This is a technique of breast reconstruction using just the skin and fat of the breast. It is not suitable for all women; those best suited to it are women with particularly large and/or droopy breasts. Your Breast Care Nurse or Surgeon will explain if they think you would be suitable for this.
A Goldilocks Mastectomy involves removing the breast tissue but leaving a layer of fat under the skin and using the deep layer of the skin (dermis) from the lower part of your breast to fold inside to make a breast mound. How big this is will depend on how much fatty tissue you have between your breast tissue and the skin. You will be left with scars in an anchor pattern on the breast; your Breast Care Nurse will be able to show you pictures of the type of scar to expect, and also pictures of other women who have had this done here. The Goldilocks mastectomy has the advantage of avoiding the potential complications of implant reconstruction, but not affecting any other part of your body in the way autologous reconstruction would. However, the downside can be not knowing how big your breast mound will be afterwards, and there can be problems with wound healing, particularly where the breast scars meet (‘T-junction’) which can require dressings for some time.