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Breast Reconstruction

Natural Tissue (Flap) Reconstruction

Rebuilding with your own tissue, with a plan designed around you.

Image by Alyssa Hurley
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What Is Natural Tissue (Flap) Reconstruction?

A more natural approach
 to restoration.

Natural-tissue reconstruction, also called flap reconstruction or autologous reconstruction, uses tissue from another area of your body to create a new breast.

For many women, this approach offers a soft, authentic-feeling reconstruction without the need for a breast implant. Because the reconstruction is created entirely with your own tissue, it becomes a living part of you, naturally changing with your body over time.

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At ARBRA Plastic Surgery, our surgeons bring advanced, fellowship-trained microsurgical expertise to Northwest Arkansas. She meticulously transfers this tissue while prioritizing your comfort, safety, and the preservation of your natural strength at the donor site.

Image by Alyssa Hurley
Soft Shadow Patterns
What Is Natural Tissue (Flap) Reconstruction?

A more natural approach
 to restoration.

Natural-tissue reconstruction, also called flap reconstruction or autologous reconstruction, uses tissue from another area of your body to create a new breast.

For many women, this approach offers a soft, authentic-feeling reconstruction without the need for a breast implant. Because the reconstruction is created entirely with your own tissue, it becomes a living part of you, naturally changing with your body over time.

​

At ARBRA Plastic Surgery, Dr. Kania brings advanced, fellowship-trained microsurgical expertise to Northwest Arkansas. She meticulously transfers this tissue while prioritizing your comfort, safety, and the preservation of your natural strength at the donor site.

The Approaches

There is more than one way to rebuild with your own tissue.

Every body is beautifully unique. The best approach for you will depend on your personal goals, your body's natural contours, your treatment history, and what feels most comfortable for you. We are here to guide you through every option.

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01
Abdominal Flaps
DIEP & SIEA

Gently utilizing skin and soft tissue from your lower abdomen to recreate one or both breasts while preserving your core muscle strength. This approach leaves you with a beautifully flattened abdominal contour, similar to a tummy tuck.

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THIGH-BASED FLAPS
PAP FLAP

An excellent, gentle option for slender women or those with low body fat, the PAP flap borrows soft tissue from the back of the upper thigh along the natural crease of the buttock, leaving a subtle, well-hidden scar.

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03
Double Abdominal Tissue
STACKED FLAPS

When extra volume is desired to rebuild a single breast, tissue from both halves of your lower abdomen can be thoughtfully combined—or "stacked"—to create a fuller, natural shape without an implant.

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MULTI-SITE TISSUE SOURCES
STACKED COMBINATION FLAPS

If a single donor area doesn't offer enough tissue, flaps from two distinct areas—such as combining abdominal and thigh tissue—can be joined together to craft your ideal volume and silhouette.

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NATURAL TISSUE & IMPLANTS
HYBRID FLAPS

When both additional volume and enhanced projection are desired, natural tissue can be thoughtfully paired with an underlying implant to create a beautifully full and authentic shape.

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06
SIDE CHEST WALL FLAPS
TDAP & ICAP

These delicate, localized techniques borrow tissue from the side of the chest wall directly beneath the arm, making them ideal for targeted, partial breast reconstruction after a lumpectomy.

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Multi-Site Tissue Sources
STACKED COMBINATION FLAPS

If a single donor area doesn't offer enough tissue, flaps from two distinct areas—such as combining abdominal and thigh tissue—can be joined together to craft your ideal volume and silhouette.

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05
Natural Tissue & Implants
HYBRID FLAPS

When both additional volume and enhanced projection are desired, natural tissue can be thoughtfully paired with an underlying implant to create a beautifully full and authentic shape.

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06
SIDE CHEST WALL FLAPS
TDAP & ICAP

These delicate, localized techniques borrow tissue from the side of the chest wall directly beneath the arm, making them ideal for targeted, partial breast reconstruction after a lumpectomy.

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06
Lower Buttock Flaps
IGAP FLAPS

Thoughtfully designed for slender patients, the IGAP flap borrows tissue from just above the lower buttock crease, expertly utilizing your body's natural contours for a soft, authentic restoration.

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Upper Buttock Flaps
SGAP FLAPS

When abdominal tissue isn't available, the SGAP flap offers another excellent alternative, using soft tissue from the upper buttock region to create a warm, natural breast contour.

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Side Chest Wall Flaps
TDAP & ICAP

These delicate, localized techniques borrow tissue from the side of the chest wall directly beneath the arm, making them ideal for targeted, partial breast reconstruction after a lumpectomy.

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Why Natural Tissue?

Your reconstruction
should fit you.

Our goal is never simply to move tissue from one place to another. Our goal is to truly understand you—your story, your body, and what matters most to your healing—and to choose an approach that brings all of those pieces together beautifully.

Our goal is never simply to move tissue from one place to another. Our goal is to truly understand you—your story, your body, and what matters most to your healing—and to choose an approach that brings all of those pieces together beautifully.

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Why Natural Tissue?

Your reconstruction
should fit you.

Soft & Authentic

Because the reconstruction uses your own natural tissue, it feels soft, warm, and yours—looking and moving just like a natural breast.

No Implant Required

This approach beautifully restores your shape without the need for a breast implant, making it a wonderful choice for many patients, especially those who have experienced or anticipate radiation therapy.

Changes With You

A reconstruction made entirely from your own tissue acts naturally with your body over time, gently gaining or losing volume just as you do.

Long-Lasting Results

Without an implant, there is nothing to replace or exchange in the future. Many women find deep peace of mind in the permanent, lifelong results of natural-tissue reconstruction.

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FAQ

Answers to help guide your decisions.

We know this process comes with a lot of questions, and it is completely normal to want as much information as possible. Here are a few common answers to help get you started.

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Enhanced safety & efficiency

The Dual-Microsurgeon Model

We are proud to be the first and only plastic surgery practice in Arkansas designed around a collaborative, dual-microsurgeon team approach. 

By working in tandem, we are able to significantly reduce operating and anesthesia times, enhance patient safety, and double the precision applied to every detail of your surgery. Typically found only in large, academic medical institutions, this model allows two fellowship-trained microsurgeons to operate together during complex procedures.

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You don't have to
figure it all out today.

Start with a conversation. We'll listen to where you are, answer your questions, and help you understand what comes next.

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