What is PAP Flap Reconstruction?

PAP (profundal artery perforator) flap reconstruction uses a blood vessel as well as skin from the back of the upper thigh. Patients who are not candidates for TRAM, DIEP, or SIEA flaps due to past abdominal surgeries or lack of body fat can often benefit from this procedure. This procedure does not require an implant, and uses the patient’s own natural tissue to recreate the breast.

How is PAP Flap Reconstruction Performed?

During PAP flap reconstruction, our team will create an incision just below your buttocks. Skin, fat and blood vessels are then moved up to the chest to reconstruct the breast. Blood vessels from the flap are carefully reattached to the chest vessels using microsurgery. This procedure usually takes about three to five hours to complete.


Following your surgery, patients should expect to stay in the hospital for about three days. A compression garment may need to be worn for the duration of your recovery, and any drains can be removed after one to two weeks. You will be given specific post-op instructions to ensure a quick and safe recovery. Recovery from PAP flap reconstruction commonly takes about four weeks.