Abstract
The scarless latissimus dorsi flap is an important reconstructive option, for patients with a low body mass index without adequate subcutaneous tissue for completely autologous reconstruction and for any patient who prefers not to have autologous tissue transfer from the abdomen or another location. In addition, it may be that the scarless latissimus dorsi flap avoids the untoward effects seen with acellular dermal matrix. The scarless latissimus approach provides stable, well-vascularized coverage when paired with the pectoralis major muscle, which allows for precise contouring of the expander pocket, excellent reassembly of the lateral aesthetic line of the breast, a protective muscular and vascularized layer for the implant, reduced occurrence of significant postoperative capsular contracture, and long-term stabilization of the implant in the pocket.
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Shih, P.H.S., Elliott, L.F. (2016). Scarless Latissimus Dorsi Flap for Full Muscle Coverage in Device-Based Immediate Breast Reconstruction. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_64
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DOI: https://doi.org/10.1007/978-3-319-18726-6_64
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18725-9
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