Optimizing aesthetic outcomes after Goldilocks mastectomy: A new method of nipple reconstruction

Zingaretti, Nicola; Guarneri, Gianni Franco; Francesco, Francesco De; Riccio, Michele; Cordaro, Emanuele Rampino; Parodi, Pier Camillo

doi:10.5999/aps.2020.00486

Cited by 1 publication

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“… 15 The Goldilocks technique has evolved in use in that it can be used for salvage after implant-based reconstruction or can also be used in conjunction with nipple reconstruction. 16 , 17 This technique will provide a breast mound with variable degrees of projection depending upon the amount of tissue present in the native breast and the type of incision used. This approach is not a complete substitute for formal breast reconstruction but is an alternative to near-total mastectomy in patients who may be poor candidates for traditional reconstruction or those patients who prefer a one-stage reconstruction without the time commitment and potential morbidities of traditional multistage reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Goldilocks Procedure without a Vertical Incision and a Comprehensive Literature Review

Becker

Vazquez

Komberg

2021

Plastic and Reconstructive Surgery - Global Open

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Background: 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. It is utilized in select patients along with the addition of a free nipple graft, fat grafting, and/or tattoo. A novel technique using the Goldilocks procedure offers promising postoperative results as a more aesthetic alternative. 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. Methods: A 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. A narrative literature review on surgical techniques and outcomes was also conducted. Results: Three cases of breast reduction using the Goldilocks procedure without a vertical incision are described. From the literature search, 13 articles inclusive of 222 patients were identified. Conclusions: The Goldilocks procedure without a vertical incision can be performed in patients with large breasts for breast reconstruction postmastectomy. 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. Furthermore, avoidance of the vertical incision reduces breakdown at the T-junction and is aesthetically beneficial.

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Section: Introductionmentioning

confidence: 99%

Goldilocks Procedure without a Vertical Incision and a Comprehensive Literature Review

Becker

Vazquez

Komberg

2021

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

show abstract

Optimizing aesthetic outcomes after Goldilocks mastectomy: A new method of nipple reconstruction

Abstract: We sincerely thank Lavinia Bucciarelli (graphic designer; Udine, Italy) for her assistance with the illustration presented in Fig. 1.

Cited by 1 publication

References 6 publications

Goldilocks Procedure without a Vertical Incision and a Comprehensive Literature Review

Goldilocks Procedure without a Vertical Incision and a Comprehensive Literature Review

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