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Latissimus Flap Breast ReconstructionTypical 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 are 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 are 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 the breast(s).

Facility

Hospital

Preparation

Patients cannot be using any nicotine-containing substances.

Anesthesia

General anesthesia

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 the house 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

Three weeks for light exercise, four weeks for regular exercise and about six weeks for arm exercises.

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

It can persist for 3-6 months.

Bruising

Usually subsides after 2-3 weeks.

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, Dr. Patterson

 

Gulf Coast Plastic Surgery

543-A Fontaine Street

Pensacola, FL 32503

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The Skin Care Center at Gulf Coast Plastic Surgery

4707 N. Davis Highway

Pensacola, FL 32561

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