![]() on behalf of The American Society of Plastic Surgeons. Furthermore, avoidance of the vertical incision reduces breakdown at the T-junction and is aesthetically beneficial.Ĭopyright © 2021 The Authors. 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. The Goldilocks procedure without a vertical incision can be performed in patients with large breasts for breast reconstruction postmastectomy. From the literature search, 13 articles inclusive of 222 patients were identified. Three cases of breast reduction using the Goldilocks procedure without a vertical incision are described. ![]() ![]() A narrative literature review on surgical techniques and outcomes was also conducted. If the physician performs this procedure (also known as the Urban-type mastectomy), report 19306. First described by Richardson and Ma (8), the Goldilocks mastectomy recreates the breast mound from mastectomy flaps as a single-stage reconstruction. When both axillary lymph nodes and the internal mammary lymph nodes are taken during this operative session, the pectoralis major and minor can be spared. 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.Ī 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. The code for this type of more involved mastectomy is 19305. A novel technique using the Goldilocks procedure offers promising postoperative results as a more aesthetic alternative. Talking to your breast surgeon about this type of reconstruction when planning cancer surgery is essential, as some procedures cannot be done after radiation treatments. It is utilized in select patients along with the addition of a free nipple graft, fat grafting, and/or tattoo. 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.
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