The Goldilocks Procedure

Reshaping your remaining breast tissue after mastectomy into a new breast, without an implant or a distant flap.
Body Location
Breast
Anaesthesia Type
General Anaesthetic
Where It's Done
Netcare Milpark Hospital Breast Centre, Johannesburg
Typical Recovery
4–6 weeks
Procedure Duration
2–3 hours

At a glance

Overview

What is a The Goldilocks Procedure?

Uses the patient’s own remaining breast skin and tissue after mastectomy to create a shaped breast mound without placing a conventional implant or using a distant flap. The tissue is folded and reshaped to provide a modest-volume reconstruction.

The Procedure

What does the procedure involve?

Where the preserved breast envelope isn’t enough to create an adequately sized or contoured breast, tissue from beneath the original breast — on the thorax — is used to supplement shape and volume. This additional tissue is called a thoraco-epigastric flap.

Often, as a delayed or staged procedure, fat transfers can further refine the contour or appearance of the newly created breast. This is usually done 4–6 months later, once all tissue has settled and the final outcome can be properly assessed.

Candidacy

Who is a suitable candidate?

Women with larger or more ptotic breasts who have had or are planning a mastectomy and would like reconstruction using their remaining breast and chest tissue rather than a conventional implant or distant flap. Adequate local tissue is required.

Related Reconstruction Procedures

Scar Revision (Face, Body, Breast, Limbs)

Considering this procedure?

Every case is discussed in detail before any decision is made. Send a quick enquiry and the practice will be in touch to arrange a consultation.

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The Goldilocks Procedure