With this option, the tissue from the back (the latissimus dorsi muscle) is used to reconstruct the breast, either with or without an implant.

First, the tissue (located at the back of the shoulder blade) is brought around to the breast mound to create the new breast. Then, depending on the desired breast size, an implant is inserted underneath, as the latissimus dorsi does not always provide enough volume. The initial implant (called an 'expander implant') is often replaced by a permanent implant at a later stage. The expander implant works by stretching the skin and tissue, so that it can accommodate a permanent implant. It can also create a more natural breast shape. The scar is either horizontal, so it can be hidden under bra straps or diagonal.

Fact Sheet

Anaesthetic
General anaesthesia.

Duration
3-4 hours.

Length of stay
4-5 nights following the operation.

RISKS/POSSIBLE COMPLICATIONS

Early (1-2 days):
Frequent
Bruising
Swelling
Discomfort

Infrequent
Bleeding (haematoma)
Infection
Failure of flap (approx 1%)
Re-operation (approx 4%) Wound breakdown
Necrosis of mastectomy skin flaps

Later (after one week):
Frequent
Reduced or no sensation of reconstructed breast

Infrequent
Reduced shoulder function
Seroma

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
• You will be out of bed the next day and over the next few days you will increase the amount of walking that you do

After return home

• Socialising with friends 2-3 weeks
• Return to work at 6-8 weeks
• Driving at 4 weeks
• Swelling and bruising 6-8 weeks
• Wear compression garment for 4 weeks
• Return gym and strenuous activity after 3 months
• Final result at 4-6 months

PERMANENCE OF RESULTS
Permanent.