Currently the latissimus dorsi flap is not so often used from plastic surgeons for the breast reconstruction since the perforator flaps (for example DIEP) and the TMG offer sufficient solutions with no remaining functional loses. However in rare cases, this procedure is necessary. In our Clinic for Plastic Surgery in Berlin, the harvest of this large back muscle is performed endoscopically (performed through very small incisions by the use of an endosccope) in order to avoid large scar formations. A disadvantage of this procedure is that it may lead to muscle weakness in the arm and back since the muscle can no longer be used from these areas and that an implant will have to be eventually placed in the breast for additional volume. For this reason the latissimus dorsi procedure cannot be considered as a procedure for breast reconstruction that uses solely autologous tissue.
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