Latissimus Dorsi Flap Reconstruction: A Natural Option for Breast Restoration

Latissimus dorsi flap reconstruction, also called lat flap reconstruction, is a common and reliable technique used to rebuild the breast after a mastectomy. This procedure uses healthy tissue, skin, fat, and sometimes muscle from your upper back — the latissimus dorsi muscle — to create a soft, natural-looking breast mound.

What Is a Latissimus Dorsi Flap?

The latissimus dorsi flap is a section of muscle, skin, and fat taken from the upper back. Because it remains connected to its original blood supply (a “pedicled flap”), it can be safely moved to the chest to reconstruct the breast.

This is sometimes called a back flap breast reconstruction because the tissue comes from your back.

See Also: Latissimus Dorsi Muscle Anatomy

When Is the Latissimus Dorsi Flap Reconstruction Used?

Your plastic surgeon may recommend latissimus dorsi breast reconstruction if:

• You had radiation therapy and need healthy, well-vascularized tissue.
• You do not have enough abdominal tissue for a DIEP or TRAM flap.
• You want to combine natural tissue with an implant for better shape and feel.
• You prefer a more moderate recovery time than with abdominal flap procedures.

How the Latissimus Flap Procedure Works

During the latissimus flap procedure, the surgeon makes an incision on your back, carefully lifts a small portion of the latissimus dorsi muscle flap, and tunnels it under the skin to your chest.
Depending on your needs, it may be:

• Latissimus dorsi flap reconstruction with implant, or
• Autologous latissimus dorsi flap reconstruction (using only your own tissue).

The latissimus dorsi flap technique allows excellent blood flow and natural softness, helping the reconstructed breast heal and blend smoothly.

Recovery and Results

Recovery after latissimus dorsi flap breast reconstruction typically involves:

• 4–6 weeks of limited upper body activity
• Temporary soreness at the back donor site
• Gradual improvement in strength and movement

Most patients are pleased with the natural shape and feel of their new breast. Over time, the latissimus muscle flap adapts well, and scars on the back usually fade.

What Does It Look Like?

You can ask your surgeon to show latissimus dorsi flap breast reconstruction images to understand realistic outcomes. Results vary depending on your body type, healing, and whether an implant is used.

Advantages of the Latissimus Dorsi Flap

✅ Provides healthy, well-vascularized tissue
✅ Works well for patients with previous radiation
✅ Can be combined with or without implants
✅ Gives a natural breast contour and softness

Summary

Latissimus dorsi flap reconstruction (or lat flap breast reconstruction) is a time-tested, versatile option for rebuilding the breast using your own tissue. It offers excellent results for many women seeking to restore their body and confidence after breast cancer surgery.

Always consult your plastic surgeon to discuss the best reconstruction method for your body, medical history, and personal preferences.

References & More

1. Vincent A, Hohman MH. Latissimus Dorsi Flap. [Updated 2024 Apr 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: PubMed
2. Latissimus Dorsi Flap, TDAP Flap, and ICAP Flap Reconstruction Procedures – Link