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Reconstruction of the breast with tissue from the posterior

To reconstruct using tissue from the posterior, skin and fat are taken from the upper posterior/hip area. The tissue is provided with blood by the upper gluteal artery (S-GAP: Superior Gluteal Artery Perforator). Although this tissue is harder to transplant, it offers an alternative if the abdomen has too little fat tissue or if the vessels are not there any more due to prior operations. In this case a second operation might be necessary in order to assimilate the opposite side. Pre- and follow-up treatment otherwise equal the TRAM-flap.