Latissimus dorsi muscle flap and implant
Implant based breast reconstruction
Autologous breast reconstruction
The latissimus dorsi muscle is a muscle on the back that is used in a pulling down action.
This can be transferred to the front of the chest and used to completely cover the implant. This provides added protection and reduces the risk of complications of the implant.
Should extra skin be required then some skin can be taken with the muscle. This also allows for the creation of a 'droopier' breast.
Further information
Anaesthetic
The operation is performed under general anaesthesia. The operation takes 3-4 hours
Length of stay
2-3 nights following the operation.
Risks/Possible complications
Early (1-2 days):
Frequent
- Bruising
- Swelling
- Discomfort
Infrequent
- Bleeding (haematoma)
- Infection
- Wound breakdown
- Necrosis of the mastectomy skin flaps
Later (after one week):
Frequent
- Seroma in back wound
Infrequent
- Scars - breast may be unsightly, lumpy, stretch
- Seroma
- Capsule formation
- Rippling of implant
- Implant leak or rupture
General anaesthetic
- Deep vein thrombosis
- Chest infection
- Allergic reaction to drugs or tape
Recovery
Immediately after the operation
- You will feel bruised and sore and there will be some swelling
- Pain is usually moderate and controlled with standard painkillers
- There will be drains in the chest and back, which will be removed between 2-6 days later
- You will be out of bed and walking the next day
After return home
- Socialising with friends 1-2 weeks
- Return to work at 4-6 weeks
- Driving at 4-6 weeks
- Swelling and bruising 6-8 weeks
- Return gym and strenuous activity after 3 months
- Final result at 4-6 months
Permanence of results
Permanent, unless a capsule develops around the implant. The implants will need to be changed at 10 - 15 years.