Case ReportsUsing Two Flaps to Achieve Aesthetic Autologous Breast Mound ReconstructionHudson, Donald A. FRCS; Ndobe, Elias MBBChAuthor Information From the Department of Plastic and Reconstructive Surgery, Groote Schuur Hospital and University of Cape Town, South Africa. Received Aug 14, 2001, and in revised form Nov 23, 2001. Accepted for publication Nov 23, 2001. Address correspondence and reprint requests to Prof Hudson, Department of Plastic & Reconstructive Surgery, OMB H53, Groote Schuur Hospital, Observatory, 7925, Cape Town, South Africa. Hudson DA, Ndobe E. Using two flaps to achieve aesthetic autologous breast mound reconstruction. Annals of Plastic Surgery: August 2002 - Volume 49 - Issue 2 - p 189-192 Buy Abstract Breast mound reconstruction can be a particularly difficult procedure in patients who have delayed reconstruction. A technique in which two flaps are used is described. The lateral thoracodorsal flap is used to create a breast pocket, and the latissimus dorsi flap is used to fill this breast pocket. The advantages of the technique are one-stage autologous reconstruction with a skin envelope similar in color and texture to the opposite breast. The disadvantages include a larger scar. © 2002 Lippincott Williams & Wilkins, Inc.