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American Family Children's Hospital

Latissimus Dorsi Flap Reconstruction

In a Latissimus Dorsi Flap procedure, a section of muscle, fat and skin is taken from the back and used to create a natural looking breast mound after mastectomy.


This procedure can be performed in conjunction with tissue expansion in order to produce additional volume for a permanent implant. Note that in some cases, a breast implant is not necessary as enough tissue may already exist as a result of the flap.


During the procedure, and in order to obtain the flap, the patient is turned onto her stomach or side. The muscle, fat and skin are tunneled under the armpit and brought out at the mastectomy site.  This flap might require the use of an implant. The Latissimus flap is ideal for tissue expansion with permanent implant, as it allows a greater level of protection for the implant.


The breast incision will be circular, oval or a "soft" triangle - this was the skin from your back. This procedure will leave a scar that runs along the bra line below the shoulder blade, but may be concealed by undergarments.


Latissimus Dorsi Flap Reconstruction