Latissimus Flap Breast Reconstruction Photos

14 Feb

Since I posted the necrosis photos and a description of each one yesterday, for Valentine’s Day I am celebrating the Twins by sharing with you just what a latissimus flap reconstruction looks like not long after surgery. For those not familiar with this type of breast reconstruction, please see this link for more information: living_latflap.htm#how

This is not graphic like yesterday’s post. The link above is actually more graphic and shows part of a lat flap procedure.

The first photo you see is my back. The long scar lines is where the latissimus muscle was removed from before it was migrated under the skin of my armpits. And yes…I AM a tattooed chick 😉

Where you see the gauze, that is protecting the entry point of my surgical drains. I have talked about those in previous posts. Just do a search for surgical drains for more information. on those.

The second photo below is of the flap itself. It is the oval-shaped inset. This is VERY soon after the surgery. Those wrinkles relaxed over time and I no longer have them.

And finally,  below we have a happy pair of bouncy baby Twins! I went from a C cup with my original breasts to no breasts to an E cup. I still have nipple reconstruction when we can afford it, but right now I’m just thrilled with my Girls. I’d like to add that these results were accomplished WITHOUT breast implants. Those breasts are all my own, natural tissue.

The white tape you see outlining the flaps is to help the scars heal flat. This reduces the chances of keloid scars. I’ve talked about those in other posts too. If you have any questions, please don’t hesitate to contact me at boobcast (at)


5 responses to “Latissimus Flap Breast Reconstruction Photos

  1. Prentiss McClendon

    September 12, 2011 at 1:14 pm

    Has this type of reconstruction limited your range of motion or left you with any chronic conditions to deal with? I see that you have had symetrical reconstruction. I am considering lat flap for one side only…wondering about how physical life is without those lat muscles in their place of origin. Thanks for your blog!

    • Maria_Myrback

      September 12, 2011 at 1:51 pm


      It has been over two years since my lat flap and it took me about two to three months before I had full range of motion on both sides. Part of that may have been due to a serous fluid buildup in the pockets where the muscle was removed. Having the muscle pulled around under the skin also contributed as well. Those “tunnels” were much wider than i thought they would be. I’m a very sedentary person and was not active before surgery so that contributed to my recuperation period. I don’t have any chronic conditions from the surgery. However, it took about 18 months before I completely felt like my old self. I think that a good chunk of that was because of the previous trauma of losing my breasts to necrosis and being deformed for such a long time.

      The biggest chronic issue most people complain about is back weakness. I’m not sure how much age and lack of fitness contributed to the situation. I did have back spasms and breast twitches where the muscle was moved to for some time, which was weird to say the least. But the more time that passes the less frequently that happens. Now, I have the very rare spasm and only the tiniest bit of back weakness.

      I hope this was helpful. Please let us all know how your surgery goes.

      In all the research I’ve done, I found that the lat flap was really the safest and best option for me. The recovery time IS longer than a TRAM flap would be, but the instance of complications is lower.

  2. Julie Lusich

    December 21, 2011 at 12:49 am

    i just finished a failed radiated breast implant and lost all my latimus skin. i had to had the implant removed due to severe infection. my breast was also necrotic and looked like yours. my question is how long did the debriding and healing take until your breasts were “normal”? The only chance i have now is a diep, but have to wait several months. thank you for sharing.

    • Maria_Myrback

      December 21, 2011 at 6:12 pm


      My situation was very different from yours so I’m not sure how much use I can be as I don’t have implants in The Twins (my reconstructed breasts). My debrideing was one session in the doctor’s office. Then I had the explant and the sutures opened up on both sides. I was on a vacuum-assisted wound closure device for almost three months to close up the tennis ball-sized wounds and I was deformed after the wounds closed. Thus the reason for my reconstruction.

      From beginning to end, including nipple reconstruction and tattooing, it took four years from the initial breast augmentation and lift surgery date to completion of the second round of nipple and areolae tattooing. Most of that time was spent dealing with emotional healing rather than physical healing and getting mentally prepared for various procedures. I was post traumatic stress disorder-level traumatized and suicidal at one point, which i talk abot openly in some of my entries here on the blog. It took me a while to come back from that. Once in a very great while (every 3-4 months or so) I still have times when I get teary-eyed and just want to have a good cry. Most of that it because some of the stories I get remind me of my own personal Hell and I cry in sympathy for what you and others are going through.

      For instance, Jill’s Story ( made me curl in a fetal position and sob because what she has been through is more horrifying than my own story — more horrifying than I could even imagine — and NO ONE should have had to endure that.

      Please keep in touch and let us know how things are going.

  3. carolyn williams

    January 14, 2013 at 7:01 pm

    i had a latissimus dorsa flap plus implant done to my left chest. everytime i went in to the drs. office for a check up they did not wear gloves around my drainage tubes. i there fore ended up with myrsa the implant became hard and like a football they called it a coumpound contracture. it took me over a year with tearing everything down and a wound vac. before i was finally healed. now i wear a prostectic but am getting tired of the heavy weight of it and would like to see what can be done to help me . I am looking for information if you have any please let me know. Thank you and GOD bless all of you.


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