Breast Reconstruction Using the Latissimus Dorsi muscle (Back Flap)

Which techniques are typically employed to reconstruct the breast?

Dr Steven Shoen works closely with the Breast Center at Saint Peters University Hospital as well with the Breast Center at The Cancer Institute of New Jersey performing a variety of techniques designed to reconstruct the breast.   Three procedures, Tissue Expansion, Back Flap Reconstruction, and use of Lower Abdominal Tissue are employed depending on a variety of reconstructive needs as well as a patient's overall medical condition.  Skin sparing as well as nipple sparing techniques are sometimes employed to yield the most natural results possible.

How is the Latssimus Dorsi (Back Flap) Procedure carried out?

The Back Flap Technique for breast reconstruction is a single stage procedure in which the breast is reconstructed using skin and muscle from the back.  In most instances a small breast implant is added for bulk.  In some cases the muscle. skin and fat provide enough volume to form the entire breast.  The Latissimus Dorsi Muscle is expendable.   Following surgery patients are ultimately able to perform exercise, sports and strenuous activities as they did in the past.

What are the advantages of the Back Flap Technique?

The procedure forms the breast mound in one operation.  The reconstructed breast has a very natural tear drop shape.  Since there is a fairly thick layer of tissue over the implant the reconstructed breast has a very natural feel.  

What are the disadvantages of the Back Flap Technique?

Patients will experience several weeks of moderate discomfort at the back.  A sensation of tightness may linger at the back and side of the chest for a few  months.  The procedure leaves a scar at the back measuring several inches.

To learn more about this technique you may view several patient pictures in our photo gallery under the heading. " Back Flap Reconstruction".  To arrange for an appointment with Dr. Steven Shoen at one of our two office sites call 732-632-6090.