Latissimus Dorsi Flap
A latissimus dorsi flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact. Occasionally, the flap itself can reconstruct a complete breast mound, but often needs an implant to provide additional volume. The flap itself provides the muscle and tissue necessary to cover and support a breast implant.
The procedure leaves a small scar on the mid-back / shoulder region that for most part can be hidden in the bra line. Sometimes however, the scar may be visible through a swimsuit or sundress. The upper back can be numb for a few months until the nerves grow back. The loss of strength is about 10-15%.
Latissmus Dorsi Flap: Skin, Fat and Muscle from the back are tunneled to the Mastectomy site and contoured appropriately to reconstruct the breast.