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                Figure 7. (A) Prior to right unilateral nipple-sparing mastectomy; (B) Post-unilateral mastectomy with SGAP flap reconstruction of the
                right breast; (C) Final reconstruction after removal of SGAP skin paddle on the right and contralateral mastopexy for symmetry on the
                left. SGAP: Superior gluteal artery perforator.

               deformity. Overall, the flap is technically challenging with its difficult dissection; however, mastery of this
               flap will provide a valuable tool in the reconstructive surgeon’s armamentarium for breast reconstruction.


               DECLARATIONS
               Authors’ contributions
               All authors provided significant contributions to the literature review and drafting of the manuscript: Baek
               A, Chong T
               Created illustration for manuscript: Baek A


               Availability of data and materials
               Not applicable.


               Financial support and sponsorship
               None.


               Conflicts of interest
               Both authors declared that there are no conflicts of interest.

               Ethical approval and consent to participate
               VCU institutional review board (IRB) provided exemption. IRB Is not required due to the full nature of the
               paper as a review article rather than a study.


               Consent for publication
               A written informed consent for publication was obtained for all patient photos.


               Copyright
               © The Author(s) 2024.


               REFERENCES
                   American Society of Plastic Surgeons. 2022 ASPS procedural statistics release. 2022. Available from: https://www.plasticsurgery.org/
               1.
                   documents/News/Statistics/2022/plastic-surgery-statistics-report-2022.pdf. [Last accessed on 23 Sep 2024].
               2.       Allen RJ, Treece P. Deep inferior epigastric perforator flap for breast reconstruction. Ann Plast Surg 1994;32:32-8.  DOI  PubMed
               3.       Fujino T, Harashina T, Enomoto K. Primary breast reconstruction after a standard radical mastectomy by a free flap transfer. Case
                   report. Plast Reconstr Surg 1976;58:371-4.  DOI  PubMed
               4.       Shaw WW. Breast reconstruction by superior gluteal microvascular free flaps without silicone implants. Plast Reconstr Surg
                   1983;72:490-501.  DOI  PubMed
               5.       Koshima I, Moriguchi T, Soeda S, Kawata S, Ohta S, Ikeda A. The gluteal perforator-based flap for repair of sacral pressure sores.
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