Patient satisfaction following Goldilocks mastectomy in non-obese women: A pilot study

The Goldilocks mastectomy was described as a reconstructive option for obese patients undergoing mastectomy, aiming to reduce surgical burden by avoiding extremes of traditional reconstruction. In non-obese patients, a limitation of this technique is insufficient postoperative breast volume; however, data on patient-reported satisfaction remains scarce. In this pilot study, we evaluated postoperative satisfaction in non-obese patients undergoing Goldilocks mastectomy using the BREAST-Q questionnaire. Despite limited breast volume, patient-reported outcomes demonstrated favorable satisfaction and quality-of-life domains. These findings suggest Goldilocks mastectomy may represent a viable reconstructive option for selected non-obese patients who prefer a simpler, fully autologous approach with good outcomes.