When the abdominal tissue is not adequate in reconstructing the breasts, we can look at alternate donor sites to get more tissue. In order to reconstruct both breasts we use fatty tissue from the abdomen (as in a DIEP flap reconstruction) in conjunction to the tissue from the back of the thigh (as in a PAP flap reconstruction) or the hips (as in a SGAP or LAP flap reconstruction). This is termed the 4 flap breast reconstruction or Hybrid DIEP flap breast reconstruction. Natural tissue from the abdomen and the thighs are used together to reconstruct both breasts.

When both halves of the abdomen are used for reconstruction of one breast, we call this a “stacked DIEP flap”. Our team performs breast reconstruction using stacked GAP flaps and stacked PAP flaps, as well as stacked DIEP & GAP or stacked DIEP & PAP flaps for breast reconstruction. More and more, Doctor Sadeghi is performing “stacked flaps,” where he combines tissues from different parts of the body in tandem to reconstruct the breasts. The advantage is the use of the DIEP flap is used to reconstruct the superior pole of the breast and the PAP flap is used to resurface the lower pole of the breast. Together this combination of tissue from the abdomen and the posterior thigh provides superior results in breast reconstruction.

Combining tissue from the abdomen (as in a DIEP flap breast reconstruction) and the thigh (as in a PAP flap breast reconstruction) allows us to perform a thigh lift and a tummy tuck simultaneously; the harvested fatty tissue can be contoured into breasts.

Before and After Photos

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