Overview

The Latissimus Dorsi (LD) flap is a type of breast reconstruction surgery that uses muscle, skin, and fat from the upper back to recreate the shape of the breast following a mastectomy (removal of the breast due to cancer or other conditions).

Tissue Source

The tissue used for reconstruction is taken from the upper back, just below the shoulder blade. It includes the latissimus dorsi muscle, a broad, flat muscle that helps move the shoulder. This muscle exists on both sides of the body, and most individuals function well with only one.

How is the Surgery Performed?

• A flap of skin, fat, and muscle is carefully harvested from the back.
• The flap remains attached to its original blood supply (a pedicled flap).
• It is then tunneled under the skin to the chest area to form a new breast mound.
• In some cases, a breast implant is placed under the flap to achieve the desired breast size and symmetry.

Why Choose the LD Flap?

• It is a proven and reliable technique with a long history of success.
• Suitable for patients who have undergone radiation therapy, where other reconstruction methods may be limited.
• A good option if other donor sites (such as the abdomen or thighs) are not suitable for tissue harvesting.

Benefits

• Provides a natural-looking breast shape
• Uses the patient’s own tissue
• Can be performed with or without an implant, depending on the desired size and volume

Risks and Considerations

• Scar on the back, though usually concealed by a bra or swimsuit
• Possible tightness or mild weakness in the shoulder
• Risks of infection, fluid accumulation (seroma), or wound healing issues

Recovery and Results

• Hospital stay: Typically 2–4 days
• Time off work: Around 4–6 weeks, depending on the individual and type of work
• Post-operative care includes surgical drains and dressings
• Most patients report high satisfaction with the appearance and feel of the reconstructed breast over time

Is the LD Flap Right for You?

Every patient is unique. Your plastic surgeon will work closely with you to determine if the LD flap is the best option, taking into account your body type, medical history, and personal preferences.