— Verve Patient
- Breast Surgery
- Body Surgery
- Face Surgery
- Reconstruction Surgery
- Mastectomy + Implant Reconstruction
- DIEP Flap
- TRAM Flap
- SGAP Flap
- Latissimus Flap
- Lumpectomy Reconstruction
- Nipple Reconstruction
- Mohs Reconstruction
- Male Plastic Surgery
- Med Spa
What Is a Latissimus Flap?
The latissimus muscle is one of the largest muscles of your back. It spans the width of your back and helps control the movement of your shoulders.
Who Is a Good Candidate?
- You plan to have a mastectomy and do not want breast implants.
- History of radiation therapy.
- Have failed implant reconstruction and/or other autologous reconstruction.
- You should be at or close to your ideal weight, with a BMI less than 35.
- The best candidates are non-smokers. Smoking increases the chance of complications including impairment in wound healing.
- You will see Dr. Gupta prior to the surgery, he will outline his surgical plan and put marks on your body.
- This is an inpatient surgery; you will just stay over 1 night in the hospital. We will see you the next morning prior to your discharge from the hospital.
- The surgery duration is typically 2.5-3.5 hours.
- During the surgery you will be carefully placed on your side. This will allow Dr. Gupta to view your back and your breast in the same position.
- He will start by creating the incisions on the back and raising the latissimus muscle which will remain connected to your skin and subcutaneous tissue.
- The latissimus muscle will be lifted off the back starting from midline (near your spine).
- It remains attached right under the axilla – this is where the blood supply originates from.
- This is where the pivot point will be when rotating the flap from the back to the front.
- An incision will be created on the breast and tissue will be lifted.
- A tunnel will be created along the lateral chest, this will allow space to pivot the latissimus muscle from the back to the front.
- The latissimus muscle and skin island will be repositioned in the chest.
- Once we have ensured there is no compromise to the blood supply, the back incision can be closed.
- The back will be closed in multiple layers ensuring that there is a strong supportive wound closure.
- 2 drains will be placed in the back.
- The latissimus muscle and skin island will be positioned in the chest and sutured into place in multiple layers.
- 1 drain will be placed in the breast.
- You will not be able to put any pressure on the new breast OR on the side of the chest. Since this flap is only staying alive with one blood vessel it is essential to prevent damage to the area under the armpit.
- There will be a diagonal incision along one side of your back.
- There will be another elliptical incision on the breast where the skin from the back will visible.
You will lose ~10-15% of your pulling capability.
Yes. You will spend 1 night in the hospital to ensure you are comfortable and that the flap remains healthy after surgery.
Yes. Typically additional revisions are required to contour the shape of the breast.