Revision surgery after GAP flap

Steven Wallach, MD answers: Can local plastic surgeons handle buttock revisions to GAP donor site?

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.


Steven Wallach, MD
18 days ago

 Gap flaps use the gluteal tissue on a perforating blood vessel usually for breast reconstruction. It is a good option for people with not a lot of abdominal tissue.  A local surgeon certainly can do a scar revision or liposuction to improve the buttock contour.

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