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Published on: December 5, 2025
Breast reconstruction with the profunda artery perforator flap
Robert J Allen1, Nicholas T Haddock, Christina Y Ahn
1New York, N.Y.; and New Orleans, La. From the Department of Plastic Surgery, New York University Langone Medical Center, and the Division of Plastic Surgery, Louisiana State University Health Sciences Center.
Plastic and Reconstructive Surgery
|December 22, 2011
Summary
This study introduces the profunda artery perforator flap for breast reconstruction, utilizing posterior thigh tissue. This technique offers a viable alternative, especially when abdominal tissue is unavailable, with successful outcomes reported.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Perforator flaps enable extensive soft tissue transfer with reduced complications.
- Established options for breast reconstruction include DIEP, gluteal artery perforator, and TUG flaps.
- The profunda artery perforator flap is presented as a novel alternative using posterior thigh tissue.
Observation:
- Preoperative imaging identifies profunda femoris artery perforators.
- A 27x7 cm elliptical skin paddle is designed inferior to the gluteal crease.
- Dissection involves suprafascial and subfascial planes, yielding a 7-13 cm pedicle.
Findings:
- All profunda artery perforator flaps demonstrated success in the series.
- The donor site was well-tolerated with scars concealed in the gluteal crease.
- Long-term evaluation for fat necrosis is pending.
Implications:
- This technique provides a valuable option for breast reconstruction, particularly when abdominal flaps are contraindicated.
- The long pedicle, muscle preservation, tissue coning ability, and hidden scar contribute to its utility.
- Further long-term studies are warranted to assess the durability and potential complications of this flap.
