Breast Reconstruction - LD Flaps: Case 1 - Bilateral Skin Sparing Mastectomies This is a 55-year-old with left breast cancer diagnosed on mammography. There was no lump that she or her doctors could feel and her biopsy showed DCIS. She initially considered lumpectomy, but chose to have bilateral mastectomies in order to minimize the risk of recurrent breast cancer. She wanted to preserve her breast size with as natural a shape as possible and chose to proceed with latissimus dorsi (LD) flap and implant reconstruction. Her staged breast reconstruction included initial mastectomies with LD flap and tissue expander reconstruction followed by exchange to implants, nipple reconstruction and nipple areola tattoos.
This type of reconstruction combines the benefit of volume provided by her implants with the advantage of a more natural contour provided by flap tissue from her own body.