Breast reconstruction using your own tissue without the use of implants is called autologous (referring to your own tissue) flap surgery. An autologous flap procedure uses a combination of skin, fat, and/or muscle that is moved from areas such as your abdomen, upper back, upper hip, or buttocks to the chest where it is shaped into a new breast. Not every woman is a candidate for this type of breast reconstruction, and it is best to discuss the pros and cons of these procedures with your surgeon.
SGAP (superior gluteal artery perforator) flap procedure uses fat and skin from your upper buttock to create a new breast mound after a mastectomy. This flap procedure is fairly rare and is for patients who don’t have other options. You won't need to have any gluteal muscle cut or moved for a SGAP reconstruction. Your reconstructed breast will not look and feel exactly the same as your natural breast, and you will need additional surgery to create a nipple and areola.
A significant disadvantage of this type of reconstruction is that it is technically more difficult to perform. Also, the tissue from the buttock is somewhat harder to shape into a breast.
You should consider a SGAP flap breast reconstruction if you:
If you have further questions, please contact us.
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