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Stacked Flap Procedures

Home >> Stacked Flap Procedures
Stacked flap procedures use fatty tissue from the abdomen (DIEP Flap), the back of the thigh (PAP Flap), the hips (LAP Flap) and the buttock region (GAP Flap). When the abdominal tissue is not adequate in reconstructing the breasts, we can look at alternate donor sites to get more tissue. To reconstruct both breasts, we use fatty tissue from the abdomen (as in a DIEP flap reconstruction) in conjunction with the tissue from the back of the thigh (as in a PAP flap reconstruction) or the hips (as in an SGAP) or the back (as in a TDAP). This is termed the 4-flap breast reconstruction where fatty tissue from the abdomen and the thighs, hips or back 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, Dr. Sadeghi is performing “stacked flaps,” where he combines tissues from different parts of the body in tandem to reconstruct the breasts. The advantages of using the DIEP flap are to reconstruct the superior pole of the breast and the PAP flap 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 since the harvested fatty tissue can be contoured into breasts.

TDAP Flap

The TDAP flap uses fat from the bra back roll area. This is a perforator flap using tissue from the upper back. Therefore underlying muscle tissue is preserved. Since this area of the body is so close to the breast region, the tissue can be rotated into place without having to divide and reattach blood vessels, resulting in less hospitalization time.
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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!”

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“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!!”.

Rachel

“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!”.

Barry

“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!”.

Kayla

“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!”.

Courtney

 

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