PAP (Profunda Artery Perforator) Flap

The PAP flap utilizes the tissue of the posterior thigh. Unlike other flaps, the scar of the PAP flap can often be well hidden in the crease of the thigh and lower buttock. For women who do not have enough lower abdominal tissue, or are not candidates for DIEP reconstruction, the PAP flap provides another reliable option.

Advantages of the PAP flap are its rigorous and lengthy blood vessels that allow for versatility in shaping and in-setting the flap, creating a natural result. And, like all other perforator flaps, the PAP flap transfers only the skin and fat, thereby leaving the muscle in place to preserve function.
The procedure is performed as an inpatient with several days of hospital stay. Total recovery to normal activity will take 4-6 weeks.

As with all types of breast reconstruction, nipple and areolar reconstruction will follow after incisions are completely healed and minor revisionary procedures may also be involved.

“Dr. Metcalfe and his staff are fantastic. From the time we initially met through post-op I felt comfortable. They were able to clearly explain our options and I never felt pressure. Each option was presented with details for pre-during and post procedure. During surgery and postop I felt very well cared for. They provided a contact method to reach someone immediately during my recovery if I needed. Everyone I encountered in his practice was very skilled and educated. They were genuine, patient and kind. While my experience was great, I can also report that I am very happy with my results as well. I owe a lot of gratitude to Dr. Metcalfe and his team.”

Chrysten