What is TDAP Flap?
TDAP, thoracodorsal artery perforator, flap is a breast reconstruction technique using skin and fat from the upper back to recontour the breast. The muscle in the back is left intact during this process and the blood vessels are separated and reconnected in the breast area to keep the tissue alive. This technique is commonly used to reshape the breast after it has already been reconstructed.
The Benefits of TDAP Flap
This technique is ideal for patients who have already undergone breast reconstruction but wish to add more volume and contour to perfect the appearance of the breast. The technique is often combined with fat grafting or a small implant for optimal restoration.
Who is a Candidate?
TDAP flap reconstruction is ideal for patients who have experienced radiation damage in the breast and wish to restore its volume. It is also effective at reshaping the breast after a lumpectomy. Those who have had reconstructive surgery but want to optimize volume and contour to their breasts can also benefit from this procedure. Patients must have enough tissue in the back area in order for this technique to be successful.
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For TDAP flap, a section of skin and fat is taken from the back, just below the underarm. The blood vessels and carefully separated from the muscle, leaving the muscles intact. The tissue is then moved under the skin and to the breast area where it is used to shape the breast. Using microsurgery, the blood vessels are reconnected to restore blood flow.
Results and Recovery
After the procedure, patients can expect some swelling, bruising, and soreness in the breast and back area. Patients typically stay in the hospital for two days following the procedure. Once home, patients should arrange for assistance in the first day or two of recovery with taking care of their back incision. A full list of post-op care instruction and activity restrictions will be provided and should be followed closely. Most patients are able to return to work after one to two weeks but should avoid strenuous activity for four to six weeks. Although a permanent scar will be present on the back, it should be easily concealed in the bra area.
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