SGAP Flap - Superior Gluteal Artery Perforator Flap 

The SGAP Flap, or the Superior Gluteal Artery Perforator flap (buttocks), is ideal for those who do not have an adequate amount of excess abdominal tissue. The breast may be reconstructed with the skin, fat and the tiny blood vessels taken from the gluteal area.

Most women have enough excess tissue in this area to achieve a B or C cup breast size. The SGAP flap procedure is performed by using the tissue from the top part of the buttock without injury to the underlying gluteal muscles. A slight buttock lift results in the donor area with a fine line incision easily hidden within the panty line. The tissue is then transplanted to the breast and a microscope is used to connect the blood vessels supplying this tissue to those at the mastectomy site. The tissue is then sculpted into the new breast mound.

Restoration of the nipple and areola follow. Scars fade substantially with time.

IGAP Flap – Inferior Gluteal Artery Perforator Flap

The IGAP flap, or the Inferior Gluteal Artery Perforator Flap is a variation of the SGAP flap.  The procedure is virtually identical aside from the use of the inferior gluteal artery versus the superior gluteal artery.  The physical difference to the patient is a donor scar lower on the buttock versus higher on the buttock.  Which of these two procedures is most appropriate usually is determined by each patients individual anatomy.

Restoration of the nipple and areola follow. Scars fade substantially with time.

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