CC-BY-NC-ND 4.0 · J Reconstr Microsurg Open 2017; 02(01): e1-e3
DOI: 10.1055/s-0036-1593752
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Fleur-de-PAP Flap for Bilateral Breast Reconstruction

Katharine Saussy1, Mark W. Stalder1, Stephen J. Delatte2, Robert J. Allen1, Hugo St Hilaire1, 2
  • 1Division of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana
  • 2Breast Cancer Specialists of Louisiana, Lafayette, Louisiana
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16. August 2016

08. September 2016

19.Oktober 2016 (eFirst)


The authors present the case of a 42-year-old female patient who underwent autologous breast reconstruction using a new perforator flap designed from the medial and posterior thigh. Due to a prior abdominoplasty, the patient's abdominal donor site was unavailable to reconstruct her large, ptotic breasts, so an alternate approach was undertaken. The fleur-de-PAP flap is based on the same perforators employed by the standard profunda artery perforator (PAP) flap, but simultaneously incorporates tissue from both the transverse and vertical PAP flap skin paddles. This design maximizes flap volume at a single donor site and provides a reasonable secondary option for autologous reconstruction in large-breasted patients in whom the abdomen is not available.