Journal of plastic, reconstructive & aesthetic surgery : JPRAS
-
J Plast Reconstr Aesthet Surg · Jan 2020
Letter Case ReportsThe muscle sparing latissimus dorsi (MSLD) flap for secondary breast reconstruction based on reverse flow from intercostal vessels.
The muscle-sparing latissimus dorsi (MSLD) flap is a modification by Saint Cyr of the traditional latissimus dorsi flap. While the flap is commonly based on the thoracodorsal artery pedicle, flap design based on reversed flow from the serratus branch has also been well documented. ⋯ We present three female patients we were able to use the MSLD flap for reconstruction based on reversed flow via the descending branch of the thoracodorsal artery supplied by intercostal perforators. All patients had satisfactory aesthetic outcomes with a minimum of 6 month's follow-up.