Regarding the difficult task of performing breast reconstructions, the choice among different meth￾ods is still a dilemma. Ho¨lmstrom and Lossing1 intro￾duced the lateral thoracodorsal flap, which was modi￾fied by the senior author. We report three cases in
which this flap was used. A 34-year-old woman underwent mammaplasty at age 19 with disastrous results. In 1998, liposuction of her
anterior abdomen was performed and resulted in multi￾ple areas of deep adherences located on the superior abdomen. Years later, she underwent further surgery in which the reverse lateral thoracodorsal flap was applied. The second and the third patients suffered from post￾operative infections and so had this flap applied months later.

The flap, a laterally based, fasciocutaneous, wedge￾shaped flap, whose base was placed on a line extending from the anterior axillary fold to the sternal region, was applied bilaterally. Its axis was long and extended from the level of the submammary fold along the sixth and seventh ribs. It was deepithelized and attached to the pectoralis major muscle to provide projection of the areolo-mammalar complexes, volume, and a pleas￾ant, conical form to the breasts.

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