Type of reconstruction where a flap of skin fat and muscle are taken from the back?

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A flap of skin, fat, and muscle taken from the back is the latissimus dorsi flap. This reconstruction uses tissue harvested from the latissimus dorsi muscle area on the back, with its blood supply from the thoracodorsal vessels. It’s a reliable autologous option that can be used after mastectomy, either on its own for smaller reconstructions or in combination with an implant for more volume. The tissue type and donor site fit the description of back-tissue reconstruction, which is why this option is the best match. In contrast, the TRAM flap uses abdominal muscle (rectus abdominis), the DIEP flap uses skin and fat from the abdomen while sparing muscle, and implant-based reconstruction relies on a prosthetic device rather than a back tissue flap.