Can a PAP flap transfer be combined with an internal bra?

An experienced board certified plastic surgeon would perform the optimal breast reconstruction for you and this would include the technical specifics of suture fixation and shaping that are sometimes referred to in the lay literature as an "internal bra". I would advise you not to get too hung up on technical surgical details that are best left int he hands of your plastic surgeon. Once you entrust your surgeon with your care, you are taking on the presumption that he or she will perform the best possible operation for you. Best of luck to you.

Dear Persistent382712,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes, you can combine an internal bra with a PAP flap. However, it is frequently not necessary. There are instances that if you require a breast lift after your PAP flap and internal bra can be used to provide additional support. Good luck.

The need for an internal bra is based on the overlying skin envelope and the amount of tissue being transferred in the PAP flap.