This surgery involves moving the latissimus dorsi muscle and overlying skin from the back to the chest to create a new breast mound. The incision is usually made along the bra line so the scar will be concealed.
A breast implant can be placed under the flap if necessary to balance a difference in size. Nipple reconstruction is done later.
Advantages
This is a very reliable procedure, which provides a good environment for an implant. The chances of capsule formation around the implant are reduced.
Disadvantages
Scar across the back. Capsule formation around the implant may occur and result in the need for additional surgery.
Possible Complications
- Circulation problems with the flap
- Formation of capsule around the implant
- Symptoms from loss of shoulder muscle, such as decreased strength
- Loss of back skin requiring skin grafting
- Collection of fluid (seroma) under incision requiring needle aspiration
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