Gluteal artery perforator free flaps for breast reconstruction

Free flap autologous breast reconstruction is becoming more and more common for post-mastectomy reconstruction. Abdominally-based tissue flaps are the first choice for many reconstructive breast microsurgeons, but not all patients are candidates, whether due to their leaner habitus or a history of prior abdominal surgery. The gluteal donor site in many patients can provide adequate soft tissue for autologous breast reconstruction, even in lean patients, with a scar that remains well-hidden. This review presents an overview of the superior gluteal artery perforator (SGAP) flap as an invaluable tool for autologous breast reconstruction.