Traditionally, natural tissue breast reconstruction uses tissue from an abdominal donor site, leaving a long scar from hip to hip similar to the scar from a tummy tuck. New innovations have led cutting-edge microsurgeons to transfer tissue from other areas with excess fat to reconstruct the breast.
In the profunda artery perforator (PAP) flap, the fat and skin from the upper inner thigh is transferred to the chest wall to reconstruct the breast. The resulting scar from the upper inner thigh donor site is hidden in the buttock crease.