Inverted deepithelialized latissimus dorsi flap for the correction of lumpectomy defects in the irradiated breast.

Abstract

Deformities following lumpectomy and radiation can provide reconstructive challenges for the plastic surgeon. With the increasing incidence of breast conservation therapy, these problems are likely to become more frequent in the future. The use of autologous tissue, particularly the latissimus dorsi, provides an excellent option for correcting these tissue deformities. We propose using an inverted latissimus with a deepithelialized skin paddle to correct these defects when there is no shortage of overlying skin. Additionally, this technique provides a softer texture to the entire radiated breast.