Patient 11123-Latissimus Flap Breast Reconstruction. This 47-year-old patient had breast reconstruction with latissimus flaps and tissue expanders. 10 months later the expanders were removed and replaced with 520mL gel implants and 70mL of fat added to each breast. She also had nipple reconstruction and a lift. 6 months after she had nipple tattooing in our office with Vinnie from The Vinnie Myers Team. The after photos are 1 year and 6 months after the mastectomy with latissimus flap reconstruction began.