For patients who need autologous breast reconstruction—often after a mastectomy, a revision, or implant complications—the latissimus flap reconstruction uses your own back muscle and skin to cover and augment the breasts.
Latissimus Flap Reconstruction Frequently Asked Questions
Will I have visible scarring on my back?
Incisions are necessary, so scarring will occur. However, Dr. Gupta will conceal the back donor incision along the bra line or within your natural folds whenever possible. He’s also known for using advanced closure techniques that minimize scar prominence.
Can the latissimus flap be done on both breasts?
Yes, bilateral reconstruction is feasible. During your consultation at our San Diego office, Dr. Gupta will evaluate your tissue availability, symmetry, and overall health to determine the safest plan.
How long will the results last?
Because this technique uses your own vascularized tissue, the results should be extremely long-lasting. However, aging, weight changes, and gravity can still impact these outcomes over time.
Will I lose strength or movement in my back or shoulder?
Most women maintain their normal strength and full range of motion after they’ve recovered from latissimus flap reconstruction. Dr. Gupta’s advanced microsurgical technique preserves the nearby muscles and minimizes functional loss. If you experience any post-surgical tightness, it will be temporary and can be treated with physical therapy.
Can I combine breast implants with a latissimus flap?
Absolutely. Some patients achieve their desired size with the transferred tissue alone, while others may combine the flap with an implant for additional volume or symmetry. Dr. Gupta will help you determine the best approach based on your anatomy and goals.

















