The Goldilocks mastectomy was first described in 2012 as a third option for patients who are not eligible for or want traditional modes of breast reconstruction. The technique involves performing a skin-sparing mastectomy using Wise pattern incisions and creating a breast mound from the residual lower mastectomy flap. In this case report, we present a 58-year old woman with breast cancer who was not eligible for traditional breast reconstruction, and instead an uncomplicated Goldilocks mastectomy was performed.