Versatility of the Profunda Artery Perforator Flap: Creative Uses in Breast Reconstruction

The article focuses on the versatility of the PAP Flap in breast reconstruction.  In this paper Dr. Haddock presents the first 73 PAP flaps performed in Dallas Fort Worth.  Dr. Haddock has now performed well over 150 PAP flaps with a very high success rate. The PAP flap can be used in multiple different types of breast reconstruction. It can be used alone for a single breast reconstruction.  Two flaps can be utilized for bilateral breast reconstruction or for a single breast reconstruction in a double stacked manner for added skin and volume.  A PAP flap can be combined with a DIEP flap as a 4 flap breast reconstruction.  These various techniques and outcomes are outlined in the paper.

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