The Low Transverse Extended Latissimus Dorsi Flap Based on Fat Compartments of the Back for Breast Reconstruction

Abstract

The low transverse skin paddle extended latissimus dorsi flap is reliable and provides sufficient volume for purely autologous breast reconstruction with low donor-site morbidity and improved body contouring for a select group of patients. The authors' initial experience with high-body mass index patients shows promising results with this flap in a challenging group.