring, improves upper abdominal contour, and has a low rate of donor site complications. Here, we present 15 consecutive obese patients who underwent first-stage GM followed by second-stage reverse abdominoplasty, providing them with a completely autologous, low-risk reconstructive option.

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Section: Introductionmentioning

confidence: 99%

Second-stage Reverse Abdominoplasty after Goldilocks Mastectomy: A Safe Autologous Reconstructive Option in Obese Patients

Schwartz

2024

Plastic and Reconstructive Surgery - Global Open

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Immediate Breast Reconstruction Using the Goldilocks Procedure: A Balance between More Surgery and Patient Satisfaction

Abstract: Comparing incision choices in immediate microvascular breast reconstruction after nipple-sparing mastectomy: unique considerations to optimize outcomes.

Cited by 1 publication

References 3 publications

Second-stage Reverse Abdominoplasty after Goldilocks Mastectomy: A Safe Autologous Reconstructive Option in Obese Patients

Second-stage Reverse Abdominoplasty after Goldilocks Mastectomy: A Safe Autologous Reconstructive Option in Obese Patients

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