Latissimus dorsi musculocutaneous flap with trilobed skin island for breast reconstruction

Summary The latissimus dorsi musculocutaneous flap provides generous amounts of skin and muscle for reconstruction of a breast after mastectomy. Correct analysis of the lack of tissue is necessary to enable a good reconstruction with regard to position and shape. Insufficient skin with undue soft tissue tension over a prosthesis is one cause for a less-than-optimal result. A latissimus dorsi musculocutaneous flap with a trilobed skin island gives the reconstructed breast a natural appearance without undue tension.