PAP/TUG Breast Reconstruction
Thigh Tissue-Based Breast Reconstruction With the Added Benefit of a Thigh Lift
The PAP (Profunda Artery Perforator) flap is a newer, muscle-sparing breast reconstruction technique that uses skin and fat from the back of the upper thigh, just below the buttock crease. This method is particularly well-suited for thinner patients who may not have enough abdominal tissue for DIEP flap reconstruction.
Since the tissue used is the same as what’s typically removed during a thigh lift, patients often enjoy the added benefit of a more contoured upper leg. The resulting scar is discreetly placed in the natural fold beneath the buttocks, making it easy to conceal.
Key Benefits of the PAP Flap Procedure
• Uses tissue from the upper thigh.
Harvests fat and skin from the back of the thigh, an area with often underused tissue.
• Discreet scarring.
The incision is hidden along the crease below the buttocks for a more aesthetic outcome.
• Muscle-sparing approach.
No muscles are removed during the procedure, preserving strength and reducing recovery time.
• “Thigh lift” effect.
Patients often experience a tighter, more contoured thigh area as a side benefit.
• Natural look and feel.
Like other autologous (self-tissue) procedures, PAP flap reconstruction creates a breast that looks and feels more natural than one reconstructed with implants.
• Faster recovery.
Because the muscles remain intact, patients generally heal faster and maintain better mobility and core function.
• Fewer implant risks.
By avoiding implants, patients reduce the chances of complications such as capsular contracture, implant shifting, or infection — issues that often require additional surgery to correct.

Similar to the DIEP and TUG flap techniques, the PAP flap offers a natural, long-lasting alternative to implant-based reconstruction with added aesthetic and functional advantages. It’s a great choice for women seeking a personalized solution that restores both their breast shape and body confidence.
If you’re considering breast reconstruction and want a long-lasting, natural breast appearance, a PAP flap procedure could be a suitable and empowering option.

Your journey starts here. Please get in touch with us by filling out an online form or calling 1-883-RENEWBR.