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Latissimus Dorsi Flap Reconstruction - San Diego, CA

ORIGINAL POST

I was diagonosed with breast cancer in May 2013. ...

iluvalm
WORTH IT$75,000
I was diagonosed with breast cancer in May 2013. I had 3 separate surgeries for my reconstruction: 1) bi-lateral mastectomy with immediate Latissimus Dorsi Flap reconstruction and expanders, 2) the exchange of the expanders with the permanent implants, and 3) the nipple-areolar reconstruction.

The Latissimus Dorsi Flap (LDAP) reconstruction is a much more difficult surgery as it requires cutting latissimus dorsi muscles from each side of your back and moving them under the skin and muscles to the front chest where they are attached to create a ‘hammock’ for the implants to sit. The surgery is longer than the traditional expander/implant reconstruction, and the recovery time is twice as long (about 6-8 weeks). As challenging as it sounded, I chose to have the LDAP reconstruction because I felt the results would be more aesthetically pleasing and natural looking. I am absolutely thrilled with my results!! I feel like my breasts look very natural, and I am amazed at how the nipple reconstruction turned out as well. It has been over a year since my first surgery, and I am still a little numb in my back and sides of my breasts, but I can still do pretty much everything that I did before my surgery. And believe me, there were a lot of things that I could not do right after the LDAP surgery. I am so happy to be back to my old self again, but without the breast cancer!

iluvalm's provider

Salvatore Pacella, MD, MBA, FACS

Salvatore Pacella, MD, MBA, FACS

Board Certified Plastic Surgeon

5.0 | 97 Reviews
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Replies (2)

July 28, 2014
so how much of your breast is your own tissue and how much is implant? I didn't think u would need expanders if you used an additional flap for skin? im confused
July 28, 2014
Hi evesue, For my reconstruction, my back latissimus dorsi muscles were cut from each side and moved to the front of my chest so that the implants could sit in the lat muscles, kinda like a hammock. This creates more of a natural look, more curvature at the bottom of the breast and less shelfing at the top. I am small framed and using my fat was not an option, so I had to go with implants. The skin tissue from my back was also used to fill in where the areolas were. I hope this helps.