What is an igam flap?

Conclusion: The IGAM island transposition flap provides excellent tissue bulk, a large reliable skin paddle and a long pedicle that permits flexible positioning with tension free closure.

What is Igap flap?

An IGAP flap uses the inferior gluteal artery perforator blood vessel, as well as a section of skin and fat from your lower buttocks — basically the lower section of the “butt cheek,” near the buttocks crease — to reconstruct the breast.

What is a gluteal flap?

The inferior gluteal artery perforator (I-GAP) flap is one option that allows a large volume of tissue to be used for breast reconstruction with minimal donor site morbidity. The ideal tissue for breast reconstruction is fat with or without skin, not implants or muscle.

What is a Crevicular incision?

The crevicular incision, which is also called the second incision, is made from the base of the pocket to the crest of the bone (Figure 57-8). This incision, together with the initial reverse bevel incision, forms a V-shaped wedge that ends at or near the crest of bone.

What is SGAP reconstruction?

The SGAP procedure is an advanced microsurgical technique that is used to rebuild the breast lost to mastectomy. Living fat is transplanted to the chest from unwanted excess from the upper hip region to give back volume and shape in the newly reconstructed breast while imparting a “butt lift” in the donor site.

What is a gracilis flap?

The gracilis flap is a long strap muscle with a long distal tendon, supplied by a long dominant neurovascular pedicle. The single dominant vascular pedicle includes a sizeable artery (average 1.5 mm internal diameter) and two venae comitantes (average 2.0 mm internal diameter).

What is Crevicular?

: of, relating to, or involving a crevice and especially the gingival crevice gingival crevicular fluid.

What is Crevicular epithelium?

Crevicular epithelium. The stratified squamous epithelium lining the inner aspect of the soft tissue wall of the gingival sulcus. Synonym: sulcular epithelium.

How long is SGAP surgery?

The SGAP flap procedure lasts about 9 to 12 hours. Many plastic surgeons prefer to do each breast separately, which means two different operations spaced a few months apart.