Fig. 6.

Superior gluteal artery perforator flap

(A, B) Preoperative photos of 44-year-old woman who had previously taken abdominoplasty and breast reconstruction with an implant on her left breast. A severely depressed deformity associated with capsular contracture after postoperative radiation therapy is shown on the left lateral breast. Balancing mastopexy had been performed on the contralateral breast at the time of implantation on the left side. (C, D) Secondary delayed breast reconstruction using a superior gluteal artery perforator (SGAP) flap was applied. The implant was removed with anterior capsulectomy at the same time the SGAP flap was removed. The 2-year postoperative view is shown. (E) Donor site scar on the left upper buttock is inconspicuous.