PAP Flap Before & After Photos
Before and after photos of Dr. Haddock’s PAP flap patients, shared with their written permission. A PAP flap rebuilds the breast with the patient’s own tissue from the upper inner and back of the thigh. Each patient is shown from the front, sides and angles, with how long after surgery the photos were taken. Select any photo to enlarge it.
Individual results vary. Dr. Haddock posts a range of results to give patients a broad range of possible expectations. A large portion of the differences amongst results is a result of the patient anatomy and/or previous treatments.
All breast reconstruction before & after photos · About the PAP flap
PAP Flap 55 patients
PAP flap 2 years 8 months after surgery
50s · Skin-sparing mastectomy · Nipple reconstruction · Areola tattoo
PAP flap 1 year 2 months after surgery
40s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
PAP flap 4 months after surgery
20s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
Stacked PAP flaps 2 years after surgery
60s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Unilateral (right) · Nipple reconstruction · Areola tattoo · No symmetry procedure required
PAP flap 1 year after surgery
60s · Total mastectomy · Delayed reconstruction · Nipple reconstruction
Stacked PAP flaps 3 years 3 months after surgery
50s · Total mastectomy · Radiation · Delayed-immediate reconstruction · Unilateral (left) · Nipple reconstruction · Areola tattoo · Left mastectomy and tissue expander performed elsewhere
PAP flap 1 year 3 months after surgery
30s · Robotic nipple-sparing mastectomy · Immediate reconstruction · No revision surgery
Stacked DIEP + PAP flaps 2 years 3 months after surgery
40s · Nipple-sparing mastectomy · Radiation · Delayed-immediate reconstruction
Stacked DIEP + PAP flaps 1 year 3 months after surgery
50s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
PAP flap 7 years 2 months after surgery
50s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · Allergan implants, low projection: 180 cc (right), 210 cc (left)
Stacked PAP flaps 1 year after surgery
60s · Skin-sparing mastectomy · Delayed reconstruction · Unilateral (left) · Prior bilateral DIEP flaps elsewhere, with failure of the left flap
Stacked PAP + LAP flaps 1 year 5 months after surgery
50s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 11 months after surgery
50s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Unilateral (right) · Nipple reconstruction · Prior left TRAM flap performed elsewhere
Stacked PAP flaps 1 year 8 months after surgery
40s · Skin-sparing mastectomy · Radiation · Immediate reconstruction · Unilateral (right) · Nipple reconstruction · Areola tattoo · Prior DIEP flap elsewhere with loss of the right flap
PAP flap 1 year 1 month after surgery
40s · Skin-sparing mastectomy · Immediate reconstruction · Unilateral (left) · Nipple reconstruction · Areola tattoo
PAP flap 2 years 4 months after surgery
50s · Skin-sparing mastectomy (right), nipple-sparing mastectomy (left) · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 1 year after surgery
40s · Robotic nipple-sparing mastectomy · Delayed-immediate reconstruction
PAP flap 1 year 2 months after surgery
60s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 1 year 7 months after surgery
40s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · Tissue expanders placed elsewhere
Lateral thigh flap (LTP flap) 6 months after surgery
50s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · No revision surgery, by patient choice
PAP flap 9 months after surgery
40s · Robotic nipple-sparing mastectomy · Immediate reconstruction · Unilateral (left)
PAP flap 1 year 6 months after surgery
30s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · Allergan implants, moderate projection, 240 cc · Mastectomy and tissue expanders performed elsewhere
PAP flap 1 year 11 months after surgery
50s · Nipple-sparing mastectomy · Radiation · Delayed-immediate reconstruction
PAP flap 2 years 6 months after surgery
20s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 2 months after surgery
20s · Nipple-sparing mastectomy · Immediate reconstruction · Completed in a single operation
PAP flap 1 year 9 months after surgery
50s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 2 months after surgery
60s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
PAP flap 10 months after surgery
50s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
Stacked PAP + LAP flaps 2 years 8 months after surgery
40s · Previous nipple-sparing mastectomy · Delayed reconstruction · Prior abdominoplasty and bilateral nipple-sparing mastectomy, with a failed right reconstruction
PAP flap 2 years after surgery
40s · Robotic nipple-sparing mastectomy · Immediate reconstruction
PAP flap 2 years 5 months after surgery
50s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
PAP flap 7 months after surgery
40s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
Stacked PAP flaps 6 months after surgery
40s · Nipple-sparing mastectomy · Delayed-immediate reconstruction · Unilateral (left) · Fat grafting to the right breast for symmetry
PAP flap 1 year 9 months after surgery
50s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
Stacked PAP flaps 1 year 8 months after surgery
40s · Skin-sparing mastectomy · Immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 2 years after surgery
40s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
PAP flap 1 year 7 months after surgery
40s · Nipple-sparing mastectomy · Radiation · Delayed-immediate reconstruction
PAP flap 1 year 9 months after surgery
20s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · Tissue expanders placed elsewhere
PAP flap 1 year 9 months after surgery
50s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
Stacked DIEP + PAP flaps 1 year 10 months after surgery
50s · Nipple-sparing mastectomy · Delayed-immediate reconstruction · Belly button reconstruction
Stacked DIEP + PAP flaps 3 years 5 months after surgery
30s · Skin-sparing mastectomy · Radiation · Delayed reconstruction · Nipple reconstruction · Areola tattoo · Prior left mastectomy and radiation
Stacked DIEP + PAP flaps 1 year 3 months after surgery
40s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
Stacked DIEP + PAP flaps 2 years 6 months after surgery
40s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
Stacked DIEP + PAP flaps 1 year 1 month after surgery
50s · Skin-sparing mastectomy · Radiation · Delayed reconstruction · Nipple reconstruction · Areola tattoo · Mastectomy performed elsewhere
Stacked DIEP + PAP flaps 2 years 7 months after surgery
40s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · Right skin paddle required because of radiation damage
Stacked DIEP + PAP flaps 1 year 10 months after surgery
40s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
Stacked DIEP + PAP flaps 1 year 3 months after surgery
50s · Nipple-sparing mastectomy · Delayed reconstruction
Stacked DIEP + PAP flaps 1 year 2 months after surgery
50s · Skin-sparing mastectomy · Nipple reconstruction · Areola tattoo
Stacked DIEP + PAP flaps 7 months after surgery
60s · Total mastectomy · Radiation · Delayed reconstruction · Nipple reconstruction
Stacked DIEP + PAP flaps 10 months after surgery
50s · Skin-sparing mastectomy · Radiation · Delayed-immediate reconstruction
Stacked DIEP + PAP flaps 10 months after surgery
50s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo · Tissue expanders placed elsewhere
Stacked DIEP + PAP flaps 10 months after surgery
30s · Nipple-sparing mastectomy · Radiation · Delayed-immediate reconstruction · Prior bilateral tissue expanders
Stacked DIEP + PAP flaps 1 year after surgery
40s · Nipple-sparing mastectomy · Delayed-immediate reconstruction
Stacked PAP + LAP flaps 8 months after surgery
60s · Skin-sparing mastectomy · Delayed-immediate reconstruction · Nipple reconstruction · Areola tattoo
Stacked PAP + LAP flaps 2 years 3 months after surgery
40s · Nipple-sparing mastectomy · Radiation · Delayed-immediate reconstruction
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