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For women who do not have enough abdominal tissue for a DIEP flap reconstruction, the gluteal artery perforator (GAP) flap can be an excellent alternative. This advanced microsurgical technique uses skin and fat from the upper buttocks to reconstruct the breast without sacrificing muscle.

At Snyder Plastic Surgery, Dr. Ned Snyder IV, a board-certified plastic and reconstructive surgeon, performs GAP flap reconstruction to help patients achieve soft, natural-looking results while maintaining strength and mobility in the donor area.

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Healing Process after Breast Reconstruction

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What Is GAP Flap Reconstruction?

The GAP flap (Gluteal Artery Perforator flap) is a breast reconstruction procedure that uses skin and fat from the upper buttocks to recreate the breast mound after a mastectomy. Unlike older methods that require the use of muscle, the GAP flap preserves muscle integrity while transferring only skin, fat, and connecting blood vessels to the chest.

This approach provides a soft, natural breast shape and can be a great option for women who have had prior abdominal surgeries such as a TRAM flap, DIEP flap, or tummy tuck, or those whose abdominal area isn’t suitable for tissue transfer.

Ideal Candidates

A GAP flap reconstruction may be the best option for women who:

  • Have insufficient abdominal tissue for a DIEP or TRAM flap
  • Have had previous abdominal surgeries that prevent using that area as a donor site
  • Desire a more natural result without using implants
  • Are in good overall health and non-smokers
  • Are prepared for a longer surgical procedure and recovery than implant-based reconstruction

During your consultation, Dr. Snyder will evaluate your anatomy, surgical history, and goals to determine if the GAP flap is right for you.

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our reputation Reviews & Opinions Of Existing Patients

patient reviews

The entire staff was incredibly welcoming and left no questions unanswered. Their compassion, warmth, and professionalism made a life-changing diagnosis much easier to face. – Melissa Thomasson

I couldn’t be happier with the results from my bilateral mastectomy reconstruction. Dr. Snyder is caring and skilled. I loved that he has so much experience. His staff is amazing too! – Nattlie Hoover

If you’re considering any cosmetic or reconstructive procedure, I can’t recommend Snyder Plastic Surgery highly enough. – Gary Kaisinger

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Surgical Technique

The GAP flap breast reconstruction may be performed at the time of your mastectomy or at a later stage. During consultation, Dr. Snyder will work closely with you and your breast surgeon to plan the timing and technique that best aligns with your treatment and recovery goals.

This advanced technique involves transferring skin and fat from the upper buttock to the chest to form a new breast mound. No muscle is used in GAP flap procedures, allowing for a faster recovery and less donor site weakness compared to older flap techniques.

Dr. Snyder may recommend this procedure for patients who are not candidates for abdominal flaps or those who prefer an alternative donor site. The reconstructed breast typically feels soft and natural with minimal sagging or ptosis.

The GAP Flap Procedure

Once you have decided to move forward with surgery, understanding what to expect before, during, and after your procedure will help you feel more confident and informed throughout your reconstruction journey.

What to Expect: Step-by-Step

After your consultation, our team will collaborate with your breast surgeon to plan your procedure. Together, they will coordinate the timing and surgical approach so you wake up with your reconstruction complete. You will receive detailed pre-operative instructions to prepare for surgery and recovery.

The GAP flap reconstruction is performed as an inpatient procedure and typically takes 4–6 hours under general anesthesia. Dr. Snyder will carefully prepare the chest pocket and harvest tissue from the upper buttock. The donor area is contoured to minimize visible changes, leaving the buttocks slightly flatter but natural in appearance. The tissue is then transferred to the chest, where Dr. Snyder reshapes it into a natural-looking breast mound using microsurgical precision.

Following surgery, you will spend several days in the hospital for close monitoring to ensure healthy blood flow to the reconstructed tissue. Most patients remain hospitalized for 3–4 days, after which you can continue recovery at home.

You will be encouraged to walk and move gently soon after surgery to promote circulation and prevent blood clots. Dr. Snyder will schedule a follow-up visit approximately one week after discharge to check your progress and clear you for additional activities as appropriate. Recovery time varies for each patient depending on surgical complexity, but most begin to resume light activity after several weeks.

Why Choose Snyder Plastic Surgery for GAP Flap Reconstruction

At Snyder Plastic Surgery, patients benefit from Dr. Ned Snyder’s extensive experience in both cosmetic and reconstructive breast surgery. As a leader in microsurgical breast reconstruction in Central Texas, Dr. Snyder is known for his skill, compassion, and commitment to individualized care.

His team ensures that each patient receives a comprehensive plan that addresses both physical healing and emotional well-being. With offices in Austin and Round Rock, TX, Snyder Plastic Surgery provides exceptional reconstructive results in a supportive, patient-centered environment.


Frequently Asked Questions About GAP Flap Reconstruction

What is the difference between the SGAP and IGAP flap techniques?

The GAP flap refers to using skin and fat from the buttock region for breast reconstruction. The “SGAP” (Superior Gluteal Artery Perforator) uses tissue from the upper buttock, while the “IGAP” (Inferior Gluteal Artery Perforator) uses tissue from the lower buttock. The upper-buttock (SGAP) tends to result in less sittingu2010discomfort and better contours in many cases.

Am I eligible for a GAP flap if I’ve already had abdominal reconstruction or tummy-tuck?

Yes. One of the main indications for a GAP flap is that the abdomen cannot be used (for example due to prior surgery, insufficient tissue, or vascular considerations). The GAP uses the buttock region instead, and is an excellent alternative for suitable patients.

What is the typical recovery timeline after a GAP flap reconstruction?

Recovery usually involves a hospital stay of about 3-4 days (sometimes longer depending on the extent) for close monitoring of blood flow to the transferred tissue. Light activities may resume in a few weeks, while full recovery often takes six to eight weeks or more.

What risks or donor-site effects should I know about with a GAP flap?

Because tissue is taken from the buttock region, there can be donor-site changes such as contour differences, scar in a buttock crease, or temporary discomfort while sitting. Also, because GAP flap microsurgery is more complex, it’s important the surgeon has experience with these types of procedures.

Will my reconstructed breast with a GAP flap feel natural and long-lasting?

Yes. One of the benefits of autologous (your own tissue) reconstruction, like the GAP flap, is that the result tends to feel more like natural breast tissue and will age and change with your body, such as weight fluctuations, rather than needing replacement like implants.


Schedule a Consultation

Experience the transformative benefits of GAP flap reconstruction with Dr. Ned Snyder IV and his dedicated team. At Snyder Plastic Surgery, we understand that breast reconstruction is about more than physical restoration; it’s about reclaiming confidence and peace of mind.

Patients in Austin, Cedar Park, Waco, Temple, and Georgetown, TX, are invited to schedule a consultation to discuss their personalized treatment options and begin the journey toward natural, lasting results.

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For additional information about our services, procedures, and the patient experience at Snyder Plastic Surgery, please explore our website or contact our office. We are committed to providing comprehensive care and support from the initial consultation through recovery. Schedule a consultation today to begin your journey towards a more confident and beautiful you.