At Ginger Slack MD, the PAP flap procedure offers an advanced option for breast reconstruction, utilizing tissue from the posterior abdomen to restore natural curves and symmetry. Dr. Slack’s compassionate, meticulous approach ensures you feel supported every step of the way, helping you move forward and reclaim your confidence.
Restore your curves using inner thigh tissue
The profunda artery perforator (PAP) flap is a breast reconstruction technique that uses tissue from your inner thigh to create a natural, soft breast mound. This method is ideal if you don’t have enough abdominal tissue for other reconstruction options. By using your own tissue, the PAP flap offers a more natural look and feel, with minimal visible scarring. Dr. Slack’s expert, compassionate approach ensures the best results, helping you restore your feminine curves and feel like yourself again after breast cancer.
Benefits of PAP flap:
- Uses your own tissue for a natural-feeling breast
- Conceals scars in the inner thigh for discreet healing
- Preserves thigh muscles, minimizing functional impairments
- Offers a soft and natural-looking breast mound
- Ideal for patients without sufficient abdominal tissue
- Provides a lasting, stable result that adjusts with weight fluctuations
- Helps restore confidence and femininity after breast cancer
What can I expect during the consultation?
During your consultation with Dr. Slack, she will carefully listen to your concerns and goals for breast reconstruction. She will review your medical history, discuss your options, and explain the benefits of the PAP flap procedure. Dr. Slack will evaluate your anatomy to determine if you’re a good candidate for this technique. She will also answer any questions you may have about the process, recovery, and expected results. This personalized approach ensures you feel fully informed and supported in your decision.
What happens during the PAP flap procedure?
During the PAP flap procedure, Dr. Slack will begin by making an incision in the inner thigh, typically just below the crease where the thigh meets the buttock. She will carefully harvest skin, fat, and blood vessels from this area, ensuring minimal scarring. Using advanced microsurgical techniques, Dr. Slack will transfer this tissue to the chest area, where it will be carefully shaped to form a natural-looking breast mound. The blood vessels are then reconnected to those in the chest to ensure proper blood flow.
What can I expect during recovery after PAP flap?
After your PAP flap procedure, you can expect to stay in the hospital for 3-5 days for monitoring and initial recovery. During the first few days, you may experience swelling, bruising, and some discomfort, but Dr. Slack and her team will provide pain management to keep you comfortable. You’ll be encouraged to take short walks to prevent blood clots, but you should avoid strenuous activities and heavy lifting for several weeks.
In the first 4-6 weeks, you’ll need to refrain from lifting heavy objects and participating in any vigorous physical activity. Most patients can return to work after 6-8 weeks, depending on the type of work they do. By 6-8 weeks, many patients notice a significant improvement in mobility, though full recovery, including any final aesthetic results, may take several months. Dr. Slack will guide you through each stage to ensure proper healing and optimal results.
Will I have visible scars from the PAP flap?
The PAP flap technique results in scars, but they are strategically placed to be as discreet as possible. The incision on your inner thigh will typically be hidden in the natural crease between the thigh and the buttocks. The breast incision will also be carefully placed to minimize visible scarring, and over time, these scars will fade and become less noticeable. Dr. Slack takes great care in positioning incisions to achieve the most aesthetically pleasing results.
Will my breasts look and feel natural?
Yes, your breasts will look and feel natural after the PAP flap procedure. Because the tissue used is your own, the results will mimic the softness and texture of a natural breast.
The shape and feel will adjust with weight fluctuations, just like your own body. Dr. Slack carefully shapes the tissue to create a breast mound that complements your natural curves. This method provides a natural, lasting option for breast reconstruction.
Why choose Dr. Ginger Slack?
Dr. Ginger Slack is a board-certified plastic surgeon with a microsurgery fellowship, with advanced expertise in breast reconstruction, including the PAP flap procedure. Known for her meticulous and compassionate approach, Dr. Slack ensures each patient receives personalized care and the most natural, beautiful results. She listens closely to your goals and provides clear, supportive guidance throughout your journey. Whether you’re considering breast reconstruction after cancer or revision surgery, schedule a consultation with Dr. Slack to explore your options.