TDAP Flap

The Thoracodorsal Artery Perforator, or TDAP, Flap is also an option for some patients who have undergone a mastectomy or a partial mastectomy. The “back fat roll” is used and rotated in the mastectomy defect. No muscle is sacrificed as opposed to the older latissimus flap. The resulting scar is well hidden in the bra line. The classic TDAP flap does not require the reattachment of blood vessels and makes it a simpler surgery with shorter recovery. Unfortunately, the volume available is often limited.

What to expect after a TDAP flap:

A hospital stay of 2 nights for unilateral (one breast) and 3 nights for bilateral (two breasts) procedures is the norm. Patients should refrain from strenuous activities for 4-6 weeks. Compression dressing will be used to optimize healing. Discomfort is well controlled by the use of long-acting local anesthetic and nerve blocks. Patients can usually be back to drive at 2 weeks and to work at 3 weeks.