PAP Flap New Jersey

Profunda Artery Perforator

The Profunda Artery Perforator (PAP Flap) is an autologous breast reconstruction technique that transplants donor tissue from the upper thigh right below the buttock crease. Like other autologous techniques (DIEP Flap, TRAM Flap, GAP Flap, etc), PAP can be an excellent alternative to implant reconstruction for eligible women. Plastic surgeons extract skin, fat, and blood supply from the donor area and reattach it to the chest wall. Microsurgery is used to connect the donor tissue’s blood vessels to the chest blood supply. Since this technique does not remove any muscle, it typically results in faster recovery at the donor site than non-muscle sparing techniques.
Our plastic surgeons at New Jersey Breast Reconstruction Center are seasoned experts in PAP Flap and other autologous and implant-based breast reconstruction surgery. We know that women who are faced with a mastectomy not only have to deal with tough treatment but also have to make a decision on whether to have breast reconstruction. Our surgeons work with your primary care physicians, oncologists, and other specialists to help you feel whole, feminine, and complete after your mastectomy or lumpectomy.

PAP Flap vs Implant Reconstruction

 
PAP flap reconstructive option does not come with the risks of the body rejecting the implants like implant reconstruction. PAP Flap also can give the patient the added benefit of a thigh lift that does not come along with implant reconstruction. That being said, many breast reconstruction patients still have breast implant reconstruction. Plastic surgeons may use either a saline or silicone type of implant to complete this surgical technique. In some cases, the surgeons may be able to insert the implant during breast cancer surgery. Often though, a double stage method is applied. A temporary tissue expansion device is inserted during breast cancer surgery and then filled with a saltwater solution over the next few weeks. This helps stretch the breast pocket skin so it can accommodate a permanent implant. After about 3 months, a secondary procedure is performed to remove the tissue expander and insert the permanent implant. Autologous breast reconstructive surgery entails using a flap of tissue donated from the patient’s body to form the new breast shape. Examples include DIEP Flap, PAP Flap, TUG flap, and TRAM flap reconstruction. These techniques result in natural breasts that change with the patient’s body. While implant reconstruction comes with faster recovery, theThe right procedure should be determined by the patient’s body type, preference, and unique needs. Our surgeons specialize in both implant and flap-based breast reconstruction and will help you make an informed decision.

DIEP Flap New Jersey

Benefits of PAP Flap Reconstruction

One of the best things about a PAP Flap is that it can be performed on most women. This means that patients who aren’t eligible for other autogenous reconstructive surgery such as DIEP and SIEA flaps can still benefit from this treatment. Other advantages of a PAP flap include the following:

 

  • Lower risk of rejection – unlike breast implant surgery, perforator flap breast reconstructions using your own tissues and blood vessels that cannot be rejected by your body.
  • Barely noticeable scarring – breast surgeons make sure to keep scars small when performing cosmetic and reconstructive procedures. More so, scars resulting from this treatment will be concealed, allowing you to pick the wardrobe items you want.
  • This is a safer surgery compared to other autologous procedures due to the longer blood supply vessels that are involved.
  • Thigh muscles are not affected and thus you will be able to move as usual after recovery from this flap procedure.

PAP

Am I a Good Candidate for DIEP Flap Surgery?

PAP Flap is a type of breast reconstruction that uses body tissue extracted from the patient’s posterior thigh (just below the buttock crease) to rebuild a new breast after mastectomy or lumpectomy. You may be an ideal candidate for this reconstruction procedure if: 

  • You are in good physical shape to undergo surgery.
  • You lack sufficient fat in the abdominal area to benefit from a DIEP flap.
  • You have undergone abdominal surgery in the past and DIEP flap is naturally not an option.
  • You desire to rebuild your breasts but without using artificial implants that are prone to capsular contracture and other complications.
  • You had other types of breast reconstruction surgery that didn’t yield the desired outcome.
  • You desire to get a small-to-moderate-sized breast mound.

Our surgeons at New Jersey Breast Reconstruction Center are uniquely equipped to help you figure out whether a PAP flap is for you. During your first visit to our office, one of our surgeons will ask questions, gather your medical history, and listen to your opinion before determining whether this technique is for you. It is not uncommon for plastic surgeons to recommend alternative reconstructive breast surgery that they feel is best suited for your needs.

Potential Drawbacks of a PAP Flap

 

While a PAP flap is an excellent procedure choice for women who are not open to implants, it may have certain disadvantages:

 

  • A PAP flap may not provide enough volume to achieve the desired breast size for women who are thin but have larger breasts.
  • This breast reconstructive technique may result in unevenness in the thighs especially if donor tissue is extracted from only one side.

How PAP Flap Reconstruction is Performed

 

Like most other tissue flap surgeries, a PAP flap is performed under general anesthesia at an accredited surgical center. Surgeons create an incision within the inner thigh and use it to remove a flap of tissue (skin, fat, and associated blood vessels). The surgeon will then prepare the recipient site and use microsurgical breast reconstruction to attach the donor blood vessels to the chest. Incisions are then closed using the latest techniques in order to reduce the risk of visible scarring. You will need to stay at the hospital for a few days so our team can monitor your progress before you are allowed to go home.

More PAP Info

PAP Flap Recovery

 

Before you are discharged from the surgical facility after tissue flap breast reconstruction, your attending surgeon will provide specific aftercare instructions to ensure a smooth recovery. You will be told how to take care of dressings, staples, stitches, and surgical drains. You may be asked to wear a compression garment for up to 8 weeks post-surgery in order to improve discomfort and control the swelling. Since you have had surgery at two or more sites (your chest along with one or both thighs), you will have a harder time recovering than someone who only had a mastectomy. It is important to have someone to help around at home because you need to rest and take care of multiple incisions. Drains may be inserted to drain away excess fluid from the treatment areas. Stay away from any form of bending, pulling, pushing, or strenuous activities at least over the first 8 weeks after surgery. Most patients are able to resume normal activities within this duration (8 weeks). However, you should wait up to 3 months or until you get a green light from your surgeon before you can resume sexual activities or demanding physical exercises. Our reconstructive plastic surgery in New Jersey is available to answer your questions and provide the support you need throughout the recovery duration.

PAP Flap Cost

 

The cost of PAP flap reconstructive breast surgery may vary from one woman to the other based on the specifics of the procedure. The Women’s Health and Cancer Rights Act (WHCRA) of 1998 is a federal law that requires all individual and group health insurance plans to cover the cost of breast reconstruction after mastectomy. During your visit to New Jersey Breast Reconstruction Center, our office will provide an individualized cost estimate and help you with the paperwork you need for your health insurer.

Schedule Your PAP Flap Breast Reconstruction in NJ

 

At New Jersey Breast Reconstruction Center, we offer reconstructive breast surgery to women who have lost one or both breasts to cancer treatment. Our surgeons are highly trained and experienced in both implant and autologous breast reconstruction options. We have many years of collective experience performing cosmetic breast procedures such as breast reduction surgery, cosmetic breast augmentation, and breast lift. Our team understands the difficulty of a cancer diagnosis and treatment and treats each woman with the utmost compassion, respect, and exceptional care. Get in touch with our office to schedule an initial consultation and learn more about your suitability for a PAP Flap reconstruction.

More PAP Info

PAP Flap Recovery

 

Before you are discharged from the surgical facility after tissue flap breast reconstruction, your attending surgeon will provide specific aftercare instructions to ensure a smooth recovery. You will be told how to take care of dressings, staples, stitches, and surgical drains. You may be asked to wear a compression garment for up to 8 weeks post-surgery in order to improve discomfort and control the swelling. Since you have had surgery at two or more sites (your chest along with one or both thighs), you will have a harder time recovering than someone who only had a mastectomy. It is important to have someone to help around at home because you need to rest and take care of multiple incisions. Drains may be inserted to drain away excess fluid from the treatment areas. Stay away from any form of bending, pulling, pushing, or strenuous activities at least over the first 8 weeks after surgery. Most patients are able to resume normal activities within this duration (8 weeks). However, you should wait up to 3 months or until you get a green light from your surgeon before you can resume sexual activities or demanding physical exercises. Our reconstructive plastic surgery in New Jersey is available to answer your questions and provide the support you need throughout the recovery duration.

PAP Flap Cost

 

The cost of PAP flap reconstructive breast surgery may vary from one woman to the other based on the specifics of the procedure. The Women’s Health and Cancer Rights Act (WHCRA) of 1998 is a federal law that requires all individual and group health insurance plans to cover the cost of breast reconstruction after mastectomy. During your visit to New Jersey Breast Reconstruction Center, our office will provide an individualized cost estimate and help you with the paperwork you need for your health insurer.

Schedule Your PAP Flap Breast Reconstruction in NJ

 

At New Jersey Breast Reconstruction Center, we offer reconstructive breast surgery to women who have lost one or both breasts to cancer treatment. Our surgeons are highly trained and experienced in both implant and autologous breast reconstruction options. We have many years of collective experience performing cosmetic breast procedures such as breast reduction surgery, cosmetic breast augmentation, and breast lift. Our team understands the difficulty of a cancer diagnosis and treatment and treats each woman with the utmost compassion, respect, and exceptional care. Get in touch with our office to schedule an initial consultation and learn more about your suitability for a PAP Flap reconstruction.

Frequently Asked PAP Questions

FAQ

What is pap flap breast reconstruction?

Flap breast reconstruction – also known as autologous or autogenous reconstruction – makes use of tissue from the patient’s own body to recreate the new breast shape. Plastic surgeons may use thigh tissue to perform PAP breast reconstruction surgery. Our surgeons have extensive experience performing these procedures and are equipped with the skills to do a proper job.

Benefits of natural tissue breast reconstruction?

Having your reconstructive breast surgery completed using your own tissue results in natural breasts. If you are looking for a larger and softer breast, then a flap is the right choice. Breasts that are reconstructed this way tend to age in the same way as a natural breast. More so, you do not have to worry about common implant complications such as leakage or capsular contracture.

What are the risks of PAP flap surgery?

One of the drawbacks of PAP flap breast reconstruction procedures is that they add hours of surgical time to your mastectomy. It may take up to 8 more hours to complete a flap procedure as opposed to implant reconstruction that takes about one extra hour. There is always some risk when undergoing surgery.