Single-Stage Latissimus Dorsi Breast Reconstruction Using Spectrum Devices

Outcomes and Technique

Colton Boudreau, MSc; Kaitlin S. Boehm, MD, Med; Aevan MacDonald; Jason Williams, MEd, MD, FRCSC


Plast Reconstr Surg Glob Open. 2021;9(5):e3282 

In This Article


The LD flap remains an attractive option for breast reconstruction in patients who may not be candidates for, or do not desire, a purely implant- or abdominally-based reconstruction. In our experience, in cases where an LD reconstruction is selected as the best option for a given case, the use of Spectrum devices leads to the majority of patients (59%) requiring only 1 stage, compared with traditional TE and permanent implant reconstructions where 100% of patients necessitate a second stage. The minority of cases that required second stages were typically due to capsular contracture with implant malposition. This study shows a safe and effective way to perform a single-stage LD breast reconstruction using Spectrum implants (Mentor, Irvine, Calif.).