A 63-year-old woman with a CHEK2 mutation chose risk-reducing double mastectomy. With longstanding neck and back pain from 42DD breasts, she wanted to go much smaller without being left concave. Dr. Li performed a skin-sparing double mastectomy with same-day Goldilocks reconstruction.
Single-stage
Goldilocks Reconstruction
A single-stage option that uses your own existing breast skin to create a smaller mound.
How does Goldilocks Reconstruction work?
The Goldilocks mastectomy uses the patient's own existing breast skin to create a smaller reconstructed mound in a single stage, for selected patients. Dr. Li has trained other surgeons on this procedure.
Consult & plan
For selected patients who want a smaller breast in a single stage, Dr. Li plans the procedure around your goals and coordinates with your breast surgeon.
Skin-sparing mastectomy + same-day Goldilocks
Your own existing breast skin is used to create a smaller reconstructed mound in the same surgery — a single stage, without an implant or a separate tissue flap.
Recovery
You heal from the single combined surgery with the team's support.
Finishing touches
If desired, nipple reconstruction and 3D areola tattooing can complete the result later.
Recovery timeline
- Surgery day
- Early recovery
- Back to daily life
- Final result
A real result from Dr. Li
A 68-year-old woman with left breast cancer and very large breasts wanted to avoid radiation and relieve lifelong back, neck, and shoulder pain. Dr. Li performed a skin-sparing double mastectomy with immediate bilateral Goldilocks reconstruction, going much smaller.
A 35-year-old woman had a double mastectomy near her home and travelled to Dr. Li for reconstruction. Two months later she underwent a delayed bilateral Goldilocks procedure for a much-improved breast shape.
Every plan is personal — Dr. Li will walk you through yours.
Request a consultationFrequently asked questions
No — it uses your own existing breast skin to form a smaller mound, in a single stage.
The reconstruction is done in the same surgery as the mastectomy. Optional finishing steps such as nipple-areola reconstruction can follow later.
Dr. Li performs the Goldilocks procedure and has trained other surgeons on it.
Want the full picture?
Read the full Goldilocks Mastectomy guide ›
Meet your surgeon
Dr. Wai-Yee Li,
MD PhD FACS
A female board-certified plastic surgeon in Arcadia, Los Angeles, specializing in aesthetic and reconstructive breast surgery — with a focus on the best surgical outcomes, less pain and minimal scarring.
Meet Dr. Wai-Yee Li ›Patient reviews
Rated 5.0 from 227+ reviews across Google, Yelp, Healthgrades & U.S. News
Read patient reviews ›Take the next step
Considering breast surgery?
Book a consultation with Dr. Wai-Yee Li, or call the practice to discuss your options.
Visit the practice
Two locations across Los Angeles
Arcadia
Get directions ›Pasadena
Pasadena, CA 91105




