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{{short description|American healthcare software company}}
'''Goldilocks mastectomy''' is a type of [[surgical procedure]] for breast mound reconstruction using patient's [[autologous]] tissue without additional implants after the breast [[parenchyma]] has been removed for treatment of disease or [[prophylaxis]]. The procedure is an alternative approach to full [[breast reconstruction]] after [[mastectomy]] for women with breast cancer condition (or predisposed to it).<ref name="IJS">{{cite journal | last1 = Richardson | first1 = Heather | last2 =Ma | first2 =Grace | year =2012 | title = The Goldilocks mastectomy | url = | journal = International Journal of Surgery | volume = 9 | issue =10 | pages =522-526 | pmid = | doi = 10.1016/j.ijsu.2012.08.003 | pmc= }}</ref><ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977972/ Plastic Reconstruction Surgery: Goldilocks Mastectomy with Bilateral In Situ Nipple Preservation Via Dermal Pedicle (Heather Richardson, MD and Joel A. Aronowitz, MD, 2018)]</ref><ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727696/ PRS: Total Single-Stage Autologous Breast Reconstruction with Free Nipple Grafts (Jean-Claude D. Schwartz, MD, PhD and Piotr P. Skowronski, MD, 2015)]</ref>


{{Infobox company
==Medical use==
The Goldilocks mastectomy technique was first described in 2012 by the surgeons Heather Richardson and Grace Ma in the International Journal of Surgery.<ref name="IJS"/><ref name="APS">{{cite journal | last1 = Jaikel Zavala | first1 = Karina | last2 =Geun Kwon | first2 =Jin | last3 = Ho Han | first3 =Hyun | last4 = Key Kim | first4 =Eun | last5 =Sup Eom | first5 =Jin | year =2019 | title = The Goldilocks technique: An alternative method to construct a breast mound after prosthetic breast reconstruction failure| url = | journal = Archives of Plastic Surgery | volume = 46 | issue =5 | pages =475-479 | pmid = 31042862 | doi = 10.5999/aps.2018.00808 | pmc=6759440 }}</ref>It was first described as a surgical procedure to give women additional option to formal [[breast reconstruction]] after mastectomy. The procedure was first applied to some patients who did not qualify for traditional breast reconstruction methods because of medical complications such as history of [[radiation exposure]] from prior breast conservation treatment ([[lumpectomy]]) or due to the risks associated with high [[body mass index]] or because of personal preference.The method is mostly intended for patients with [[macromastia]] or [[ptosis]] as it presumes having redundant cutaneous flaps and applies preservation of de-epithelialized tissue technique.<ref name="ncbi">[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505857/ International Open Access Journal of the American Society of Plastic Surgeons: Goldilocks Mastectomy: A Safe Bridge to Implant-Based Breast Reconstruction in the Morbidly Obese (Jean-Claude Schwartz, 2017)]</ref><ref>[https://insights.ovid.com/crossref?an=00000637-201806006-00013 Ovid/Annals of Plastic Surgery: Moffitt Cancer Center Experience of Tissue Expander Breast Reconstruction: Does Acellular Dermal Matrix Increase Return to the Operating Room?]</ref> <ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293299/ Journal of the American Society of Plastic Surgeons: Partial Breast Reconstruction with Goldilocks Technique After Excision of Giant Fibroadenoma: A Case Report (Ryan P. Ter Louw, MD,* Sara B. Bruce, MD,† and Maurice Y. Nahabedian, 2017)]</ref><ref name="AJS">[https://www.sciencedirect.com/science/article/pii/S1015958413000602?via%3Dihub Asian Journal of Surgery: Goldilocks mastectomy for obese Japanese females with breast ptosis (Tomoko Ogawa, 2015)]</ref><ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925445/ International Journal of Surgery: Case report of a definitive autologous reconstruction in a patient requiring immediate postoperative anticoagulation and reduced operative time (Jean-Claude Schwartza and Piotr P. Skowronsk, 2016)]</ref><ref>[https://onlinelibrary.wiley.com/doi/abs/10.1111/tbj.12737 Wiley Online Library: Extending the Indications for Autologous Breast Reconstruction Using a Two‐Stage Modified Goldilocks Procedure: A Case Report (Jean‐Claude D. Schwartz MD, PhD; Piotr P. Skowronksi MD., 2016)]</ref> According to the ''Archives of Plastic Surgery'', "..Goldilocks mastectomy can also be used as secondary operation after initial failing in formal breast reconstruction..."<ref name="APS"/> This technique provides patients with an option for post-mastectomy breast reconstruction alternative to simple mastectomy without reconstruction, complex autologous flap harvesting techniques, or the use of artificial implants.<ref name="IJS"/>North Eastern Society of Plastic Surgeons also concludes: "Goldilocks breast reconstruction is an option in patients with higher than average BMI or excess local breast tissue, or in patients meeting these criteria preferring a single-stage reconstruction".<ref name="NESPS">[https://nesps.org/meeting/abstracts/2018/116.cgi NESPS: Outcomes Analysis of Goldilocks Mastectomy and Breast Reconstruction: A Single Institution Experience of 172 Cases]</ref> The limitations of procedure (shortage of skin or residual fat), resulted in integration of ''goldilocks mastectomy'' in more complex surgery techniques such as ''lateral intercostal artery perforator'' (LICAP) flap augmentation.<ref>[https://journals.lww.com/prsgo/Fulltext/2019/03000/Toward_a_More_Definitive_Goldilocks_Mastectomy_.25.aspx Plastic and Reconstructive Surgery: Toward a More Definitive Goldilocks Mastectomy: Simultaneous Addition of the Lateral Intercostal Perforator Flap (Schwartz, Jean-Claude D. MD, PhD, 2019)]</ref>


| name = HealthJoy, LLC
==Advantages and benefits==
Patients who are good candidates for the Goldilocks mastectomy can have a simplified surgical approach that recreates the fullness of a breast without additional complex surgeries or the need for artificial implants. Those who felt their breasts were too large to begin with are in some cases more satisfied with a smaller and more lifted appearance.<ref name="IJS"/><ref name="ncbi"/>
==Disadvantages and risks==
The final size and appearance of the residual tissue arrangement cannot be predicted or chosen specifically, leaving some patients with a smaller appearance of breasts than they might choose to have. Although the procedure benefits some patients, regular medical complications have also been reported by different sources. According to ''Journal of Surgical Oncology'', "The overall complication rate was 9.38% (seroma = 2, hematoma = 1, cellulitis = 2, wound dehiscence = 3, and operating room take back = 1)".<ref>[https://onlinelibrary.wiley.com/doi/abs/10.1002/jso.25465 Journal of Surgical Oncology: Outcomes analysis of Goldilocks mastectomy and breast reconstruction: A single institution experience of 96 cases (Arif Chaudhry MD, Jeremie D. Oliver, Krishna S. Vyas MD, PhD, Saad A. Alsubaie MD, Oscar J. Manrique MD, Jorys Martinez‐Jorge MD, 2019)]</ref>Following close observation of 172 Goldilocks mastectomy procedures, the North Eastern Society of Plastic Surgeons came to relatively similar results.<ref name="NESPS"/><ref name="AJS"/> However this is no different to the overall complication rates associated with conventional mastectomy methods.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805437/ NCBI Medicine: Postoperative outcomes of breast reconstruction after mastectomy (A retrospective study)]</ref>Patients with ptosis of the breast, very large breasts, or high body mass index are better suited to have more residual tissue after mastectomy, while patients who have smaller breasts may not be suited for the procedure.<ref name="AJS"/>


| logo =
==External links==


| type = [[Private company|Private]]
*[https://scholar.google.com/scholar?hl=en&as_sdt=0%2C38&q=Goldilocks+Mastectomy&btnG= Google Scholar]


| traded_as = HealthJoy
==References==
{{reflist}}
{{Operations and other procedures of the integumentary system}}


| ISIN =


| foundation = [[Chicago]], [[Illinois]], United States (2014)<ref>[https://www.bloomberg.com/profile/company/1393711D:US Bloomberg: HealthJoy, LLC]</ref>
[[Category:Breast surgery]]


| location_city = Chicago, Illinois
[[Category:Plastic surgical procedures]]


| location_country = United States
[[Category:Cosmetic surgery]]

| founder = Justin Holland<br />Doug Morse-Schindler<ref name="cb">[https://www.crunchbase.com/organization/healthjoy#section-overview Crunchbase: HealthJoy business profile]</ref>

| key_people = Justin Holland (CEO & Co-Founder), Doug Morse-Schindler (President & Co-Founder), Rick Ramos (Chief Marketing Officer), Brad Aaron (COO)

| owner =

| website = {{URL|https://healthjoy.com}}

| industry = [[software]]<ref name="cb"/>

| products =

| revenue =

| net_income =

| num_employees = 250<ref name="cb"/><ref name="healthjoy">[https://healthjoy.com/about/ HealthJoy company's website]</ref>

}}

Revision as of 23:16, 6 June 2020

HealthJoy, LLC
Company typePrivate
HealthJoy
Industrysoftware[1]
FoundedChicago, Illinois, United States (2014)[2]
FounderJustin Holland
Doug Morse-Schindler[1]
Headquarters
Chicago, Illinois
,
United States
Key people
Justin Holland (CEO & Co-Founder), Doug Morse-Schindler (President & Co-Founder), Rick Ramos (Chief Marketing Officer), Brad Aaron (COO)
Number of employees
250[1][3]
Websitehealthjoy.com
  1. ^ a b c Crunchbase: HealthJoy business profile
  2. ^ Bloomberg: HealthJoy, LLC
  3. ^ HealthJoy company's website
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