![]() Scores in the four BREAST-Q domains were not statistically different between patients who had additional procedures and those who did not.īased on the results, the authors recommend a thorough preoperative discussion with patients who are candidates for the Goldilocks procedure to explore all options for reconstruction and their expectations, because it is crucial to reduce the necessity for additional operations in this high-risk population.Ĭopyright © 2022 by the American Society of Plastic Surgeons. 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. ![]() Median follow-up time after the mastectomy with the Goldilocks procedure was 15 months. Sixty-three patients (108 breasts) were included. Univariate and multivariable analyses were performed to identify statistical associations and risk factors. Demographics, complications, additional breast procedures performed to attain the final results, and patient-reported outcomes using the BREAST-Q were recorded. Tightness/heaviness in the chest and/or stiffness tingling, burning or intermittent shooting pain: These are normal experiences as the skin, muscles, tissue and sensory nerves heal. In this work, the authors performed a longitudinal study of patients who underwent mastectomy with Goldilocks reconstruction to assess the incidence of additional surgical procedures, and to assess surgical outcomes and patient satisfaction.Ī retrospective review of patients who underwent mastectomy with the Goldilocks procedure only at Mayo Clinic Rochester between January of 2012 and September of 2019 was performed. Typical symptoms of breast reconstruction and signs to watch for following Goldilocks breast reconstruction include the following: 1. A Goldilocks mastectomy is the middle ground between traditional breast reconstruction that requires implants and/or autologous flaps and traditional non. Since its first description in 2012, the Goldilocks procedure has become an option for immediate breast reconstruction, particularly for obese patients who are poor candidates for traditional implant or autologous reconstruction.
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