Is a Lat Flap with implant a good way to go after failed sgap procedure?
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Doctor Answers 3
It should be evaluated. More importantly I perform a series of tests to look for a genetic predisposition or factors that could have led to your SGAP failure. If you are reconstructing one side there are plenty of options besides a DIEP flap.
Lat flap for breast recon
The Lattisimus or "Lat" flap is a work horse for breast reconstruction. There are many options for autologous reconstruction and each of these options should be discussed with your plastic surgeon. A failed attempt at microsurgery should not rule out another attempt at a free flap unless you have an underlying clotting disorder. My question to you is the lat flap going to be a free flap like your sgap or a pedicled flap? Either are fine but the most common is a pedicled flap.
The Lat flap alone is usually not an adequate volume for most women so we are usually supplementing with an implant. For the patients who prefer not to have an implant, fat grafting is a great alternative with excellent aesthetic results.
Yes, lat flaps are great!
A "lat dorsi " flap can add skin and volume to a breast reconstruction. This helps shape and provides extra soft tissue. The soft tissue covers an implant better and minimizes hardness. Bilateral lat flaps can be done by an experienced plastic surgeon to minimize recovery time. There are pros and cons to immediate use of implants or expanders. Look at some of our photos to see results. I hope this helps.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.