Latissimus Dorsi breast reconstruction uses muscle from the back of the shoulder blade which is brought around to the breast mound to help create a new breast. A section of skin, fat and muscle is detached from the back and brought to the breast area.
Many patients undergoing a Latissimus Dorsi flap procedure also require a tissue expander for additional volume. The expander is replaced by a permanent implant at a second procedure down the line.
Following the mastectomy the patient is turned onto her stomach or side. A section of skin, fat and muscle is then lifted off the back from below the shoulder blade region. This tissue (or "flap") is then tunneled to the front of the chest to create the new breast. The patient is then turned onto her back a second time to complete the shaping of the new breast.