How is latissimus flap breast reconstruction performed?

Updated: Jul 29, 2021
  • Author: Mark F Deutsch, MD; Chief Editor: James Neal Long, MD, FACS  more...
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If a large amount of volume is required, the fat adjacent to the skin paddle can be incorporated onto the flap by bevelling away from the flap during the dissection. [17] Leave enough subdermal fat on the skin flaps at the donor site to ensure adequate wound healing. Placement of the skin paddle depends on the amount of excess skin on the patient's back and the location on the breast where the skin paddle is needed. The surgeon usually has some freedom in planning this portion of the procedure. Maximizing the mobilization of the flap by dividing the branches to the serratus muscle and the latissimus tendon at its origin is recommended.

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