43 year old female with a history of left breast cancer treated with lumpectomy and radiation. She had just received a new diagnosis of BRCA + gene mutation. Her plan was a bilateral nipple sparing mastectomy. However, the radiation damage to the left breast necessitated new blood flow and thus a latissimus dorsi muscle flap was used to line the inside of the mastectomy with a tissue expander. The reconstruction was performed in two stages – expanders for both mastectomies with a left latissimus flap initially followed by exchange to implants several months later. The final results show excellent symmetry and no radiation complications.
