Skin anatomy įlaps may include skin in their construction. The distribution of the blood vessels in the skin of the sole of the foot. The main goal of a flap is to maintain blood flow to tissue to maintain survival and understanding the anatomy in flap design is key to a successful flap and surgery. ![]() "Plastic surgery is a constant battle between blood supply and beauty." - Sir Harold Gillies įlaps can contain many different combination of layers of tissue, from skin to bone (see classification section). Flaps have many uses in wound healing and are used when wounds are large, complex, or need tissue and bulk for successful closure. This is in comparison to a skin graft which does not have its own blood supply and relies on vascularization from the recipient site. A flap is defined as a tissue that can be moved to another site and has its own blood supply. Another reason for its limited use is that it can only be used in patients with LARGE breasts and a point which has not been highlighted by the authors is the gross disparity in size of the two breasts after the surgery (which is a source of worry to the patient).Flap surgery is a technique essential to plastic and reconstructive surgery. Another point which I could gather after reviewing the limited data available on this surgery is that cosmetic results are far INFERIOR than a regular reconstruction (whether implant based or autologous). In this procedure, all the breast tissue is removed and the remaining redundant skin and tissue is mobilized and used to reconstruct the breast, which is usually much smaller than the original size and also in some cases deformed.Īs it is a relatively new procedure, long term data is yet to reveal the efficacy and safety of this procedure compared to the conventional mastectomy. Patients with extremely large breasts or sagging breasts have the best outcome from this procedure.Excellent option for patients who don’t want reconstruction or are otherwise poor surgical candidates for formal reconstruction.Most patients do not require radiation (dependent on the stage of disease).Surgical removal of breast gland under the skin means:.Decreased pain and shorter recovery time when compared to formal breast reconstruction.No implants or artificial devices are used.Can be performed for prophylaxis or treatment of disease.Can be performed on one or both breasts.The following are the advantages of this procedure, as highlighted by the surgeons on the website ( It is NOT suitable for patients with small breasts!! It is mainly suitable for patients with large breasts, who have enough tissue left behind after mastectomy, which can be used to reconstruct the breast. Not all patients are eligible for Goldilocks mastectomy. When discussing the different choices and options pre-operatively, it is easy to remember what a “Goldilocks” is and how it differs from mastectomy with and without formal reconstruction.” Redundant tissue under the arm is avoided and the final result very soft and supple. Yet it preserves as much of the patient as possible and avoids an amputated appearance.įor those who still aren’t quite as large as they would like to be and choose to wear a prosthesis, wearing a bra is much more comfortable and the cleavage much more natural appearing. We chose this name because this technique embodies the simplicity of not having reconstruction and only having a single surgery with as little as possible discomfort and down time. But there was a third choice that had attributes of both and fell somewhere in the middle. Most involved extremes -too hot or too cold too hard or too soft. She had many choices to make, and each time she face a choice, she evaluated the pros and cons risks and benefits of each one. ![]() ![]() “Most of us are familiar with the story of the young girl faced with uncertainty in the woods and with a big, bad wolf nearby. The first question which pops to the mind is that why was this surgery named as Goldilocks mastectomy? The following is the reply given by the surgeons who developed this surgery: This procedure has been a recent topic of debate at many scientific gatherings. This is a single stage procedure, which gives women facing mastectomy an option that takes the best features of having and not having reconstruction and combining them into a single procedure. Goldilocks mastectomy is a relatively new procedure developed by Dr.
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