Abstract
Perforator flaps have revolutionized the field of reconstructive plastic surgery by allowing novel therapeutic options with minimal functional cost to the patient. Despite initial resistance, perforator flaps are now preferentially accepted as the gold standard in autogenous reconstruction in situations where muscle transfer is not necessary. The superior gluteal artery perforator (SGAP) flap constitutes the descendant of the gluteus maximus myocutaneous flap. Although possessing all of its predecessor's advantages, the SGAP flap generates much less donor-site morbidity. Indications for use are multiple, spanning locoregional use as a pedicled flap to free-tissue transfer in breast reconstruction. In this article, we will review the technique of flap harvest with emphasis on some useful tips to achieve an optimal outcome. Typical indications for the flap will be illustrated and specific advantages/disadvantages will be discussed.
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