Latissimus Dorsi Flap Breast Reconstruction

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.

The procedure leaves a scar on the mid-back / shoulder region that can sometimes be seen through a tank-top, swimsuit or sundress. The upper back can be numb or for a few months until the nerves grow back. 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 or side in order to prepare the back tissue. A section of skin, fat and muscle is then detached from the shoulder region.
 

Step 2: After the Latissimus Dorsi 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.