Latissimus dorsi flap reconstruction is a versatile technique used to restore breast shape following mastectomy. At PSG, our board-certified plastic surgeons use this procedure to recreate natural contour and symmetry, particularly in patients who require healthy tissue replacement after radiation therapy. This procedure involves transferring muscle, skin, and fat from the upper back to the chest to reconstruct the breast mound. It may be performed at the time of mastectomy (immediate reconstruction) or at a later stage (delayed reconstruction). Depending on the desired size and available tissue, the flap can be used alone or combined with a breast implant to achieve additional volume.
Good Candidates
The latissimus dorsi flap may be an appropriate option if you:
- Do not have sufficient abdominal tissue for autologous reconstruction
- Require healthy tissue to replace radiation-damaged skin
- Need added coverage over an implant
- Prefer an autologous-based option but are not a candidate for longer microsurgical procedures
Candidacy is determined during a comprehensive consultation that evaluates your anatomy, cancer treatment history, and reconstructive goals.











