Delayed breast reconstruction using a combination of latissimus dorsi muscle flap and tissue expander with embodiment injection site.

This article presents our experience in delayed breast reconstruction, using a combination of latissimus dorsi muscle flap (LDMF) and tissue expander with embodiment injection site, in a two-stage approach. A consecutive sample of 50 patients was studied. The average length of follow up was 4 years (range 12-72 months). In all patients the above two-stage approach was performed. The results are encouraging. Using LDMF and tissue expansion for delayed breast reconstruction has proven to be useful. This approach provides sufficient muscular coverage of the implant. The level of patient satisfaction is high. Major complications are rare. The minor complications are represented mainly by the dorsal seroma. The technique with LDMF has been improved substantially during the past few years. In our experience, it provides the plastic surgeon with an excellent, safe and consistently successful method for delayed breast reconstruction.