Forrest Mastectomy and immediate Reconstruction Through Latissimus Dorsi Flap with Breast Implants and Contralateral Simetrization

The demand for breast reconstruction is increasing constantly, which leads plastic surgeons to look for new methods to obtain a more natural and aesthetically pleasing appearance of the reconstructed breasts. The latissimus dorsi (LD) muscle has been adopted as one of the workhorse flaps for breast reconstruction. Objective: Report a breast immediate reconstruction through a latissimus dorsi muscle flap with breast implants and contralateral simetrization. Clinical Case: 47 years old female with a right ductal invasive breast carcinoma with a partial oncological response after neoadjuvant treatment and Forrest total right mastectomy and immediate reconstruction by the Plastic and Reconstructive service using a hybrid technique. Discusion And Conclusion:Among all the surgical methods, modified mastectomy is adopted most commonly in China; however, it has been found to have negative psychological effects on women’s emotion and affects their quality of life. The latissimus dorsi (LD) flap is a commonly used technique in reconstructive surgery. It is an autologous tissue that can cover a large area, for defects due to trauma, wide excision, or tumors. It is one of the most commonly used flaps in reconstruction of small to moderate breast volumes. The latissimus dorsi muscle flap with breast implants and contralateral simetrization are both an excellent reconstructive alternative to the breast reconstruction after Forrest mastectomy defects in the same surgical time.