What Is Latissimus Flap Reconstruction?

The latissimus dorsi flap technique uses muscle, skin, and fat from the upper back, rotating it under the arm toward the chest to reconstruct the breast. It provides durable, vascularized tissue and often allows coverage without the need for implants. Dr. Gupta performs this complex surgery when implant-based reconstruction is not ideal or when additional soft tissue is needed. 

Breast Reconstruction Latissimus Before & After

Begin Your Journey Schedule A Consultation

Contact Us
Background media

Why Choose Dr. Gupta?

25+ Years of Board-Certified Expertise

With more than two decades of experience, Dr. Abhay Gupta brings surgical precision and sound judgment to every breast reconstruction. His steady, hands-on approach ensures that each patient receives personalized care and results that are both natural and long-lasting.

Extensive Reconstructive Background

Dr. Gupta completed advanced fellowship training in microsurgery and autologous tissue transfer at world-renowned institutions, including MD Anderson Cancer Center and the Cleveland Clinic Foundation. His deep reconstructive expertise allows him to tailor each flap design for smooth transitions, soft contours, and a natural breast shape.

Personalized, Surgeon-Led Care

From preoperative planning to recovery and long-term follow-up, Dr. Gupta is directly involved at every stage of your care. His attention to detail and commitment to patient safety ensure an experience that is both supportive and seamless.

Refined, Natural Artistry

Dr. Gupta believes the best outcomes feel effortless and true to you. His artistic approach enhances your natural form, achieving results that restore confidence while maintaining balance and authenticity.

Woman seated with one hand on knee in tan underwear

The Benefits of Latissimus Flap Reconstruction in San Diego & Encinitas

  • Uses your own vascularized tissue, which improves durability and enhances healing
  • Often reduces or eliminates the need for implants
  • Offers soft tissue coverage, which is often needed in complex revision cases
  • Can be combined with fat grafting to refine your breast volume and contour

Delivers reliable results with lower complication rates compared to other options

Who Is a Candidate?

You may be a candidate for this latissimus flap reconstruction in San Diego if you:

  • Need more soft tissue coverage after your mastectomy 
  • Have adequate donor tissue and back muscle strength
  • Prefer autologous reconstruction or want a hybrid (flap + implant) approach
  • Are in good overall health and have realistic expectations
Background media
woman touching her hair while her head is facing the right

The Latissimus Flap Reconstruction Process

Your process will begin with a detailed consultation with Dr. Gupta. During that appointment, he will evaluate your back, chest, and reconstructive needs. You’ll discuss flap design, incision placement, donor site implications, and options to combine the flap with fat grafting or implants to achieve your aesthetic goals. 

Your actual surgery will be performed under general anesthesia in a fully accredited hospital or surgical center. To begin, Dr. Gupta and his team will harvest muscle, skin, and a vascular pedicle from your upper back, tunnel it beneath your skin to the chest, and shape it into a natural breast mound. If necessary, he can also place an implant or additional fat grafts to sculpt beautifully full and balanced breasts that align with your aesthetic vision. 

Recovery and Results

You’ll notice an immediate breast mound after surgery, though it will be obscured by swelling. Your back will feel tight initially, and you’ll wear supportive garments for both treatment areas to promote healing. 

Most patients can begin light mobility within one to two weeks. Over the next several months, the flap will settle, scarring will soften, and your breast shape will refine as the transferred tissues integrate and mature.

Why the Latissimus Flap?

The latissimus flap approach is best for women who don’t have enough abdominal tissue for a DIEP or TRAM flap. It’s also ideal for women who have had previous abdominal surgery or who require extra soft-tissue coverage over an implant to ensure a natural contour. 

Banner media

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.

Schedule Your Consultation

If you’re considering latissimus flap reconstruction in San Diego or Encinitas, Dr. Gupta has the reconstructive expertise you’ll need to ensure an optimal outcome. Contact Gupta Plastic Surgery today and schedule a consultation.

Contact us media

*Actual Patient.

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 858-621-6000.
Contact Us