The IGAP (Inferior Gluteal Artery Perforator) Flap is an advanced surgical technique for breast reconstruction, where the surgeon takes excess skin and fat from the lower buttock. This usually results in a well camouflaged scar.

Oftentimes, women are concerned about the pain or discomfort associated with this procedure. Ample tissue is left in the buttock for comfort when sitting. Women with ample buttock tissue, sagging buttock, or sparse abdominal tissue are ideal candidates.

Until recently, IGAP and SGAP were not recommended unless patients were not candidates for the use of abdomen area tissue. However, reconstructive outcomes have demonstrated excellent and comparative results from harvesting tissue from the buttock.

Past surgical options that used the lower buttock took both fat and muscle. While these procedures sometimes produced good cosmetic results, they often led to problems with the sciatic nerve in the back of the leg. By relocating just skin and fat and leaving the adjoining muscle undisturbed, the risk of complications is significantly less.

For women who need reconstruction in both breasts, both the SGAP or the IGAP can be performed bilaterally at the time of mastectomy.


  • Dr. Miller and his team at Dreams Med Spa did a wonderful job from pre-op to surgery and follow up examinations. Takes the time to listen and finds exactly what works for you. Clean office and pre-op rooms, private and professional staff as well as on time appts. and follow up cares. I will be using them for any future needs I may have

  • Because I was treated for breast cancer at 32, I was fairly certain I would opt for reconstructive surgery. I didn't know which doc to go with. I'm so thankful someone steered me towards Dr. Miller. The process is a little lengthy in nature and getting "fills" to stretch the tissue to accommodate the new breast implants was not my favorite. But, cancer treatment is not a sprint...It's a marathon and this was just part of the treatment and recovery process. The discomfort was worth it, without a doubt. I'd do it again.

  • Since i was younger i knew i always wanted bigger breast. Once i was able to afford it i knew i had to do it and i’m soooo glad i did! This process was smooth and easier then i thought. If you are even questioning the procedure i suggest at least going in for a free consultation!!