The latissimus dorsi musculocutaneous flap is commonly used for delayed breast reconstruction. The authors present several technical refinements to better address the requirements for an aesthetically pleasing breast in delayed breast reconstruction including flap recipient site preparation, flap inset and breast shaping. The authors describe their modified technique using the inverted latissimus dorsi musculocutaneous flap and their experience in 27 consecutive patients following this type of delayed breast reconstruction. This novel approach provides improved breast ptosis and projection in delayed breast reconstruction.
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