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Breast plastic and reconstructive surgeons at johns hopkins medicine also pioneered the lateral septal gluteal artery perforator (lsgap), a modification of the sgap procedure. This flap procedure does not take tissue from the central area of the buttock, thereby lifting the lateral thigh and buttock area while preserving the natural contours. Sgap breast reconstruction what is sgap breast reconstruction? Our center pioneered bilateral superior gluteal artery perforator (sgap) breast reconstruction in 2005. The sgap procedure is an advanced microsurgical technique that is used to rebuild the breast lost to mastectomy. For women who are thin, cannot, or do not wish, to use their abdomen or thigh as the source tissue (donor site) for breast reconstruction, the superior gluteal artery perforator, or sgap, flap may be an excellent choice. Sgap cairns home page the cairns branch of the society for growing australian plants (sgap) the cairns branch of sgap. This branch was formed in 1980 to create interest in the cultivation of our native species in preference to exotic species. Before and after breast reconstruction photos sgap rains506 t2245450000 our patient results gallery before & after sgap photos like the diep, pap and igap flaps, this perforator flap also does not sacrifice any muscle. The sgap flap reconstruction, or the superior gluteal artery perforator flap (buttock flap), is ideal for those who do not have an adequate amount of excess tummy tissue. The sgap flap has been primarily used as an alternate for breast reconstruction, and requires significant microsurgical experience to harvest. The thickness of fat available provides volume for unilateral reconstruction, but positioning and the donor scar deformity have made this a less popular choice even among very experienced microsurgeons. However, there are some risks that are unique to sgap flap reconstruction. Tissue breakdown in rare instances, the tissue moved from your upper buttocks to your breast area wont get enough circulation and some of the tissue might die. Sgap breast reconstruction surgery is usually performed in the hospital and a brief hospital stay may be included. General anesthesia is used, and the doctor will discuss his recommendations during your initial visit. Any follow-up procedures are usually done on an outpatient basis. The sgap flap, or superior gluteal artery perforator flap, was developed by dr. We were also the first to perform the bilateral simultaneous sgap in 1994, and our experience has subsequently been published. Simultaneous bilateral breast reconstruction with superior gluteal artery perforator (sgap) flaps.