In a Latissimus Dorsi flap breast reconstruction procedure, skin, fat, muscle and blood vessels taken from the upper back are tunneled under the skin to the front of the chest to form a pocket for an implant.
It is important to note that Latissimus flap reconstruction can be done with or without the addition of a breast implant. In some cases, enough tissue is available from the flap and an implant may not be needed in this procedure.
Click the images below to enlarge

Preoperative markings

Latissimus dorsi flap during surgery

Postoperative appearance
In addition to the potential advantages and disadvantages listed on the Autologous Breast Reconstruction page, other potential advantages and disadvantages of Latissimus Dorsi Flap are also outlined here.
Potential Advantages | Potential Disadvantages
- Less risk of your body rejecting the tissue and less risk of hard scar tissue forming
- Does not damage the abdominal wall (like in TRAM)
- May experience weakness in the back, shoulder or arm after surgery
- May affect mobility and range of motion in the shoulder area