![]() ![]() We are committed to helping you close the loop on breast cancer and have the confidence to move forward.Ĭall today to schedule your consultation at my office located in Troy, Michigan. ![]() Patients are usually hospitalized for one night after a mastectomy with Goldilocks Reconstruction.ĭuring the consultation, I will evaluate your specific case and present all the options that are available to you. This is in addition to the time it takes to complete the mastectomy. The surgery usually takes 1.5-2 hours depending on whether you are having single or double mastectomies. Dyslipidemia was significantly associated with an increased risk of additional surgery (adjusted hazard ratio, 2.00 p 0.045). Forty-four breasts (40.7 percent) underwent additional surgery. ![]() The major complication rate within the first 30 days was 9.3 percent. This surgery is done at the same time as the mastectomy. Median follow-up time after the mastectomy with the Goldilocks procedure was 15 months. 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.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.If desired, the patient can undergo one or more episodes of fat grafting to enhance the size or shape of the breast. The patient is a 62-year-old female with breast carcinoma and asymmetry, who presents for bilateral skin-sparing mastectomy with Goldilocks breast. The reconstruction can be performed in the traditional aspect, rearranging the patient’s own tissues to create a new, smaller breast.There are multiple applications of Goldilocks Reconstruction: There are guidelines for managing pain, taking medication, refining your diet, and starting physical activity as you’re. Even after that point, there will be issues to manage and therapies to help you continue to heal. 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. It takes about four to six weeks to recover from mastectomy surgery. The tissue from the lateral breast and chest wall can also be recruited to provide additional volume. PMID: 2466461.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. Determinants of optimal mastectomy skin flap thickness. ![]() Does post-mastectomy radiotherapy affect the outcome and prevalence of complications in immediate DIEP breast reconstruction? A prospective cohort study. Taghizadeh R, Moustaki M, Harris S, Roblin P, Farhadi J. Breast reconstruction in elderly women breast cancer: a review. Skin-reduction breast reconstructions with Prepectoral implant Plast Reconstr Surg 2016 137(6):1702–5. 2009 62:528e32.Ĭaputo GG, Marchetti A, Dalla Pozza E, Vigato E, Domenici L, Cigna E, Governa M. Wise pattern breast reconstruction: modification using alloderm and a vascularized dermal-subcutaneous pedicle. Outcome after autologous dermal sling-assisted immediate breast reconstruction. Unfortunately, the Goldilocks mastectomy does not often allow for a definitive reconstruction in a single stage. Plast Reconstr Surg 2006 118(3):603–10 discussion 611–3. The Goldilocks mastectomy is a safe reconstructive strategy in patients who are at high risk for complications after traditional implant-based or autologous approaches after mastectomy surgery. Nava MB, Cortinovis U, Ottolenghi J, Riggio E, Pennati A, Catanuto G, Greco M, Rovere GQ. Safety and efficacy of contra-lateral breast reduction for women with mammary hypertrophy undergoing mastectomy for breast cancer. Maximizing breast projection with combined free nipple graft reduction mammaplasty and back-folded dermaglandular inferior pedicle. Gorgu M, Ayhan M, Aytug Z, Aksungur E, Demirdover C. Reduction mammaplasty for gigantomastia using inferiorly based pedicle and free nipple transplantation. Possibilities in the reconstruction of the human form. Total single-stage autologous breast reconstruction with free nipple grafts. Goldilocks mastectomy for obese Japanese females with breast ptosis. Stuttgart: Theime Medical Publishers 1960. Atlas of gynaecological surgery: including breast surgery and related urologic and intestinal surgical operations. ![]()
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