The GOLI procedure: goldilocks mastectomy with extended lateral intercostal perforator artery flap—a surgical technique for total breast reconstruction

Mustafa Khanbhai, Michael Faheem, Shweta Aggarwal · 2026

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Description

Mustafa Khanbhai, Michael Faheem and Shweta Aggarwal describe a combined mastectomy and reconstruction technique for high-risk patients in a 2026 surgical paper. Standard implant or free-flap reconstruction can be unsafe for patients with obesity and multiple illnesses because of long operations and complication risk. Their GOLI approach pairs a skin-reducing mastectomy pattern with the patient own tissue. Lower skin flaps supply inner volume. A flap from the side chest wall, fed by a perforator artery, adds outer fullness.

Two patients recovered without problems, with satisfactory appearance and no delay to further cancer treatment. No flap loss or fat death occurred. The single-stage method avoids microsurgery while using available tissue fully. Larger prospective study is warranted, the authors note.

Catalog record

CREATORMustafa Khanbhai, Michael Faheem, Shweta Aggarwal
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE28 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13264726

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