Introducing the Profunda Artery Perforator Flap for Breast Reconstruction

Introduction: Popularized alternatives to abdominally-based autologous breast reconstruction include the superior or inferior gluteal artery perforator (SGAP or IGAP) flaps and transverse upper gracilis (TUG) flaps. The SGAP flap places a scar across the superior buttock and can create a contour deformity. The IGAP flap has been associated with sitting difficulties, secondary to loss of fat over the ischial tuberosity. The TUG flap has been criticized for its small volume, short pedicle, sacrifice of the gracilis muscle, and a visible scar anteriorly. The authors have explored the posterior thigh, where the prof…