BACKGROUND: The pedicled latissimus dorsi (LD) @entity1912 serves an important function in breast reconstruction, but its utility is limited by its inability to provide sufficient breast volume. OBJECTIVES: The purpose of this preliminary report was to review the techniques and outcomes of utilizing fat-grafted, volume-enhanced LD @entity1912 transfer with fat grafting recipient sites in autologous breast reconstruction. METHODS: A retrospective study was performed of 10 @entity1 (14 breasts) who underwent autologous breast reconstruction utilizing the LD @entity1912 transfer technique and simultaneous fat grafting between August 2012 and September 2014. Multilayer, multisite fat grafting was performed to the LD muscle, LD skin paddle, mastectomy skin flaps, and the pectoralis major and serratus muscles simultaneously with the LD @entity1912 transfer. RESULTS: Three @entity1 underwent an immediate breast reconstruction, four underwent a delayed breast reconstruction, and four underwent a tertiary breast reconstruction following previously failed breast reconstructions (one @entity1 underwent each of the first two procedures, one on each breast). The average age of the @entity1 was 55 years (range, 39-76 years), the average body mass index of the @entity1 was 29.3 (range, 19.6-39.9), and the average fat grafting volume for the @entity1 was 176 mL (range, 50-300 mL). There was 100% @entity1912 survival and complete wound healing. No @entity2080 or fat grafting-related complications were clinically detected. Three @entity1 required additional fat grafting. CONCLUSIONS: The fat-grafted, volume-enhanced LD @entity1912 procedure with fat grafting recipient sites offers a simple and safe technique for autologous breast reconstruction, with low morbidity and fast recovery. It can be a useful alternative to utilizing abdomen-based flaps in autologous breast reconstruction or could be performed to salvage both implant-based and free- @entity1912 breast reconstructions. LEVEL OF EVIDENCE 4: Therapeutic.

Maximizing the Volume of Latissimus Dorsi XXXX in Autologous Breast Reconstruction with Simultaneous Multisite Fat Grafting.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2080 :: ('MESH:D049291', 'Disease') :: ['seroma'] @entity1912 :: ('241', 'Gene') :: ['flap']
@entity1912 :: (241,Gene) :: ['Flap']
