Before and After Gallery

Goldilocks Mastectomy and Reconstruction

The Goldilocks Mastectomy was devised for patients with larger breasts who underwent mastectomy and desired a simple breast reconstruction without resorting to implants or transferring tissue from distant parts of their body (flaps). Here we see a 67-year-old female with extensive right breast cancer who undergoes bilateral mastectomy. We use the residual skin and fat after her mastectomy to create her smaller breasts. Next, we see her 5 years after her mastectomy and reconstruction. Her breasts have been completely removed and the only remaining tissue is skin and fat making up her new breast mounds.

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breast reduction surgeory
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breast reduction surgeory
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Goldiclocks Mastectomy and Reconstruction was a solution for this 44-year-old female with right breast cancer, she decides to proceed with bilateral mastectomy.  She refuses an implant-based reconstruction.  Because of her obesity and body shape, getting tissue from her abdomen is difficult with a high risk of complications.  We offer her a Goldilocks mastectomy with free nipple grafts (nipples are removed and replaced as skin grafts) with immediate placement of a flap from the back.   She undergoes a second surgery to tighten up her breasts and improve their shape.

This 67-year-old female with extensive right breast cancer decides to proceed with bilateral mastectomy. She is unsure about reconstruction but is not interested in implants or prolonged surgery to transfer tissue from a remote part of her body to reconstruct her breasts (flap surgery). We proceed with bilateral Goldilocks Mastectomy and reconstruction with free nipple grafts in less than three hours. She is not happy with deflated appearance of her breasts and undergoes a second surgery to tighten up her breasts with fat transfer that takes about 90 minutes. She is satisfied with her final results.

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This 57-year-old female desires a bilateral mastectomy and a definitive breast reconstruction in one stage. She refuses implants and is not interested in an abdominal flap. We proceed with a bilateral Goldilocks Mastectomy with free nipple grafts with immediate flap reconstruction using local tissues from the back. This surgery takes six to seven hours and requires an overnight hospital admission. She is satisfied with her final result and requires no further surgery.

This is a 45-year-old female with right breast cancer and desiring bilateral mastectomy and reconstruction. She undergoes bilateral Goldilocks mastectomy with free nipple grafts and immediate implant placement. She completes her cancer surgery and reconstruction in one surgery and is very pleased with her result.

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This 45-year-old female with right breast cancer proceeds with bilateral Goldilocks mastectomy and free nipple grafts with immediate implants. She requires no further surgery and is very pleased with her result. Her surgery is completed in 2 1/2 hours and she’s discharged home from our ambulatory surgery center and requires no hospital admission. She is shown here six months after her surgery.

This 50-year-old female with morbid obesity and right breast cancer undergoes a bilateral Goldilocks mastectomy with free nipple grafts. Six months later, we supplement her volume with silicone implants placed on top of her pectoral muscle. She heals well and is very pleased with her final result. This approach of delayed implants supplementation after Goldilocks mastectomy was first described by Dr. Schwartz in 2017.

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This 47-year-old female with obesity, eczema and diabetes presents after neoadjuvant chemotherapy for a right breast cancer. She desires bilateral mastectomy and reconstruction. Given her risk factors she is a poor candidate for either immediate or delayed implant or autologous reconstruction. We offer her bilateral Goldilocks mastectomy and free nipple grafts. She heals nicely and we supplement her volume six months later with silicone implants placed above the pectoral muscle.