THE SUPERIOR GLUTEAL ARTERY PERFORATOR FLAP

The gluteal region is an excellent donor site for autogenous breast re construction, particularly when the lower abdomen is not suitable. The superior gluteal perforator flap involves microsurgical transfer of s kin and fat from the buttock without muscle sacrifice. Gluteal myocuta neous flaps have been described, but they have several problems, inclu ding a short vascular pedicle, exposure of the sciatic nerve, and reci pient vessel size discrepancy needing vein grafts.