Breast reconstruction using the Latissimus Dorsi technique. Vascular bases for the reconstruction technique using the dorsal large muscle flap described by BOSTWICK are found in the thoracolumbar artery surveyed by surgeons around the world, and exhaustively by Dr. Daher in 1979.


This is also a method of reconstructing in cases of complete amputation of the breast, and therefore, this procedure is always associated with a silicone implant.

It consists of migration of an “ellipse” (spindle) of skin removed from the dorsum, approximately in the location where the “brassiere” band is usually situated.

This skin flap and fat will be anchored to the latissimus dorsi muscle, the underlying muscle. This muscle will migrate through a tunnel built under the skin, joining the donor area to the operated breast, and as per the definition of a “flap”, this will be attached to the blood vessels that will nurture it.

When “rotated”, it is attached to the skin “spindle” and fat, vascularized and healthy.

These tissues will substitute the skin and fat removed by the mastologist but, when originating from the dorsal area, they will not have sufficient volume to reconstruct the entire breast. We will need to utilize  silicone implants, which are mandatory for this type of reconstruction technique.

Reconstruction of the areola, nipple and treatment of the contra-lateral breast will be conducted in a second surgical session and will follow the same information of the previous item (reconstruction by TRAM).

Breast reconstruction with the “latíssimo dorsum” flap, or dorsal muscle.The large dorsal muscle is detached and the skin island of the back is attached to it.

The large dorsal muscle is rotated to the anterior part of the thorax, bringing the lining tissues to the mastectomy area; Reconstruction with the aid of a silicone implant is permitted. Reconstructed breast with flap of the back of the back or large dorsal.