We specialize in state-of-the-art breast reconstruction techniques using your body’s own tissue without sacrificing important functional muscles.

Considered the most advanced in the world today, our procedures result in a breast that closely matches your own in shape and softness.

IGAP and SGAP – Breast Reconstruction using Your Gluteal Region

For patient where the abdominal or thigh do not provide sufficient tissue, the gluteal region or buttock can also be used. Both the IGAP( Inferior Gluteal  Artery Perforator) and SGAP ( Superior Gluteal Artery Perforator ) procedures use tissue from the gluteal region or buttock. The difference between the two is the location of the fat from the buttock that is chosen. The final location of the scar will be in the upper buttock for the SGAP and approximately in the gluteal fold (bottom of the buttock) for the IGAP. The preferred flap is dependent on the best location of the extra fat in each particular patient.

Once the tissue is safely detached from the buttock it is reattached to the small blood vessels in the breast area, resulting in a microsurgical tissue transfer. The tiny blood vessels are connected together using microsurgery techniques. Once this is complete, the blood flow to the tissue is restored. Next, the tissue is shaped to fit the mastectomy defect.

The scar on the buttock and the need for a symmetry operation on the opposite buttock reduces its appeal. It is also a longer operation with a slightly higher failure rate. Still, in the correct patient it can produce excellent results with acceptable donor sites.