Goldilocks Procedure
A reconstruction option that reshapes the skin and fat remaining after mastectomy into a small breast mound.
The key things to know
- Local tissue creates a modest breast shape.
- Suitability and the need for further surgery vary; normal sensation is not guaranteed.
What the operation involves
After removing breast tissue, the surgeon folds and shapes selected skin and underlying fat to create a modest breast mound. The operation does not restore breast tissue or breastfeeding. It may suit someone who wants some breast shape without a donor-site flap or an implant.
Who may consider it?
Larger or more drooping breasts often provide more tissue to work with. Suitability also depends on cancer location, skin blood supply, general health and anticipated radiotherapy. Breast size alone does not decide eligibility. Aesthetic flat closure and delayed reconstruction should also be discussed.
Expectations and risks
The reconstructed breast is usually smaller and less projected than the original, and symmetry is not guaranteed. Risks include bleeding, fluid collection, infection, delayed healing and tissue loss. Later adjustments or fat grafting may be considered after recovery and completion of relevant cancer treatment.
Planning recovery
Ask about scar position, drains, wound care and returning to movement and work. Consented examples of previous results can help set expectations. Increasing redness, fever or sudden swelling need prompt advice from the surgical team rather than waiting for a routine appointment.
Take these questions to your appointment
- What size and shape are realistic for me?
- How could radiotherapy affect the result?
Sources & review
This is original educational content based on the sources below, not reproduced textbook material. Website supervisor: Dr. Nizar Ismail. Individual medical review of this article is pending.
- Royal Cornwall Hospitals NHS Trust — Skin reducing mastectomy (Goldilocks reconstruction) ↗
- NCI — Breast Reconstruction After Mastectomy ↗
This information cannot replace diagnosis or a personal treatment plan. Consult your care team about symptoms or decisions about your treatment.