Procedures: PAP Flap

The Profunda Artery Perforator Flap (PAP) utilizes the tissue of the upper thigh just below the buttock to reconstruct the breast following mastectomy.

Procedure Details

Donor sites are no longer limited to the abdomen and buttock allowing us to offer natural reconstruction to even more women who desire these procedures. The PAP Flap transfers only the skin and the fat, which are taken from the inner thigh and lower buttock, leaving the scar well hidden in the crease.

PAP Flap Details:

The skin and fat in this area get blood flow from the profunda femoris artery, which allows for versatility in choosing reattachment vessels at the mastectomy site. In addition, the skin and fat are ideal for coning to reconstruct a natural breast and, due to the location of the dissection, there is a greater reduction for the risk of lymphedema and seromas.
 While the PAP flap does not provide as much volume for breast reconstruction as a DIEP flap, it’s quickly becoming the go-to option after the DIEP.

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Post Procedure Care

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Expert Medical Team

Meet our dedicated surgical team who are at the forefront of breast reconstruction surgery and committed to our patients.

Want More Information? Read “Ask the Doctor” Blog Series Below:

Q&A: Ask The Doctor

Q: Hello, I’ve had a surgeon tell me that it would be more painful for breast reconstruction surgery than the pain that I experienced in the first surgery. Is this true? A: Hi, Thank you for your question. If your first surgery was having a mastectomy and no breast...

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Q&A: Ask The Doctor

Q: I had bilateral surgery with skin sparing mastectomy 2 months ago. I had considered the flap reconstruction, but have a stomach hernia. What are your thoughts on that? A: Thank you for your question. Your question indicated that you have had mastectomy already and...

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Q&A: Ask The Doctor

Q: I had breast cancer surgery (lumpectomy) and radiation in 2008. My right breast is slightly smaller with a small indention scar. I am interested in possibly having breast reconstruction/reduction surgery to improve the appearance of my breasts. Just researching at...