Introducing the sc-GAP Flap: A New Approach to Microsurgical Breast Reconstruction Figure 5.7 The septocutaneous perforator was dissected underneath the gluteus maximus to the origin of the superior gluteal artery. RESULTS From February to July of 2008, 11 consecutive sc-GAP flaps were performed for postmastectomy breast reconstruction in nine patients. Mean patient age was 52 years (range, 44 to 60 years). Mean body mass index was 22.2 (range, 17.2 to 29.1). One patient was a smoker. All patients underwent pre- operative imaging. Of the nine patients, four underwent computed tomographic angiography (44 percent) and five underwent magnetic resonance angiography (56 percent). One patient underwent prophylactic mastectomy and bilateral sc-GAP reconstruction because of testing positive for the BRCA2 gene (Fig. 5.8). 72
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