Latissimus Flap Breast Reconstruction Pensacola

Typical Timing/Age Overall health is more important than age.Most (not all) women with breast cancer, at high risk for breast cancer or a history of breast cancer are safe candidates for the procedure.
Problem Absent breast(s) after mastectomy
Deformed breast(s) after lumpectomy
Deformed breast(s) after radiation
Deformed breast(s) after another type of reconstruction
Procedure Skin, fat and muscle from your back are transferred to your chest to reconstruct your breast(s).The transferred skin and fat is kept alive by leaving it attached to an artery and vein in your armpit. The tissue is then “swung” around to your chest, never being fully disconnected from the body (that is why it is called a “pedicled” flap). The transferred back skin, fat and muscle is then used to cover a breast implant since in most cases there is not enough tissue to provide adequate volume to reconstruct a breast without an implant.
Goal To reconstruct breast(s)
Facility Hospital
Preparation Patientscannot be using any nicotine containing substances.
Eat lots of protein.
Anesthesia Generalanesthesia
Recovery
Hospital stay 2-3 days on a regular inpatient floor.
Positioning You will need to keep pressure off your chest and side: so no sleeping on your side or stomach for ~1 month.
Assistance You will need someone to help take care of you after surgery as you will not be able to lift children, heavy items, etc.
Walking You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.
Showering After 48 hours you should remove your dressings and take a shower.
Exercise 3 weeks for light exercise.4 weeks for regular exercise.6 weeks for arm.
Sex Wait 3 weeks because you don’t want to stress your incisions or increase your blood pressure during the early healing period.No one except you can touch your new breast(s) for 8 weeks.
Work 2-4 weeks depending on your type of work.
Swelling Can persist for 3-6 months.
Bruising Usually subsides after 2-3 weeks
Follow-upAppointments 3-5 days after you leave the hospital.Whenever drains are ready to come out.3 months.
Risks & Complications Partial flap loss.Fat necrosis., Hematoma, Seroma, Infection, Poor scarring, Dehiscence, Delayed wound healing, Skin necrosis, Asymmetry, Numbness, Thromboembolism, Contour irregularities, Need for revision, Complications related to anesthesia.Complications related to the breast implant.
Performed by: Dr. Butler, Dr. Leveque
Gulf Coast Plastic Surgery is the only plastic surgery office in the area offering Canfield Vectra 3-D Imaging and Breast Sculptor software.