Lindsay K. Hessler, M.D., is a Board Certified surgeon specializing in minimally invasive surgery, including advanced laparoscopic surgery.
Mercy's team of top surgeons are known for their expertise in correcting ankle deformities caused by unsuccessful ankle fracture treatments.
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See Before and After Photos of SGAP Flap Breast Reconstruction >
SGAP flap breast reconstruction, also called Superior Gluteal Artery Perforator flap breast reconstruction, is one of the many microsurgical breast reconstruction treatment options offered by the plastic surgeons at The Breast Reconstruction & Restoration Center at Mercy.
Because of their expertise and skill level in performing microsurgery, Mercy's doctors are sought by patients needing breast reconstruction after mastectomy. Our doctors are among an extremely small group of physicians nationwide who perform bilateral SGAP flap breast reconstruction for patients who undergo a double mastectomy.
SGAP flap breast reconstruction uses mid to upper buttock tissue and blood vessels to reconstruct a breast following a mastectomy. A flap of tissue is cut from the mid to upper buttock and microsurgically reconnected at the mastectomy site to form a new breast. During SGAP flap breast reconstruction, the gluteus maximus muscle is not cut or shifted when the tissue flap is removed.
Bilateral SGAP flap reconstruction is an option for patients following a double mastectomy. Bilateral SGAP flap reconstruction involves using buttock tissue for reconstruction of both breasts during the same surgery.
Women who do not have enough abdominal tissue for a DIEP flap are often the best candidates for SGAP flap breast reconstruction. Most all women have enough buttock tissue to enable SGAP flap breast reconstruction to be a treatment option following breast surgery.
When is SGAP flap breast reconstruction not recommended?
SGAP flap breast reconstruction is not a treatment option for patients who have had a previous SGAP flap or IGAP flap breast reconstruction procedure, buttock lift, or buttock liposuction. SGAP flap also is not recommended for patients who smoke as it takes longer to heal and the tissue may not take effectively to the new breast site.
As the tissue flap is removed from the mid to upper buttock area, the incision is closed using the same surgical techniques as used in a buttock lift. The straight line closure cannot be seen since it is often located under the bikini line.
For women having a double mastectomy, SGAP flap breast reconstruction can be a treatment option. Tissue from both upper buttocks can be removed to create two new breasts at the double mastectomy site. This is commonly referred to as bilateral SGAP flap breast reconstruction.
Best Treatment Time for SGAP Flap Breast Reconstruction
SGAP flap breast reconstruction can be completed during breast surgery or delayed until chemotherapy and/or radiation treatment is finished.
The difference between these two microsurgical breast reconstruction procedures is the SGAP flap uses tissue from the upper buttock and the IGAP flap uses tissue from the lower buttock.
Following SGAP flap breast reconstruction, additional minor surgery to revise the shape and symmetry of the breasts may be needed as well as minor surgery to create the areola and nipple.
Mercy's breast reconstruction surgeons work closely with the breast surgeons at The Hoffberger Breast Center at Mercy, to coordinate breast surgery and reconstruction. Together they work with each patient to determine the best time to have breast reconstruction according the patient’s diagnosis. Breast reconstruction can be immediate, taking place during the breast surgery, or delayed, taking place after surgery and chemotherapy and/or radiation treatments.
Donna, a nurse and breast cancer survivor, tells the story of her two breast reconstruction surgeries with Mercy's Breast Reconstruction and Restoration Center.
The Breast Reconstruction and Restoration Center at Mercy in Baltimore, Maryland, is led by Dr. Bernard (Bernie) Chang, and Dr. Brendan Collins. Our doctors are recognized specialists in breast reconstruction and restoration, particularly in perforator flap reconstructions including DIEP flap (Deep Inferior Epigastic Perforator flap) following breast cancer surgery. Named among the best surgeons and top doctors in the Mid-Atlantic states area, Dr. Chang along with his associate, Dr. Collins, work with each woman before, during and after her hospital stay to provide the best treatment options for her individual needs.
A 2020 TOP DOC
Dr. Bernie Chang is Director of Plastic & Reconstructive Surgery at Mercy and also leads The Breast Reconstruction and Restoration Center. He pioneered treatment options like DIEP flap breast reconstruction.
Shawnta was diagnosed with breast cancer as a healthy 38-year-old but lives to tell the story of her struggle.