GOLDILOCKS MASTECTOMY (aka SWIM reconstruction)

zohra

anyone has experience with Goldlocks mastectomy?
Please share your experience

Thanks

moderators

Hi @zohra,

We hope others will be by soon to weigh in with their experience — we changed the title of your post to add the SWIM procedure since that is another term for the same type of reconstruction that others might recognize:

"The Goldilocks procedure (also sometimes called the SWIM procedure), is done at the same time as the mastectomy and uses remaining fatty tissue and skin to form a small breast mound. No implants or tissue from other parts of the body are needed for this procedure. It’s usually recommended for people with larger breasts or those with more of a droop (known as ptosis)."

https://www.breastcancer.org/treatment/surgery/breast-reconstruction#section-types-of-breast-reconstruction-procedures

We hope this helps and that you get some more responses soon!

—The Mods

seaglass25

I had this procedure done in June 2025. It looked good, but then unfortunately the right side had skin necrosis that had to be operated on and it really flattened out that side. In December 2025, 1 month ago I had a fat transfer, but it didn’t take that well and they look pretty much the same. I am having another fat transfer in march. I don’t regret choosing the Goldilocks option as I really wasn’t interested in having implants.

moderators

Hi @seaglass25 , welcome to the community, and thank you for sharing your experience with the Goldilocks procedure. We’re really glad you took the time to describe both the positives and the challenges you’ve faced, it's really helpful!

We hope your upcoming fat transfer in March goes smoothly, and please know we’re here if you need support along the way.

Sincerely,

The Mods