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Gluteal flap breast reconstruction

This procedure uses excess skin and fat from the gluteal buttock region and leaves all the gluteal muscle behind. Sparing the muscle preserves function and makes recovery easier. Your surgeon may take skin and fat from either your upper "superior" or lower "inferior" buttock region. Both incisions are easily hidden with most underwear or bathing suits.
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Breast Reconstruction Perforator Flaps

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Breast Reconstruction Perforator Flaps

Introduction The superior gluteal myocutaneous free flap was first described by Fujino in for breast reconstruction. In , Le Quang performed the first breast reconstruction with an inferior gluteal myocutaneous free flap. Shaw popularized the myocutaneous superior gluteal artery free flap; however, a short vascular pedicle often led to additional vein grafting, thus decreasing enthusiasm. This fasciocutaneous flap utilizes the upper buttock adipose tissue and overlying skin leaving the underlying gluteus maximus muscle intact. However, the donor site is at risk for a bowing contour deformity, disrupting the superior fullness of the upper buttock. In early , we developed the inferior gluteal artery perforator IGAP flap. This flap uses excess lower buttock tissue, preserves the underlying muscle, and leaves the scar in the natural depression of the inferior gluteal crease resulting in a more desirable donor site.
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Soft tissue reconstruction with the superior gluteal artery perforator flap

The photographs included on this page are the results of reconstructive procedures performed by the surgeons at the Center for Restorative Breast Surgery. GAP stands for gluteal artery perforator, a blood vessel that runs through your buttocks. Because no muscle is used, an SGAP flap is considered a muscle-sparing type of flap. There is another type of GAP flap, the IGAP inferior gluteal artery perforator flap , which uses tissue from the bottom of your buttocks, near the buttock crease. Your surgeon carefully reattaches the blood vessels of the flap to blood vessels in your chest using microsurgery.
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Tissue can be removed from one area of the body and transferred to another. This is the case with microsurgical breast reconstruction, which uses your own natural tissue to replace the breast tissue that is removed during a mastectomy. This results in a natural-feeling and natural-looking breast.
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