Breast Reconstruction - LD Flaps: Case 2 - Bilateral Skin Sparing Mastectomies This is a 40-year-old woman who was diagnosed with left breast cancer in the past. She was first treated with lumpectomy and left breast radiation. After requiring additional right breast biopsies and continued close monitoring, she decided to proceed with bilateral mastectomies and reconstruction.
Given her prior left breast radiation, flap reconstruction was recommended as a more reliable alternative than implant reconstruction. She had sufficient lower abdominal tissue for small DIEP flaps, but she wanted to have a fuller breast volume following reconstruction. As such, she was offered staged bilateral latissimus dorsi (LD) flap and implant reconstruction. The LD flaps would provide the flap tissue desired while the implants would allow for a fuller breast size.
In the setting of prior breast radiation, her final reconstruction is both stable and natural.