Latissimus Flap Reconstruction

In a latissimus dorsi flap procedure, skin, fat, and the latissimus muscle from your upper back is used to reconstruct the breast.

Your latissimus dorsi muscle is located in your back, just below your shoulder and behind your armpit. Because it contains muscle, a latissimus dorsi flap is considered a muscle-transfer type of flap.

The latissimus dorsi flap may be a good option for women with small- to medium/small-sized breasts because there’s usually not much fat on this part of the back. In most cases, a breast implant has to be placed under the flap to achieve the desired shape, size, and projection. A latissimus dorsi flap procedure leaves a scar on your back, but most surgeons try to place the incision so the scar is covered by your bra strap. Recovery can take about 4 weeks.