Latissimus Flap Breast Reconstruction at Mercy

Latissimus flap breast reconstruction, sometimes referred to as Latissimus Dorsi flap breast reconstruction, is a type of breast reconstruction following mastectomy offered by the plastic surgeons at The Breast Reconstruction and Restoration Center at Mercy. Working individually with patients and their breast surgeons, our doctors coordinate the best treatment options for each patient’s condition.

What is Latissimus Dorsi Flap Breast Reconstruction?

Skin and tissue from the back shoulder blade area is moved to the mastectomy site during latissimus dorsi flap breast reconstruction. The tissue from the back is tunneled to the mastectomy site and molded to form a new breast.

Who is the best candidate for Latissimus Dorsi Flap Breast Reconstruction?

Women who have small to medium-sized breasts are the best candidates for latissimus dorsi flap breast reconstruction. Since the amount of body tissue on the upper back is limited, it is best used for reconstructing breasts that are smaller or medium-sized.

Will additional breast reconstruction surgeries be necessary after Latissimus Dorsi Flap Breast Reconstruction?

Latissimus dorsi flap breast reconstruction often is combined with an implant as additional volume is needed. During the initial latissimus dorsi flap surgery, a temporary expander is inserted under the tissue flap that was moved from the back and reconnected at the mastectomy site. A permanent implant is inserted during a future surgery. Additional surgery also may be needed to recreate the nipple and areola if they cannot be saved during the initial latissimus dorsi flap surgery.

How is Latissimus Dorsi Flap Breast Reconstruction coordinated with breast surgery?

Mercy's plastic surgeons, along with breast surgeons at The Hoffberger Breast Center at Mercy, work with each patient to determine the best treatment plan for the patient’s individual needs. Latissimus dorsi flap breast reconstruction can be immediate, taking place at the same time as a mastectomy, or can be delayed until after chemotherapy and/or radiation is completed.