Superior Gluteal Artery Perforator Flap Reconstruction
Dr. Jay Orringer and Dr. Scott Sullivan offer a wide range of breast reconstruction options to patients from Los Angeles, Beverly Hills, other areas of Northern and Southern California, nationally and internationally, Although some patients choose implant-based reconstruction, others are uncomfortable with the need for implant maintenance or prefer the more natural result which might be obtained using one’s own tissues. In addition, following radiation, implant reconstructions have a greater risk of issues, and the use of tissue for reconstruction may be desired.
Flap-based breast reconstruction, which uses tissue from your own body, has some appealing potential advantages. Flap-based reconstruction may offer a natural breast look and feel without the need for implant maintenance or radiation-related risks such as severe capsular contracture around an implant. Superior gluteal artery perforator (SGAP) flap reconstruction uses tissue from the buttock to recreate the breast after mastectomy, while a deep inferior epigastric perforator (DIEP) flap uses tissue usually removed with a tummy tuck.
SGAP and DIEP flap breast reconstructions are challenging procedures that require the experience and skill of surgeons like Dr. Orringer and Dr. Sullivan, who have over 50 years of combined microsurgical experience. If you are interested in learning more about SGAP or DIEP flap reconstructions, Dr. Orringer and Dr. Sullivan invite you to schedule an in-person consultation today.
What Is SGAP Flap Breast Reconstruction?
SGAP flap reconstruction transplants tissue from the upper buttock region to the chest to create a new breast mound after mastectomy. During the reconstructive surgery, a flap of tissue is separated from the buttock muscle and removed from the site. It is then transplanted to the chest and shaped into a breast. The blood vessels from the buttock tissue are carefully connected to blood vessels on the chest using the microscope.
Subsequent surgery, often performed on an outpatient basis, may involve lifting the opposite breast, transplanting fat to improve the result, or reconstructing the nipple and/or areola to make the breasts look and feel as natural as possible.
Advantages of SGAP and DIEP Flap Breast Reconstruction
SGAP and DIEP flap reconstructions produce results that often look and feel much like a natural breast. The tissue removed is similar to that of a buttock lift in the case of an SGAP flap and to a tummy tuck for a DIEP flap.
Am I a Candidate for SGAP or DIEP Flap Breast Reconstruction?
You may be a candidate for SGAP flap breast reconstruction if you do not have adequate skin and tissue on your abdomen to use for an abdominal (DIEP) flap, or you had previous surgical procedures that preclude the use of abdominal tissue. If you require mastectomy reconstruction, have excess tissue of the abdominal wall and desire the potential improvement in contour from a tummy tuck, DIEP flap reconstruction might be a pleasing choice.
Frequently Asked Questions About SGAP and DIEP Flap Breast Reconstruction
How long will it take to recover from SGAP or DIEP flap reconstruction?
Patients typically spend three to five nights in the hospital after SGAP or DIEP flap reconstruction. Patients are usually encouraged to get out of bed and begin walking within one to two days. Increasing activity is encouraged and patients generally resume most normal activities by four to six weeks after surgery.
Will I have a scar from my SGAP of DIEP flap reconstruction?
With an SGAP flap, you will have a scar near the top of your buttock that can usually be concealed underneath underwear or a bikini bottom. DIEP flap incisions are also planned with underwear or bathing suit preferences in mind, as much as possible.
Contact Us Today
For more information about reconstructing one or both breasts with your own tissue or with current implant options after cancer treatment or following prophylactic mastectomies, request a consultation with Dr. Orringer and Dr. Sullivan today.