Is PAP/TUG Flap Breast Reconstruction the Right Option For You?
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The PAP (profunda artery perforator) flap is an excellent option for patients who cannot or would prefer not to use their abdomen for autologous breast reconstruction. The tissue is taken from the back of the leg just underneath the buttock crease. This area is sometimes referred to as the banana roll. No muscle is ever sacrificed in this operation.
The TUG Or transverse upper grades Gracillis Flap is taken from the inner thigh. The flap is used for breast reconstruction in patients who cannot or would rather not use their abdomen has a donor site. The flap uses a small muscle called the Gracillis , and takes its blood supply from that muscle. The skin and fat that is used with this flap is very similar to the territory of the PAP flap. Since the PAP procedure does not sacrifice any muscle and can be placed further back, just underneath the buttock crease, the PAP has largely replaced the TU G.
PAP Flap Breast Reconstruction Before and After Photo by Joshua L. Levine, MD
Bilateral delayed PAP flap reconstruction with nipple reconstruction and tattooing. History of breast cancer and implant failure.
PAP Flap Breast Reconstruction Before and After Photo by Joshua L. Levine, MD
Bilateral implant removal and PAP flap reconstruction with nipple reconstruction and tattooing. History of breast cancer and implant failure.
PAP Flap Reconstruction Before and After Photo by Joshua L. Levine, MD
Prophylactic bilateral NSM and bilateral PAP flap reconstruction.
Stacked DIEP & PAP Before & After Photo by Joshua L. Levine, MD
Bilateral prophylactic mastectomy with immedaite bilateral DIEP for high risk of breast cancer / BRCA
PAP Flap Before and After Photo by Joshua Levine, MD
Bilateral mastectomy w/ pap flap
PAP and TDAP Flap Before and After photo by Joshua L. Levine, MD
Delayed bilateral PAP reconstruction and left TDAP flap reconstruction. History of cancer, bilateral mastectomy, and radiation damage.
Bilateral Mastectomy w/ Bilateral PAP Fap by Joshua Levine, MD
Prophylactic bilateral NSM with immediate PAP flap reconstruction.