{"id":5054,"date":"2025-09-20T12:30:58","date_gmt":"2025-09-20T10:30:58","guid":{"rendered":"https:\/\/micheldelpe.ch\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-du-sein-lambeau-grand-dorsal\/"},"modified":"2025-11-29T19:59:53","modified_gmt":"2025-11-29T18:59:53","slug":"reconstruction-du-sein-lambeau-grand-dorsal","status":"publish","type":"page","link":"https:\/\/www.plasticiens-paris.com\/en\/chirurgie-esthetique\/reconstruction-mammaire\/reconstruction-du-sein-lambeau-grand-dorsal\/","title":{"rendered":"Breast Reconstruction Using a Latissimus Dorsi Flap"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Highlights<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A reliable technique, even in patients who have undergone radiotherapy<\/li>\n\n\n\n<li>Can be combined with fat grafting (lipofilling) or an implant for optimal volume<\/li>\n\n\n\n<li>Produces a discreet scar hidden beneath the bra strap<\/li>\n\n\n\n<li>Covered by French health insurance<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Overview: What is Back Flap Reconstruction?<\/h3>\n\n\n\n<p>A <strong>mastectomy<\/strong> (also called a mammectomy) involves the complete removal of the mammary gland, a portion of the overlying skin, and the areola-nipple complex. In some cases of breast cancer, this remains a necessary step.<\/p>\n\n\n\n<p>Breast reconstruction using a <strong>latissimus dorsi (LD) flap<\/strong> utilizes a strip of skin and muscle from the upper back, transferred to the chest to recreate breast volume. This reconstruction is commonly combined with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A <strong>breast implant<\/strong> for added volume<\/li>\n\n\n\n<li>Or <strong>fat grafting<\/strong> (lipofilling) for a more natural contour<\/li>\n<\/ul>\n\n\n\n<p>This technique offers <strong>predictable results<\/strong>, especially for patients who have undergone <strong>radiation therapy<\/strong>, which may limit other reconstruction options.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Principles of Latissimus Dorsi Flap Reconstruction<\/h3>\n\n\n\n<p>The <strong>latissimus dorsi<\/strong> is a thin, broad muscle on the back that is <strong>non-essential for daily function<\/strong>, making it an ideal donor site. The reconstruction process involves:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reusing the <strong>mastectomy scar<\/strong> as an access point (this scar can sometimes be revised but not removed)<\/li>\n\n\n\n<li>Harvesting a <strong>spindle-shaped segment of skin and muscle<\/strong> from the back<\/li>\n\n\n\n<li>Transposing this flap to the chest to create the breast mound<\/li>\n<\/ul>\n\n\n\n<p>In most cases, an <strong>implant<\/strong> is placed under the muscle and skin flap to provide sufficient volume.<br>Alternatively, in select cases, <strong>lipofilling<\/strong> (using fat from the abdomen or thighs) may be used instead of an implant.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Procedure Details<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anesthesia<\/strong>: General anesthesia is required. A pre-anesthesia consultation must be completed at least 48 hours before surgery.<\/li>\n\n\n\n<li><strong>Surgical time<\/strong>: 2 to 3 hours<\/li>\n\n\n\n<li><strong>Hospitalization<\/strong>: 3 to 5 days<\/li>\n\n\n\n<li><strong>Pre-op instructions<\/strong>:\n<ul class=\"wp-block-list\">\n<li>Stop smoking at least <strong>one month before and after<\/strong> surgery to avoid complications<\/li>\n\n\n\n<li>Avoid Aspirin or anti-inflammatory medications for <strong>10 days prior<\/strong><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>At the end of surgery, a <strong>bra-shaped dressing<\/strong> is applied to support healing. The <strong>donor site scar<\/strong> is horizontal and typically <strong>concealed under the bra line<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Post-Operative Recovery and Management<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pain management<\/strong> is tailored and provided preventively<\/li>\n\n\n\n<li><strong>Monitoring<\/strong> of the flap&#8217;s vitality (color, temperature, capillary refill) is done regularly<\/li>\n\n\n\n<li><strong>Physical therapy<\/strong> is prescribed to help regain full mobility of the shoulder<\/li>\n\n\n\n<li>A <strong>15-day work stoppage<\/strong> is typically needed<\/li>\n<\/ul>\n\n\n\n<p>Once the breast mound has stabilized, <strong>symmetrization of the opposite breast<\/strong> and <strong>reconstruction of the nipple-areola complex<\/strong> are performed as follow-up procedures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Costs and Reimbursement<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The procedure is <strong>covered by French Social Security<\/strong><\/li>\n\n\n\n<li>Additional surgical fees range from <strong>\u20ac3,500 to \u20ac4,500<\/strong><\/li>\n<\/ul>\n\n\n\n<p>These fees may be <strong>partially or fully covered by complementary health insurance<\/strong>, depending on your policy<\/p>\n\n\n<div class=\"kk-star-ratings kksr-auto kksr-align-center kksr-valign-bottom\"\n    data-payload='{&quot;align&quot;:&quot;center&quot;,&quot;id&quot;:&quot;5054&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;bottom&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;0&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;0&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;5&quot;,&quot;greet&quot;:&quot;notez cet page&quot;,&quot;legend&quot;:&quot;0\\\/5 - (0 votes)&quot;,&quot;size&quot;:&quot;24&quot;,&quot;title&quot;:&quot;Breast Reconstruction Using a Latissimus Dorsi Flap&quot;,&quot;width&quot;:&quot;0&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 0px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n                \n\n<div class=\"kksr-legend\" style=\"font-size: 19.2px;\">\n            <span class=\"kksr-muted\">notez cet page<\/span>\n    <\/div>\n    <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Highlights Overview: What is Back Flap Reconstruction? A mastectomy (also called a mammectomy) involves the complete removal of the mammary gland, a portion of the overlying skin, and the areola-nipple complex. In some cases of breast cancer, this remains a necessary step. Breast reconstruction using a latissimus dorsi (LD) flap utilizes a strip of skin [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":1650,"parent":2197,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-5054","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/5054","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/comments?post=5054"}],"version-history":[{"count":0,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/5054\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/pages\/2197"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/media\/1650"}],"wp:attachment":[{"href":"https:\/\/www.plasticiens-paris.com\/en\/wp-json\/wp\/v2\/media?parent=5054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}