Arch Plast Surg.  2019 Sep;46(5):475-479. 10.5999/aps.2018.00808.

The Goldilocks technique: An alternative method to construct a breast mound after prosthetic breast reconstruction failure

• Zavala KJ
• Kwon JG
• Han HH
• Kim EK
• Eom JS

• KMID: 2464625
• DOI: http://doi.org/10.5999/aps.2018.00808

Abstract

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.

Keyword

Mammaplasty; Breast implants; Acellular dermis; Seroma

MeSH Terms

Acellular Dermis
Aged
Breast Implants
Breast*
Female
Follow-Up Studies
Humans
Mammaplasty*
Mastectomy
Methods*
Seroma