What is Goldilocks Breast Reconstruction?

 

Traditionally Goldilocks Breast Reconstruction was used to describe a type of breast reconstruction where the skin and fat left after a mastectomy was rearranged in such a way to create a breast.  The tissue from the lateral breast and chest wall can also be recruited to provide additional volume. This technique works well in women with large breasts who want smaller breasts postoperatively and fits the adage of “not too big, not too small, but just right” – Goldilocks and the Three Bears story.

 

There are multiple applications of Goldilocks Reconstruction:

  • The reconstruction can be performed in the traditional aspect, rearranging the patient’s own tissues to create a new, smaller breast.  If desired, the patient can undergo one or more episodes of fat grafting to enhance the size or shape of the breast.
  • The reconstruction can be performed in combination with a tissue expander and/or implant for women with large, droopy breasts desiring better breast shape with a more youthful and “perky” appearance.
  • The reconstruction can be performed in patients who do not want reconstruction but want to limit or prevent the concavity that can be caused by a mastectomy.

 

This surgery is done at the same time as the mastectomy.  The surgery usually takes 1.5-2 hours depending on whether you are having single or double mastectomies.  This is in addition to the time it takes to complete the mastectomy. Patients are usually hospitalized for one night after a mastectomy with Goldilocks Reconstruction.

 

During the consultation I will evaluate your specific case and present all the options that are available to you.  We are committed to helping you close the loop on breast cancer and have confidence to move forward. Call today to schedule your consultation. 248-524-0620.

 

Dr. Sarah Elswick, MD

Plastic, Reconstructive and Aesthetic Surgery 

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