The surgical procedure: (A) preoperative drawing (B) skin de-epithelialization (C) fixation of the redundant de-epithelialized skin flap to the chest wall and (D) reconstruction of the small breast using redundant mastectomy flap tissue.įirst, the area between the skin incision lines and inframammary fold marked prior to the surgery was subjected to de-epithelialization ( Fig. 1B). These skin incision lines were extended to the outer and inner sides in a gently sloping manner until the lines crossed the inframammary fold ( Fig. 1A). After that, the lines for the excision of the nipple–areola complex or for the excision of the nipple–areola complex and the skin above the tumor requiring excision are drawn with the patient in the supine position. This report presents the indications for this procedure in Japanese females.įive patients who did not want to undergo a standard reconstruction, including one with bilateral breast cancer, underwent the Goldilocks mastectomy at Mie University Graduate School of Medicine, Edobashi Tsu, Mie, Japan.ĭuring this procedure, the inframammary fold is first drawn on the skin with the patient in the standing position. Goldilocks mastectomy was performed on five obese Japanese females with breast ptosis, and good cosmetic results were obtained in two cases. However, even in Japanese patients, the dog-ear deformity can be a problem, especially in obese patients or those with breast ptosis after mastectomy. Therefore, there are few opportunities to use this procedure for Japanese patients. 1 The breast size of most Japanese females is relatively small. The Goldilocks mastectomy is a method that uses redundant mastectomy flap tissue alone to create a breast mound in female American patients with macromastia. Although the reconstructed breast size was small, this procedure resulted in better cosmetic results than what would be achieved with the usual method of mastectomy for Japanese patients with bilateral breast cancer and severely obese Japanese patients.īreast cancer breast reconstruction subcutaneous mastectomy
The cosmetic results in the other three cases were poor. The cosmetic results were found to be good in two cases. Four patients had invasive ductal carcinoma, and one patient had noninvasive ductal carcinoma of bilateral breasts. The body mass index (BMI) was more than 25 in all the cases. The average age of the patients was 72 years (range: 67–76 years).
This report presents the results of five patients who underwent Goldilocks mastectomy, including one with bilateral breast cancer. Goldilocks mastectomy was performed for obese Japanese females with breast ptosis, and its indications were considered for Japanese female patients.
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