Breast Reconstruction Latissimus Flap FAQ

What is Latissimus flap reconstruction?

In breast reconstruction with the latissimus dorsi, a muscle located on the back along with its attached skin is transferred to the chest region for the breast reconstruction procedure.  The muscle flap maintains its own blood supply, and helps nourish the tissue that is transferred to the chest wall region.  There are several variations on the surgical technique of latissimus muscle flap breast reconstruction, including microvascular surgery to attach the flap to the chest region.  

In some cases, your plastic surgeon may recommend that a breast implant be inserted underneath the muscle flap to give the breast mound additional projection. 

Who is a good candidate for Latissimus flap reconstruction?

The best candidate for Latiissimus breast reconstruction is someone who has inadequate chest wall tissue for breast reconstruction with implants or expanders, past history of radiation to chest wall after mastectomy, or failure of earlier breast reconstruction.  Patients medical history will determine is this procedure is best for you.

Where is the scar from Latissimus flap reconstruction?

There are two scars from Latissimus flap reconstruction. One is on your back, usually within your bra line; the other is on the reconstructed breast and usually is circular shaped.

What are the possible risks of Latissimus flap reconstruction?

Potential risks include bleeding, infection, seroma, pain, scarring, numbness, asymmetry, hematoma, DVT, partial/total flap loss, and need for additional surgery. Dr. Sood will discuss these risks further during your consultation.

How long is Latissimus flap reconstruction?

Latissimus flap reconstruction usually takes about 3 hours.

What is the typical recovery time for Latissimus flap reconstruction?

A hospital stay of 2-3 days will be required dependent on your recovery from surgery and other medical problems. You will be sent home on pain medicine and antibiotics. You will have surgical drains in place on the reconstructed breast and in your back. You will need to be off work for 3-4 weeks dependent on the type of work you perform. You should not do any strenuous activity for at least 6 weeks following this procedure. You will be on 10 pound lifting restrictions for the first several weeks following surgery.

When do I return for a follow up visit?

You will be seen while in the hospital as well as within a week of being sent home. From there Dr. Sood will determine when you need to follow up.

How long before I can return to work?

Most patients are able to return to work in 3-4 weeks depending on the work requirements.

How long before I can return to normal activity?

Most activities of daily living can be resumed within a few days. You will be given a 10 pound lifting restrictions for the first 4-6 weeks following surgery. It is important to get up and move around within a day of surgery to help decrease the chance of developing a blood clot. Strenuous activities should be avoided for about at least 6 weeks or until Dr. Sood has given you clearance.

Dr. Sood's primary goal is to provide excellent clinical results along with a high level of patient care and service. Patient satisfaction is our highest concern. We are dedicated to providing every patient with a pleasant experience, beginning with the first visit and continuing on through surgical procedures and treatments and postoperative care. We encourage patients to evaluate the benefits as well as the risks of each procedure within the confines of realistic expectations.