GAP flap procedures are among the most sought-after breast reconstruction options available today. At our practice, they're some of our most commonly performed procedures, second only to the DIEP flap procedure, and for good reason. For patients who might not be suitable candidates for the DIEP flap, a GAP procedure is a viable alternative that offers excellent results. We are among the few practices in the United States offering bilateral simultaneous GAP flap reconstruction.
At The Center for Natural Breast Reconstruction in South Carolina, we specialize in providing expert care and guidance for individuals across the country who are exploring their breast reconstruction options. Our dedicated team of specialists understands that every patient’s journey is personal, and we are here to support you at every step. Schedule an appointment with us today to learn more.
Now, let's take a closer look at GAP flap procedures, including the IGAP and SGAP techniques.
Understanding Flap-Based Breast Reconstruction
Flap-based breast reconstruction utilizes a patient’s own tissue, skin, and blood vessels—typically harvested from areas like the abdomen, thighs, or buttocks—to recreate the breast. Unlike implant-based reconstruction, flap procedures create a natural look and feel while providing long-lasting outcomes without the complications associated with implants.
At The Center for Natural Breast Reconstruction, our expert surgeons, Dr. James Craigie and Dr. Richard Kline, along with pioneer surgeon Dr. Robert J. Allen, have performed numerous successful flap-based procedures, ensuring personalized care and outstanding results.
What is a GAP Flap Procedure?
The GAP flap—short for Gluteal Artery Perforator flap—is a sophisticated breast reconstruction procedure that utilizes tissue taken from the buttock region. This procedure is ideal for women who do not have sufficient abdominal tissue for DIEP reconstruction and want to avoid implants.
The GAP flap surgery involves transplanting skin, fat, and blood vessels from the buttock area to form a new breast mound. This technique preserves the buttocks’ natural shape and appearance while sparing the gluteal muscles. By not utilizing these muscles, patients often recover more quickly and comfortably and maintain strength in the donor area.
Understanding the Two Main Types of GAP Flap Surgery
While the GAP flap procedure always involves transferring tissue from the buttock area, there are two distinct types of GAP flap surgeries available: the Superior Gluteal Artery Perforator (SGAP) flap and the Inferior Gluteal Artery Perforator (IGAP) flap. The primary difference between these two procedures lies in the location of the donor tissue.
SGAP Flap (Upper Buttock)
The SGAP flap procedure uses tissue from the upper portion of the buttock. This area generally provides sufficient tissue with a reliable blood supply and minimal disruption to daily activities, making it an excellent option for women seeking natural results.
Key points about the SGAP flap include:
- Incisions are placed in areas typically concealed by underwear or swimwear.
- Minimal impact on daily activities.
IGAP Flap (Lower Buttock)
The IGAP flap involves tissue from the lower buttock area, specifically within the natural crease below the buttock. Similar to the SGAP procedure, this method does not involve muscle removal, but it is performed less frequently today, having largely been replaced by alternative methods such as the PAP flap.
Important considerations for the IGAP flap include:
- Incisions are placed within the lower buttock crease.
- May cause discomfort while sitting due to the location of the incisions.
Choosing Between SGAP & IGAP Flaps
Deciding between SGAP and IGAP flaps involves careful consideration of your individual anatomy, personal preferences, and lifestyle. Your surgeon at The Center for Natural Breast Reconstruction will closely evaluate factors such as the available tissue in your buttock region, your desired aesthetic results, and your daily routines to determine the best approach.
It's important to openly discuss any concerns about comfort, lifestyle, and long-term outcomes during your consultation. Your surgeon can provide personalized recommendations tailored specifically to your needs.
Insurance Coverage & Your Rights
When considering breast reconstruction surgery after mastectomy, concerns about insurance coverage can often weigh heavily on patients' minds. Thankfully, federal law provides comprehensive protection, making breast reconstruction procedures accessible to every woman following cancer treatment.
The Women’s Health and Cancer Rights Act (WHCRA) of 1998 ensures that group health plans and health insurance companies offering mastectomy coverage must also provide coverage for breast reconstruction. Specifically, the WHCRA covers:
- Reconstruction of the breast removed by mastectomy.
- Surgery and reconstruction of the other breast to achieve symmetry.
- Prostheses and treatment for physical complications associated with mastectomy, including lymphedema.
At The Center for Natural Breast Reconstruction, we are committed to helping each patient understand and fully benefit from these rights. Our knowledgeable staff can help navigate the specifics of your insurance plan and answer any questions you may have.
We are participating providers with several major providers, including:
- Aetna
- Blue Cross Blue Shield
- Cigna
- United Healthcare
Our team will assist you in coordinating with your insurer, ensuring that coverage details are clear and minimizing out-of-pocket expenses.
We believe finances should never stand in the way of your emotional and physical recovery. If you have any concerns about insurance coverage or would like assistance understanding your benefits, please don't hesitate to reach out. We're here to support you every step of the way.
Explore Your Options with Confidence
Choosing the right reconstructive approach is a personal decision, and at The Center for Natural Breast Reconstruction, our team is dedicated to guiding you every step of the way with expertise and compassion. Our goal is to provide you with the support and information you need to feel confident and informed about your options.
If you’re ready to explore breast reconstruction with The Center for Natural Breast Reconstruction, we invite you to schedule a consultation today. Our team is here to answer your questions, address your concerns, and help you make the decision that is best for you.
