Correia Anacleto, JMavioso, CGouveia, PFMagalhães, ABastos Martins, JMoura, APinto, DCardoso, MJ2017-06-082017-06-082016-08Aesthetic Plast Surg. 2016 Aug;40(4):514-6.http://hdl.handle.net/10400.17/2700The latissimus dorsi flap is a commonly used tissue transfer for volume replacement in partial or total breast reconstruction. In this era of cosmetic awareness and oncoplastic breast surgery, two main defects are related to the conventional technique: the back scar and the bulkiness on the lateral chest wall, under the axilla. Axillary bulking, a disturbing defect for the majority of patients, is a persistent consequence, independent of the technique used, even when the proximal tendon is cut. We describe a new approach, the kite latissimus dorsi flap, consisting of harvesting the flap, partially or totally, with pedicle dissection from the muscle, extending dissection, perforator style if needed, until the external border of the breast (anterior axillary line) is reached. The muscle is then cut at that level, leaving no unnecessary volume under the axilla, which would cause bulkiness and chest wall deformity.engHSJ CPRBreast Neoplasms/pathologyBreast Neoplasms/surgeryEstheticsGraft SurvivalMammaplasty/methodsMastectomy/methodsSuperficial Back Muscles/surgerySuperficial Back Muscles/transplantationSurgical Flaps/blood supplySurgical Flaps/transplantationTissue and Organ HarvestingTreatment Outcomejournal article10.1007/s00266-016-0656-3