TDAP Breast Reconstruction
Upper Back Tissue Reconstruction With a Muscle-Sparing Approach
The TDAP (Thoracodorsal Artery Perforator) flap is an advanced breast reconstruction technique that uses fat and skin from the upper back — particularly near the underarm and outer shoulder area — to rebuild the breast after mastectomy. This area often contains extra fatty tissue, making it a suitable donor site for reconstruction. The procedure relies on the thoracodorsal artery to supply blood to the transferred tissue, allowing for natural healing and integration.
Unlike older techniques that involve removing the latissimus dorsi (a major back muscle), the TDAP flap preserves all muscle tissue. Thanks to our surgeons’ expertise in microsurgery, patients benefit from a fully muscle-sparing operation that utilizes only skin and fat while maintaining the strength and function of their back muscles.
Benefits of the TDAP Flap Procedure
• Upper back contouring.
The removal of fat from the upper back and bra line area can result in a smoother silhouette and reduced bulging under the bra strap.
• Muscle preservation.
The latissimus dorsi and other vital muscles remain untouched, resulting in faster recovery and maintained upper body strength.
• Natural results.
Because the reconstruction uses the patient’s own tissue, the breast often looks and feels more natural compared to implants.
• Flexible options.
For patients with limited upper back tissue, the TDAP flap can be combined with an implant or other flap (hybrid reconstruction) to achieve optimal volume and symmetry.
• Reduced risk of implant complications.
If performed without an implant, patients can avoid potential issues such as rupture, capsular contracture, and infection.
• Faster healing.
Without muscle disruption, recovery is typically smoother and less painful than traditional flap procedures involving muscle transfer.
TDAP flap breast reconstruction is ideal for women who want a natural-looking result using their own tissue, especially if they have limited abdominal or thigh tissue. It also offers the added bonus of upper back fat reduction while preserving critical muscle function, making it a strong option for those seeking both aesthetic and functional benefits.
If you’re considering breast reconstruction and want to preserve as much of your natural breast appearance as possible while reducing muscle disruption, a TDAP 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.