PAP Breast Reconstruction

Procedures

PAP Breast Reconstruction

Thigh Tissue-Based Breast Reconstruction With the Added Benefit of a Thigh Lift

The PAP (Profunda Artery Perforator) flap is a newer, muscle-sparing breast reconstruction technique that uses skin and fat from the back of the upper thigh, just below the buttock crease. This method is particularly well-suited for thinner patients who may not have enough abdominal tissue for DIEP flap reconstruction.

Since the tissue used is the same as what’s typically removed during a thigh lift, patients often enjoy the added benefit of a more contoured upper leg. The resulting scar is discreetly placed in the natural fold beneath the buttocks, making it easy to conceal.

A smiling woman in a pink headscarf and fur-trimmed coat sits outside a hospital, facing a young girl.
About PAP Breast Reconstruction
What are the benefits of PAP Breast Reconstruction?
  • Uses tissue from the upper thigh: Harvests fat and skin from the back of the thigh, an area with often underused tissue.
  • Discreet scarring: The incision is hidden along the crease below the buttocks for a more aesthetic outcome.
  • Muscle-sparing approach: No muscles are removed during the procedure, preserving strength and reducing recovery time.
  • “Thigh lift” effect: Patients often experience a tighter, more contoured thigh area as a side benefit.
  • Natural look and feel: Like other autologous (self-tissue) procedures, PAP flap reconstruction creates a breast that looks and feels more natural than one reconstructed with implants.
  • Faster recovery: Because the muscles remain intact, patients generally heal faster and maintain better mobility and core function.
  • Fewer implant risks: By avoiding implants, patients reduce the chances of complications such as capsular contracture, implant shifting, or infection — issues that often require additional surgery to correct.
Why choose PAP Breast Reconstruction?

Similar to the DIEP and TUG flap techniques, the PAP flap offers a natural, long-lasting alternative to implant-based reconstruction with added aesthetic and functional advantages. It’s a great choice for women seeking a personalized solution that restores both their breast shape and body confidence.

If you’re considering breast reconstruction and want a long-lasting, natural breast appearance, a PAP flap procedure could be a suitable and empowering option.

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