PAP Flap

For women who lack sufficient fat in the abdomen, have body fat distributed in the lower body, or in whom previous abdominal surgery makes the DIEP flap impossible, tissue can be taken from the thigh area to create a PAP (Profunda Artery Perforator) flap. PAP flap surgery is an excellent alternative to implant reconstruction, as it affords the patient a highly natural look and feel, as well as improved quality of life.

What is PAP flap surgery?

As a common form of autologous breast reconstruction, the PAP flap procedure takes tissue from the posterior thigh and uses it to create a realistic breast mound. The treatment will transfer not only skin and fat, but the blood supply of the tissue, which is reconnected in the chest area using a microscope for precision and long-term survival.

Once the blood flow is intact, the breast mound is shaped and refined to create a beautiful silhouette, improving the client's self-confidence and self-image. With this procedure, scarring is minimized, as the incision can be well-hidden in the folds of the lower buttocks or in the inner thigh as for an inner thigh lift.

What are the advantages?

The musculature of the thighs remains intact
Thighs function naturally without any negative functional impact
A natural-looking and natural-feeling outcome
Improved satisfaction with one's appearance
A viable alternative to implant reconstruction

Suitable for thin women with low fat content
Ideal for those desiring a smaller cup size
Inconspicuous scarring
Long-lasting results
The flap's elliptical shape is ideal for recreating the breasts
Lengthy blood vessels make reattachment in the chest easier

Who is an ideal candidate for PAP flap surgery?

You desire a natural outcome using your body's own tissue
You lack sufficient abdominal fat
You've had abdominal surgery in the past
You did not find success with an abdominal flap
You are not a candidate for implant reconstruction
You are seeking modest cup sizes

Woman drinking wine while sitting on ledge and looking out

What can I expect from my recovery?

PAP flap surgery is performed under general anesthesia and requires monitoring in the hospital for 48 to 72 hours after surgery. You may be fitted with drains to help remove excess fluids. Recovery on average lasts four to six weeks, although you may be asked to wear a compression garment for up to eight weeks. This helps to minimize swelling and keep your new breast shape intact. You will need to limit heavy lifting, sexual activity and strenuous sports until the doctor has cleared you to resume these activities.

Why choose Dr. Zampell?

For Dr. Zampell, the patient's complete satisfaction with their procedure and an improved quality of life always comes first. This is what drives Dr. Zampell in her work and motivates her to continue to stay ahead of the curve when it comes to advanced surgical techniques and cutting edge technology.

Known for her intrepid skill in the field of autologous breast reconstruction as well as cosmetic surgery, Dr. Zampell delivers natural, elegant results that last a lifetime. Each procedure is carefully tailored to the patient's unique anatomical parameters, as well as their individual aesthetic preferences.

Dr. Zampell graduated with honors from Ohio State University College Of Medicine, following her training with a demanding surgical residency at the world-renowned New York University. In addition, Dr. Zampell pursued a microsurgery fellowship at the University of California Los Angeles, and worked side by side with Dr. Robert Allen, a pioneer in the field of autologous breast reconstruction at Ochsner Medical Center in Louisiana.

Before & After