Latissimus Dorsi Flap Breast Reconstruction

The Latissimus Flap procedure uses muscle from the back of the shoulder blade which is brought around to the breast mound to help create a new breast.During the procedure a section of skin, fat and muscle is detached from the back and brought to the breast area. A majority of patients who undergo the Latissimus Flap procedure also require an expander in order to obtain a satisfactory result. The expander is replaced by a permanent implant at a second procedure down the line. Patients will have a scar on their back shoulder region that can sometimes be seen through a tank-top, swimsuit or sundress. The upper back can be numb or sore for a few days following the Latissimus Flap procedure until the nerves grow back and your incisions are completely healed. Women who are very active in sports should know that this procedure can reduce your ability to participate in such activities like golf, climbing, swimming, or tennis.

Step 1: Following the mastectomy the patient is turned onto her stomach in order to harvest the Latissimus Dorsi. A section of skin, fat and muscle is then detached from the shoulder region.

Step 2: After the Latissimus Flap is harvested the patient is then turned onto her back and the surgeons will begin the process of attaching the appropriate veins, arteries and shaping the breast mound.