A natural look and feel to a reconstructed breast can be achieved through a profunda artery perforator (PAP) flap reconstruction at the Breast and Body Center of Austin. Our board-certified Plastic and Reconstructive Surgeon Dr. Ned Snyder IV implements a cutting-edge surgical technique, which spares the muscle in your thigh and leaves a scar just beneath the buttocks in a natural crease on the back of your thigh. A PAP flap is a breast reconstruction technique uses the blood vessel that runs through the thigh.
When you do not have enough tissue on your belly, Dr. Snyder may recommend the next best choice, a PAP flap. This reconstruction is best suited for women who are not a candidate for the harvesting of their abdominal tissue either because of previous surgeries or because they do not have the volume of abdomen tissue to make a breast. This can all be discussed in a private consultation in our Round Rock, or Austin, TX office. Breast and Body Center of Austin wants to help you through this transformative surgery. Call and schedule consultation.
"I couldn't be more satisfied with Dr. Snyder and his staff! I first was introduced to the practice while going through chemotherapy and pregnant with our youngest son. Now almost a year later I finally had my DIEP Flap reconstruction last week. It's been a long journey but they are absolutely the best!!! I would recommend a million times. Thank you so much everyone at Breast and Body Center. You guys have made this whole process so worth it!! I'm in love with my new body."- R.W. / Facebook / Sep 18, 2017
"So where do I begin...Dr. Snyder is the plastic surgeon we all dream about. He is a dream personified into reality. Why you ask? Well...everything about that office is kismet. The front office staff are friendly. There are tons of free dermatology samples and sunscreen as his wife Réneé is a well-respected & reputable Dermatologist. His assistant Laurene Avis is very knowledgeable about all products, services, & surgical techniques. Veronica Alvarez handles billing and scheduling with finesse & ease. Then in walks this silver_haired tall cowboy. That's right y'all Blue suit and boots. Apparently, those boots were made for walking into operating rooms and crafting art. Yes...ART...I feel like a masterpiece after my surgery. I had two babies & my son left me with a hernia that needed repair amongst other signs of a struggle. Motherhood is beautiful...but can be hard when a size 0 girls carries an 8lb bouncing baby boy. Since my operation, I've had no complications. Scars are barely visible. I recommend squeezing vitamin-E capsules on the scar once he gives you the green light.I modeled some in my 20s. This was in the land of flat abs & thigh gaps. Lol! Now I'm mid 30s & I've been asked to promote & model for THREE different agencies! This all after being told I had aged out of modeling at 26. I've started a small business called Pepper Rose Retro...vintage pin-up clothing & accessories. He is a hidden jewel...trained in Europe & specializes in cosmetics and oncology procedures.Remember, I'm a Wake Forest trained PA...I would & will only go to the best. Special thanks Dr. Snyder and his team!"- T.O. / Yelp / Sep 17, 2017
"Professional care. Perfect surgery. Fast recovery. Would go back again in a heartbeat it was so easy."- Anonymous / Healthgrades / Sep 14, 2017
"Absolutely 100% recommend Dr. Ned Snyder. Care was professional if not perfect. Love everything about my procedures, healing and treatment. No one notices, because it looks so natural and real."- R.G. / Yelp / Sep 13, 2017
"Perfect example of the way an aesthetics appointment should go! Kind, caring staff, excellent service, the best compassion and care from Dr. Snyder and his entire team! I was a challenging case, and Dr. Snyder and his staff made every effort to make sure I was comfortable and taken care of and questions answered before and after."- C.B. / Yelp / Aug 18, 2017
A PAP flap is a type of breast reconstruction that uses only your own tissue and is performed at an inpatient facility under general anesthesia. The breast is reconstructed by Dr. Snyder using skin, fat, and blood vessels from the back of your upper thigh. This technique spares the muscle in your thigh and leaves a scar just beneath the buttocks in the natural crease on the back of your thigh. The first part of the construction is the harvesting of the tissue via liposuction on the thigh, which is the same technique we use in a thigh lift. Then, the breast can be reconstructed with the tissue relocated layer-by-layer to the breast mound. Blood vessels are also reconnected at the new breast site. A PAP flap usually creates a breast the same volume or larger than the breast that was removed in a mastectomy.
After your surgery, you will be observed very closely by our experienced post-operative nurses and medical staff. Be prepared for an inpatient stay for several days to monitor your progress. Since a PAP flap breast reconstruction is technically two surgeries combined, we will address both your thigh and breast surgical sites, pain management, hygiene, and incision drains. Once you are discharged, you will need to have help for a few weeks while you recover. You may not be able to move as easily as before your surgery until your body is ready (usually 1 – 6 weeks). Dr. Snyder will want to see you 7 days after discharge for a follow-up appointment to see your progress, help manage your pain, and to make recommendations on how you can recover quickly and with less stress. You will not be able to do strenuous activities (working out, housework, or physical jobs) for many weeks and should not resume them until released from your doctor.
It is very important to look for signs of infection or fever within your incision sites. Please give our practice a call if you have excessive bleeding, fever, or any unusual side effects from the medication after the surgical procedure in your breast or thigh.
Plan Your Procedure
- Recovery Time
- 4 – 6 Weeks
- Average Procedure Time
- 4 – 6 Hours
- Post-op Follow-up
- 7 Days
- Procedure Recovery Location
PAP Flap FAQs
How Many Scars?
A PAP flap breast reconstruction will require surgical scars on the breast(s) and at the natural crease of the buttocks and the thigh. Dr. Snyder will perform your surgery with the goal of making your scars as seamless and inconspicuous as possible. Unfortunately, you will have surgical scars, but with time, they should become less prominent.
How Long Is the Surgery?
Your breast construction surgery with the PAP flap surgical technique may take 4 – 6 hours under a general anesthetic. Keep in mind that the more fat that has to be collected from various donor sites on the body, the longer the surgery.
Am I a Candidate?
If you are a candidate for the PAP flap instead of a DIEP flap, this usually means there was not enough tissue in your abdominal area from a lack of fatty tissue or because you have had a tummy tuck in the past. Dr. Snyder may take into consideration other abdominal surgeries you may have had performed (liposuction, C-Section, appendectomy, hysterectomy, bowel surgery, and others). Most patients in this situation who have had a tummy tuck, are usually more appropriate for a PAP flap reconstruction.