LD-flap reconstruction of the breast (with or without implant)
It is possible to reconstruct a small or medium-sized breast from skin, subcutaneous fat and muscle (the triangular Latissimus dorsi muscle) taken from the patient’s back. Blood flows into this so-called LD-flap through the axillary blood vessels. The entire flap is detached so that only the blood vessels and the nerve stay connected with the armpit; then the flap is turned over onto the chest and given the shape of the patient’s own breast.
The patient’s own tissues are usually sufficient for forming the new breast. However, if the patient is slim with a thin adipose layer on her back, an implant is needed under the LD-flap.