Latissimus Flap with Impant St. Louis - Breast Reconstruction Technique Missouri
Candidates for this procedure include patients who are having or have had a lumpectomy or mastectomy. In this procedure, the latissimus muscle is pivoted and transferred from the back onto the chest. A horizontal scar in the bra line will be concealed by a bra. In the case of a lumpectomy, the muscle will fill the space where the breast tissue has been removed, producing a soft, full breast. In the case of a mastectomy, the muscle with a piece of skin from the back is transferred to the breast to fill the defect from the excision of the mass. The skin from the back replaces any missing skin on the breast. If a skin sparing mastectomy has been done and a larger breast is desired, an implant or tissue expander can be placed underneath the muscle at the time of mastectomy.
Dr. Cabbabe incorporates his experience with reconstructive and cosmetic surgery of the breast to give his patients the best results possible to meet their desires. He is an expert in cosmetic, reconstructive and minimally invasive breast surgery. During your consultation, Dr. Cabbabe will carefully examine you and will make recommendations in order to help you achieve your desired result.
We believe that patients, their desires, and anatomy are all unique. Dr. Cabbabe believes that the key to a successful surgery is proper planning and discussion with the patient about their goals. Therefore, Dr. Cabbabe evaluates each patient and creates a customized surgical plan for all of his patients to meet their expectations. To schedule a consultation, call us at 314-842-5885 or complete the contact us form.
Good candidates for this surgery are women who have depressions or contour irregularities after lumpectomy or mastectomy. Also, women who have had radiation are excellent candidates for this procedure because the complications with an implant alone are high.
Poor candidates for this surgery are women who have had already had a mastectomy some time ago. In these cases, an expander is often needed to stretch the skin in order to achieve a projecting breast. If you have had a mastectomy and radiation, you may need a latissimus flap with tissue expander – implant placed.
Preparing for Surgery
Dr. Cabbabe will ask that you refrain from taking any aspirin, plavix, Coumadin or any other type of blood thinner. If you are taking chemotherapy, this may need to be finished or held prior to surgery.
You will be admitted to the hospital for one to two nights. Pain medication and antibiotics will be prescribed. There may be some numbness on the breast and back which improve with time. Most patients are able to shower within 24 hours. A drain will be placed inside the breast and one or two in the back and removed in the office. Recovery is 2 to 4 weeks.
Types of Reconstruction:
- Fat Grafting
- Oncoplastic Breast Reconstruction (one – stage)
- Tissue Expander – Implant (two – stage)
- Tissue Expander – Implant with Acellular Dermis (two –stage)
- Implant with Acellular Dermis (one-stage)
- Latissimus Flap (one – stage)
- Latissimus Flap with Expander – Implant (two – stage)
- Latissimus Flap with Implant (one-stage)
- Conventional TRAM (one – stage)
- Free Muscle – Sparing TRAM (one –stage)
- DIEP Flap (one – stage)
- SIEA Flap (one – stage)
- SGAP/LGAP (one – stage)
- Fat Transfer Breast Augmentation
- Breast Implant Reconstruction (One-stage)
- Breast Implant Revision Surgery
- Breast Tissue Expander – Implant Reconstruction (2-stage)
- Latissimus Flap Breast Reconstruction
- Latissimus Flap Breast Reconstruction with Implant (1-stage)
- Latissimus Flap with Implant Breast Reconstruction (2-stage)
- Transverse Upper Gracilis (TUG) Flap Breast Reconstruction