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.

Why Choose The Center for Natural Breast Reconstruction?

Post Procedure Care

Learn more about the next steps and what you can expect following your natural breast reconstruction procedure.

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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: Social Media Edition

At The Center for Natural Breast Reconstruction, we want to hear about your breast reconstruction journey! Every Tuesday during the month of October, we’re posting a question on our Facebook and Instagram pages for our followers to answer.   These answers can help...

Q&A: Social Media Edition

At The Center for Natural Breast Reconstruction, we want to hear about your breast reconstruction journey! Every Tuesday during the month of October, we’re posting a question on our Facebook and Instagram pages for our followers to answer.   These answers can...

Are there different types of scars?

After an injury, the body goes through a natural healing process to fix this damage. If the wound is deep enough, new thick tissue is formed within this area, creating a scar.   Initially, a scar may be red, raised, itchy, and/or painful, but this subsides over...

Q&A: Ask The Doctor

Gail Lanter: Hello, thank you for visiting. Can I help you in any way? Visitor: Hello! There is so much information out there. My main concern is how long is the surgery and the estimated recovery time of this surgery after a double mastectomy? Gail Lanter: Including...

Q&A: Ask the Doctor

Gail Lanter: Hello, thank you for visiting. Can I help you in any way? Visitor: No, I just had a mastectomy and wanted to see if my scars are like other patients. I would like to know who, other than my surgeon, was involved in my surgery. Gail Lanter: There are many...