PAP Flap (Posterior Thigh)

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Dr. Sadeghi is one of the pioneers of the PAP Flap. This reconstructive option was introduced in 2012 by a team of highly specialized reconstructive microsurgeons including Dr. Sadeghi. This reconstructive option considers the use of tissue from the posterior thighs for reconstruction of the breasts without sacrificing muscle function. The PAP Flap was created and perfected in our breast center, and has been refined over the past five years to provide patients with a natural-looking result. Profunda artery perforator (PAP) flap allows the surgeon to use fat and skin from the posterior thigh, underneath the buttock crease. The tissue removed is typically the same tissue that would be discarded in a thigh lift. However, in this procedure, the tissue is used along with its vital blood vessels to reconstruct breasts. The main advantage of this procedure is that the donor site scar falls in the crease of the buttock as it would in a thigh lift. This procedure is optimal for patients who have had previous surgery that precludes the use of the abdomen as a donor site. Our patients have been very pleased with the introduction of this procedure and the results from both the breast recipient site, and the donor site are superior. With the introduction of this flap, we no longer need to perform TUG flap. The TUG flap sacrifices the Gracilis muscle in the thigh for breast reconstruction. In our breast center, we believe that natural breasts do not contain muscle tissue and therefore muscles should not be used in breast reconstruction.

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“Dr. Sadeghi is a true class act. He’s extremely knowledgeable, meticulous and passionate about his work and it shows. I was so nervous when I first consulted with him, but he made me feel so comfortable and really worked with me in regards to the outcome I wished to achieve. Throughout the consult/surgery/post-op process, he always showed the utmost respect for me and assured me that we were going to achieve the most natural results as possible (which was very important to me). I highly recommend him to anyone looking for a plastic surgeon - whether it be reconstructive or cosmetic. He knows his stuff and will help make you feel like the best version of yourself!”


“Great staff!! So caring! Dr. Sadgehi is amazing! He took such good care of me! I am EXTREMELY satisfied with the results of my surgery! 100% recommend him if you wanna have any work done! You won’t be disappointed!!”.


“Dr. Sadeghi is leading the industry with cutting edge technology. The staff is very friendly and knowledgeable. EM-Sculpt is what I use, just before a photo shoot or that weekend beach trip. If you haven’t been to see Ali yet and are looking to just feel better in your own skin, then get over there!”.


“Dr. Sadeghi and his team were so friendly and professional. The lady at the front desk kept checking in and updating me letting me know when I was next. He took his time and delivered the results I wanted. Very happy! This was my first experience and I will definitely be back!”.


“Dr. Sadeghi and his staff are THE BEST! They are very sweet and welcoming. Dr. Sadeghi gave me exactly what I asked for with fillers. Great experience and will definitely be back!”.



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