I had bilateral SGAP Breast Reconstruction in August. I had to travel to have it done. I have an open wound on my breast and so I'm not ready for Stage II. However, I don't want to wait to get a more comfortable contour to my behind. Can a local plastic surgeon with extensive buttock Lipo experience (but not with GAP donor site) handle this or are there medical issues unique to a GAP that would require me to go to a microvascular surgeon? The scars look fine, I just want to get rid of the uncomfortable "tail" and shape things up a bit.
The butock region for you is no longer an area that requires microvascular expertise. However, you should let all swelling go down for 4-6 months before any revision and probably have it done where the free flaps were done at the time of the second stage. Having done thousands of breast reconstructions, I can tell you that nobody wants a better result for you than the doctor who performs your free flap.
