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.

Restored Lives!

Read real patient testimonials and hear their personal stories and experiences with natural breast reconstruction.

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:

Intimacy Issues After a Mastectomy: Give Yourself Time For Healing

Breast cancer can cause many physical changes to your body -- chemotherapy and radiation can cause exhaustion, nerve damage, hair loss and loss of appetite, just to name a few. And then there’s a mastectomy which obviously changes the look and feel of your body. After...

Q&A: Ask The Doctor

A. I had a mastectomy of my right breast with reconstruction. The implant has encapsulated three times. Is there another way to replace the implant to avoid another encapsulation? Both doctors weighed in on this question: A. Hi, I'm sorry you are having so much...

DiepCJourney – Breast Reconstruction after Mastectomy – on Facebook: A Group For Women Facing Breast Reconstruction Surgery

There is one certainty when you are diagnosed with breast cancer and it’s that you are not alone. But sometimes it can certainly feel like you are when you have a million questions and concerns running through your mind. Maybe you’re nervous about an upcoming surgery...

Q&A: Ask The Doctor

Q: How long is the surgery for a single mastectomy and reconstruction using my own abdominal fat? A: Hi Patricia. Thank you for your question. The total time for a given surgery is variable and depends on many details. In general, when we have a patient going through...

Hint: What to eat or not eat before breast surgery

Now that your breast reconstruction surgery is scheduled, your medical team has probably given you pre-surgery instructions, which typically includes no food or drink after midnight. But what about what you should and should not eat the day before, or even the week...