Breast Surgeries –Breast Reconstructions

BREAST RECONSTRUCTION WITH THE LATISSIMUS DORSI MUSCLE FLAP TECHNIQUE

It is also a procedure that allows reconstruction in cases of total amputation of the breast.

It consists of migration of an "ellipse" (spindle) of skin removed from the dorsum, approximately in the projection where the "brassiere" band is usually situated.

This skin flap and fat will be anchored to the underlying muscle, the latissimus dorsi muscle. This muscle will migrate through a tunnel built under the skin, joining the donor area to the operated breast, being however (a fact, by definition, for any "flap") attached to the blood vessels that will nurture it.

When "rotated", it is attached to the skin “spindle” and fat, vascularized and healthy.

These tissues will substitute the skin and fat removed by the mastologist but, when originating from the dorsal area, they will not have sufficient volume to reconstruct the entire breast. We will have to use silicone implants, mandatory for this type of reconstruction technique.

Reconstruction of the areola, nipple and treatment of the contra-lateral breast will be conducted in a second surgical session and will follow the same information of the previous item (reconstruction by TRAM).