Second-stage Reverse Abdominoplasty after Goldilocks Mastectomy: A Safe Autologous Reconstructive Option in Obese...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Oncology

Background:

• Obese patients undergoing mastectomy often benefit from autologous reconstruction.
• The Goldilocks mastectomy (GM) serves as a preliminary stage for breast reconstruction.
• Traditional second-stage flaps can lead to additional scarring and morbidity in obese patients.

Purpose of the Study:

• To evaluate the efficacy of a two-stage breast reconstruction using Goldilocks mastectomy (GM) followed by reverse abdominoplasty in obese patients.
• To present a novel, completely autologous reconstructive option with minimal scarring and low donor site morbidity.

Main Methods:

• Retrospective review of 15 consecutive obese patients undergoing a two-stage reconstruction.
• First stage: Goldilocks mastectomy (GM).
• Second stage: Reverse abdominoplasty for autologous tissue transfer.

Main Results:

• All 15 patients successfully completed the two-stage reconstruction.
• The reverse abdominoplasty provided significant autologous volume for reconstruction.
• The approach resulted in minimal additional scarring and low donor site complication rates.
• Improved upper abdominal contour was noted in patients.

Conclusions:

• A staged approach combining Goldilocks mastectomy (GM) and reverse abdominoplasty is a viable and effective reconstructive option for obese patients.
• This method offers a completely autologous reconstruction with reduced scarring and morbidity compared to traditional flap surgeries.
• Reverse abdominoplasty is a suitable second-stage procedure for utilizing excess upper abdominal tissue in obese patients undergoing breast reconstruction.