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PAP Flap – Breast Cancer Reconstruction – Baton Rouge, LA


The PAP(Profunda Artery Perforator) flap procedure uses tissue from posterior thigh (the back of the upper thigh), located beneath the buttock crease. It is a new procedure gaining in popularity, usually with thinner patients who are not good candidates for DIEP Flap breast reconstruction. The tissue used is typically the tissue that is used for a thigh lift. With this procedure the scar is hidden very nicely in the crease of the buttock area. It can be a very good option for patients who would like a “thigh lift” and aren’t good candidates for DIEP.


  • Uses the tissue from the posterior thigh(back of upper thigh), beneath the buttock crease
  • The scar can be hidden very discretely in the crease of the buttock
  • “Thigh Lift” added bonus
  • Muscle Sparing – does not use muscles for reconstructed breast(s).
  • Muscle sparing quickens recovery time and much needed core strength is retained

Natural Look – Aesthetically, muscle-sparing procedures result in a much more natural and symmetrical breast appearance and feel than implant reconstruction because they use the patient’s own living tissue to reconstruct the breast. Appearance aside, the PAP and TUG Free Flap, similar to the DIEP Free Flap procedure, also results in a quicker recovery and more core strength retention. Additionally, you avoid all the high complication risks which may occur using a breast implant; such as, capsular contracture, infection or bottoming out.  In order to correct any of these issues it would require a second surgery, which most women would like to avoid.

Tighter and more firm thigh area, similar to a Thigh Lift

Can be performed Pre- or Post Mastectomy

Performed by Two Board-Certified Microsurgeons

pap flap breast reconstruction surgery baton rouge



  • PAP flap breast reconstruction uses the tissue near the buttock crease, from the back of the upper thigh
  • The scar is discreatly hidden in buttock’s crease
  • Added bonus of a “Thigh Lift”
  • Like all of Dr. Theunissen’s Breast Reconstruction procedures, the PAP Flap is a muscle sparing procedure
  • To learn if you are an eligible PAP flap candidate or to schedule a consultation, please contact us here or call us at (225)218-6108.

Breast Reconstruction - A.L., Facebook & Google Review

“I was referred to Dr. Theunissen by my oncologist Dr. Bowie. This was not a surgery I wanted to do but needed to do, and I had a lot of anxiety. He really eased my mind by answering all my questions. I trusted Dr. Theunissen & his staff to take care of everything, and I’m glad I did! I could not be more happy & healthier now!! :-))”

L.J., DIEP Breast Reconstruction, Facebook Review

“Dr. Theunissen is absolutely a brilliant surgeon! After complications with breast implants from previous double mastectomy and reconstruction performed by well-known surgeon in New Orleans, Dr. T spent several visits with me explaining Diep Flap procedure. I really did not want to have this surgery; however, it was my best option. I’m so thankful for Dr. Theunissen and his highly experienced staff! My results are fabulous! I smile every day when I think of what a challenge I was and how happy I am today! Oh, by the way, he discovered a small kidney cancer, which was evident on first CT scan at beginning of my cancer journey! He arranged for partial removal of kidney with a fabulous urologist in Baton Rouge. He absolutely saved my life. Dr. Theunissen did his job, God heals!!!”

L.A., DIEP Breast Reconstruction, Facebook Review

“Dr. Theunissen performed a double breast reconstruction for me, and I have been very pleased with my care and the final results of my surgery. Dr. T knows his field extremely well and is a skilled surgeon and the nicest physician I have ever had the pleasure of knowing.” 

N.S., Breast Augmentation Revision, Google Review

“Second plastic surgeon I have been to for breast augmentation. Answers any and all questions and makes you very comfortable. He did an amazing job repairing my previous surgery. I couldn’t be more happy with the results! His nursing and surgical staff are top notch!!” – Nicole Skrintney, Breast Augmentation Revision, Google Review

L.C., Facebook Review

“I travel from Alexandria to Baton Rouge to see Dr. T, even for minor treatments such as Botox and/or fillers. In treating me, Dr. T has set the bar so high, I don’t even inquire about local doctors anymore. They just won’t measure up. Oh, I’m sure we have good doctors here, but Dr. T is great! You can trust Dr. T. He listens to your concerns and goes out of his way to see that you are happy. He instantly puts even the shyest person at ease. Let me not neglect to mention Dr. T’s phenomenal staff! He has the best nurse and reception area 🙂 Thank you, Dr T & Staff 🙂 Blessings, Lydia Cortello”

C.O., Facebook Review

“My experience with Dr. Theunissen and his staff was exceptional. I had consulted with other groups for my procedure, but decided to travel outside of Lafayette based on his professionalism and attention. His follow-up made me feel that he truly cared about me and my outcome.”

D.M., Google Review

“Dr. Theunissen is a wonderful and devoted doctor. His honesty and kindness are just a few details of the incredible bedside manner he has. He is complimented by the loving and knowledgeable staff that work for him. From the front desk, to his assistants, and the recovery nurses, he has a team that provides the best level of care any patient would hope for. I would highly recommend him to anyone.”

D.R., Brachioplasty, Facebook Review

“I had considered having my “wings” removed from my arms for years but after losing weight I knew it was time. Dr. T. was recommended by a former patient. All concerns were addressed during my consultation & I’m extremely pleased with my results. I have no hesitation in recommending Dr. Theunissen.”

T.M., Facebook Review

“A generous and compassionate Doctor, great bedside manner”

Y.F., Facebook Review

“He’s excellent!! I appreciate Dr. T as well has his team for giving my son the best care possible.”

Contact Dr. Theunissen About Your Procedure


MON-THURS: 8am - 4:30pm
FRIDAY: 8am - 1pm

American Society of Plastic Surgeons BR LA