Breast Reconstruction by Latissimus Flap with Implant Cases

This patient underwent a complex combination of bilateral nipple sparing mastectomy and bilateral immediate reconstruction with bilateral latissimus flaps and implants. It is hard to believe this is a mastectomy patient! This combination procedure is done by very few surgeons in the U.S.

This patient presented with a unilateral left breast cancer and plans to undergo bilateral mastectomy. She is shown after bilateral latissimus flaps and implant reconstruction. Latissimus flap is an outstanding way to camouflage the mastectomy defect.

When you look at these post op images it is hard to believe that this woman had breast cancer, underwent bilateral mastectomy, and had bilateral reconstruction using her back skin and muscle, and silicone gel implants all at the time of mastectomy. An internal lift was devised to raise the sagging breast at mastectomy and later nipple areola reconstruction and pigmentation completed the outcome. A remarkable result.

This young woman presented with breast cancer and a plan to undergo bilateral reconstruction with latissimus flap and implants. She is shown after reconstruction is complete. Remember the potential severe disfigurement of mastectomy? A beautiful lifted, soft, cosmetic outcome that fully camouflages the mastectomy.

Shown before and after bilateral mastectomy and bilateral breast reconstruction with latissimus flap and implants for breast cancer this case demonstrates the unparalleled ability of latissimus flap and silicone implants to create breast shape.

This patient presented with right breast cancer and plans to undergo a bilateral mastectomy. She desired to have as complete a reconstruction as possible at the time of mastectomy.

Bilateral latissimus flap and implants (silicone gel) was chosen. She is shown before mastectomy with breast sag. Latissimus flap allowed for lifting at time of reconstruction. Center views are just after mastectomy. She is then shown after nipple reconstruction and pigmentation. A very nice outcome and camouflaging of the potential mastectomy site deformity as well.

This case demonstrates a patient who had numerous biopsy deformities that robbed her of any shape.  After lumpectomy and radiation she had an even more significant deformity.  When newly diagnosed with another breast cancer she wisely chose bilateral mastectomy.

She is shown after bilateral reconstruction with latissimus flaps and implants.  She declined formal nipple and areola reconstruction, opting instead for a simple tattoo.  I used 3-D technique to make it appear to have an actual nipple.

First set of photos shows patient prior to bilateral mastectomy and then after latissimus flap with implants, with peri-areola skin sparing mastectomy.

Second set of photos show patient after subsequent nipple reconstruction and pigmentation.

Final photos: Close up front and back after surgery.

This patient presented after undergoing an excisional biopsy of the right breast where she previously had a lumpectomy followed by radiation for breast cancer (top row of photos).

She needed to have a mastectomy, chose bilateral and reconstruction with bilateral latissimus flaps and implants.  After this stage, the previously radiated side (her right) was atrophic and cold – normal post radiation finding (middle row of photos).

At nipple reconstruction phase I fat grafted both sides into the entire breast site (adding more on right than left) (bottom row of photos)

The results:  A soft, warm breast which was previously cold, better shape, and less tightness (bottom row of photos)

This young woman, diagnosed with breast cancer of her right breast, desired to wake up from bilateral mastectomy “as complete as possible”.  We decided on the bilateral latissimus flap with implant.  A very active athletic woman, she was able to return to full activity within weeks.  She is shown shortly after mastectomy and then after nipple reconstruction.

A beautiful aesthetic result obtained by the process of creating “a living bra” out of muscle.  A superior procedure with long lasting reconstruction site benefits.