Body lift perforator flap reconstruction uses a flap of tissue from both sides of the lower abdomen diep and the upper buttocks sgap or hip flap to reconstruct the breasts two flaps per breast or four flaps in all diep stands for the deep inferior epigastric perforator artery which runs through the abdomen sgap stands for superior . The diep flap is the technique where skin and tissue no muscle is taken from the abdomen in order to recreate the breast this is the most common procedure performed at our breast center as women generally have excess skin and fat along the lower portion of their abdomen plus patients like the . Overall only 15 16 of these mastectomy patients undergo reconstruction this low percentage has been attributed to lack of both information and access all women who undergo mastectomy are candidates for consideration of perforator flap breast reconstruction when natural tissue reconstruction is preferred over implant reconstruction. Perforator flaps aim to reduce donor site morbidity to an almost absolute minimum respecting one of the main adagios in medicine primum non nocere pedicled perforator flaps have not yet been commonly used or widely described for breast reconstruction. Perforator flaps for breast reconstruction is a useful book for surgeons working with breast cancer patients who are looking to incorporate perforator flaps into their programs there is practical advice and warning and realistic expectations
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