Reconstruction by latissimus dorsi muscle flap

The procedure of reconstruction with a latissimus dorsi muscle flap

This technique consists of using skin, muscle and fat taken from the back for your chest.

This flap is called “pedicled” because it remains connected to its blood vessels (vascular pedicle) when it is transferred from the back to the chest.

It is a very reliable technique and almost always possible.

What is the aesthetic and functional result?

The dorsalis flap provides sufficient tissue to ensure a natural curve to your reconstruction. The result is natural. Depending on the thickness of the flap and the volume of the breast to be reconstructed, it may be necessary to add a prosthesis or to perform lipofilling.

The removal of the flap does not cause any functional sequelae (no limitation of arm movements), but it leaves a horizontal scar of about 15 cm in the back, located at the height of the bra strap. About 30% of women complain of persistent discomfort in the back. The reconstructed breast is sometimes a little mobile during certain movements.

Right reconstruction by Grand Dorsal flap and prosthesis

Modalities of the procedure for reconstruction with a latissimus dorsi muscle flap

• Duration of the intervention between 2 and 3 hours.
• General anesthesia.
• Hospitalization between 2 and 5 days.
• Little pain after the operation.
• Dressings for 15 days.
• Recovery between 2 weeks and 1 month

Possible complications of a latissimus dorsi muscle flap reconstruction

• The back drain may need to be left in place for a long time, sometimes up to 3 weeks after the procedure.
• Necrosis of the flap is rare, this is a very reliable technique.
• A seroma (collection of fluid) in the back may require punctures.

Before / After reconstruction with a latissimus dorsi muscle flap

The photos below show the results of different dorsalis flap reconstructions combined with other breast reconstruction techniques.