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Contact Dr. Levine and the Center for Breast reconstruction at 212.245.8140 Our New Location: 57 West 57th Street, Suite 1603, New York, NY 10019 PAP stands for profounda artery perforator flap. It is the tissue taken from the back of the leg just below the buttock crease. The tissue is taken from the area sometimes called the “banana roll”. It is a horizontal he designed the lips of skin and fat harvested from just below the buttock such that the resulting scar is buried nicely with in the infra buttock crease. Like the DIEP, and all perforator flaps, this operation also spares the underlying muscle. Even very thin women are candidates for this operation. There is no damage to the underlying muscle and the resulting scar is very favorable. Thin women who don’t have a lot of body fat typically do not require much tissue to make a new breast. Therefore, almost everyone who wants this operation is a candidate for it. Learn more about PAP flap reconstruction: https://centerforbreastreconstruction... Learn about other types of advanced Perforator Flap Procedures we offer: https://centerforbreastreconstruction... Learn more about Expert Breast Reconstruction Surgeon, Dr. Joshua L. Levine: https://centerforbreastreconstruction... © 2023 THE CENTER FOR BREAST RECONSTRUCTION | JOSHUA L. LEVINE, MD, FACS