What are some of the most common flaps?
DIEP – DIEP stands for Deep Inferior Epigastric Artery Perforator. These types of flaps are taken from the lower abdominal wall and can convincingly recreate the breast mounds without disrupting the stomach muscles.
SIEA – SIEA stands for Superficial Inferior Epigastric Artery. These flaps are taken from another section of the belly and are transferred with fat and skin to the chest. Using microsurgery, the blood vessels are then reattached without disturbing any muscle groups.
PAP – PAP stands for Profunda Artery Perforator. Here, skin, tissue, and fat are taken from the posterior thigh area to sculpt new breast mounds. This option is ideal for clients who lack the requisite donor tissue in the stomach. PAP is considered a free flap procedure, and no musculature is compromised during the process.
SGAP – SGAP stands for Superior Gluteal Artery Perforator. During this procedure, skin, fat, and tissue are obtained from the upper buttocks, or love handles. It is considered a muscle-sparing procedure. SGAP flaps are often employed when a woman cannot undergo flap surgery using tissue from the abdomen.
TDAP – TDAP stands for Thoracodorsal Artery Perforator. Here, skin, fat, and tissue are taken from the back area and used to rebuild the chest. TDAP is a pedicled flap that preserves the back muscles. The tissue is rotated to the front of the body without the need for reattaching the blood vessels.
What will my recovery entail?
After surgery, you will need about 3-6 weeks for recovery. This is a bit longer than it takes with implant reconstruction, but the benefits in terms of breast authenticity are considerable. You will be made comfortable with prescription pain medications, and you may have to wear a compression garment to help minimize postoperative swelling. From the second or third day of your recovery, you are encouraged to take gentle walks, which can help minimize complications, boost your circulation, and improve your mood.