{"id":5441,"date":"2021-03-16T11:01:56","date_gmt":"2021-03-16T10:01:56","guid":{"rendered":"https:\/\/www.idsein.fr\/breast-cancer-breast-reconstruction\/reconstruction\/diep-lambeau-libre\/"},"modified":"2026-01-05T13:39:03","modified_gmt":"2026-01-05T12:39:03","slug":"stomach-diep-flap-reconstruction","status":"publish","type":"page","link":"https:\/\/www.idsein.fr\/en\/cancer-and-reconstruction\/reconstruction\/reconstruction-after-mastectomy\/stomach-diep-flap-reconstruction\/","title":{"rendered":"Reconstruction with DIEP and other free flaps"},"content":{"rendered":"

The procedure for a PAP reconstruction<\/b><\/p>\n

The PAP flap is a removal of the excess skin and fat from the top of the inner and posterior surface of the thigh. The skin and fat are harvested from the top of the posteromedial aspect of the thigh with its vessels (artery and vein). The flap is then reconnected to the thorax by microsurgery.<\/span><\/p>\n

Benefits of the PAP<\/b><\/p>\n

It does not require muscle harvesting as for the Gracilis thigh flap. It can be performed on women with slender morphologies who are not candidates for DIEP. Reconstruction is natural, as there is no implant.<\/span><\/p>\n

The disadvantages of the PAP<\/b><\/p>\n

The scar is located at the root of the thigh and can be painful and unsightly. The amount of skin and volume is limited and is mainly intended for small breast volumes. The color of the skin of the thigh being darker than that of the breast, the PAP is mainly used when it can be buried under the skin of the breast (during an immediate breast reconstruction or after changing an expander or prosthesis).<\/span>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

1.1. Reconstruction imm\u00e9diate du sein gauche par DIEP.<\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

1.2. Reconstruction imm\u00e9diate du sein gauche par DIEP.<\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

2. Reconstruction du sein droit par DIEP. Augmentation du sein gauche.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Image<\/div><\/div>

3. Reconstruction droite par DIEP.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

4. Reconstruction droite par DIEP et plastie mammaire de r\u00e9duction \u00e0 gauche.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

5.1. Reconstruction imm\u00e9diate droite par DIEP.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

5.2. Reconstruction imm\u00e9diate droite par DIEP.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

6.1. Reconstruction droite par DIEP et augmentation du sein gauche par proth\u00e8se avec traitement de la pt\u00f4se.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

6.2. Reconstruction droite par DIEP et augmentation du sein gauche par proth\u00e8se avec traitement de la pt\u00f4se.<\/span><\/p>\n<\/div><\/div><\/div>

\"Poitrine<\/div>
\"Poitrine<\/div><\/div>

7. Reconstruction gauche par DIEP.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div>

<\/div>\n\t\t\t
<\/div><\/div><\/p>\n

The GRACILIS or TUG<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"

The procedure for a PAP reconstruction The PAP flap is a removal of the excess skin and fat from the top of the inner and posterior surface of the thigh. The skin and fat are harvested from the top of the posteromedial aspect of the thigh with its vessels (artery and vein). The flap is […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":38227,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"page-templates\/internal-page.php","meta":{"footnotes":""},"class_list":["post-5441","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nBreast reconstruction by DIEP or free flap | Breast Institute Paris - Restitute<\/title>\n<meta name=\"description\" content=\"Free flap breast reconstruction involves reconstructing the breast using skin and fat taken from a defined part of the body and transferred to the breast. 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