Semin Plast Surg 2002; 16(1): 053-060
DOI: 10.1055/s-2002-22680
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Lateral Thoracodorsal Flap: An Intercostal Perforator Flap for Breast Reconstruction

Hans Holmström, Clas Lossing
  • Department of Plastic Surgery, Sahlgrenska University Hospital, Goteborg, Sweden
Further Information

Publication History

Publication Date:
22 March 2002 (online)


The lateral thoracodorsal flap was designed for breast reconstruction in combination with an implant. It has been extensively used by us, mostly with a cosmetic good result. The fasciocutaneous flap is dissected from the lateral thoracic region and based ventrally. The blood supply to the flap originates from lateral intercostal perforators at the level of the submammary crease. The perfusion within the flap depends on the choke vessels between different areas of transsected intercostal perforators, which are connected to each other, forming subcutaneous arcades.