The truth about the SGAP Flap for thin women

Ladybird-dancer - I am sorry to hear of your situation too. I hope you find a way to get fixed. If you gain a little weight then what gets cut out in a flap (provided it gets taken from an appropriate place) can ALL go to your breasts, unlike fat grafting where they have to liposuction out a lot of fat, then 1/3 gets fat grafted back in and 1/3 more dies and then you are lucky to get 1/2 of the fat to survive and it can be unpredictable where the fat dies. Then it has to be done multiple times for an even result.

You were botched. The thing is with the SGAP, I ended up exactly how the doctor expected me to and he was always very pleased with how I looked. He and his staff always told me, "I looked great." According to the doctor, I was not "botched." He told me my gluteal folds would go back to normal after a year. He did not think it was a big deal that my transition from back to now scrunched buttocks was gone and did not have a solution for it and he thought my dents were not so bad. His "solution" was to put a little fat in the dents if I wanted. He told me to gain weight so he could use my tummy fat to fill in my dents. It would have been better if he just used my tummy fat for my breasts to begin with, but he advised against that. My husband and I spoke to the doctor multiple times before the procedure about how this was going to affect my buttocks and we were convinced he was right on board with us. I told him I was not willing to trade my buttocks for breasts. He was in total agreement with me. He never admitted that I was disfigured.

Another microsurgeon confirmed that how I looked including my infragluteal folds (my biggest concern) was very common with the SGAP, he showed me how it happened. He told me that he always explains to his patients how they are going to look and said they never care because they just want breasts. A different doctor told me it was very common for those flaps to cause severe deformities. Apparently, this seems to be common knowledge among doctors.

How come we do not have this information? I went back through all the pictures I could find on SGAP and I still have not seen any disfigured gluteal folds. My buttocks is the worst ever! I think women should know that their gluteal folds might be disfigured (among other things) BEFORE they get the SGAP. It is a defect of the procedure that should get addressed as doctors are taught not to disfigure the gluteal folds to begin with. I do not know how the SGAP ever became a FIRST LINE option as it results in SEVERE DEFORMITY. Who would be happy with that?

The doctors should not be able to lie to us. I think us breast cancer survivors should have this knowledge so we can make informed decisions. We are easy to get taken advantage of and I don't see any organizations getting information to breast cancer patients, they seem more interested in promoting doctors and dressing up in pink.

I also am VERY scared to trust another doctor again as they can and will tell you ANYTHING just to get your money as I have experienced.

Doctors don't give me much information over the phone or email from my pictures that they have me send them. Many have already told me they cannot help me, but a few others want me to travel all the way across the US to them for a consult. I don't see many doctors reconstructing the gluteal folds as doctors are taught not to ever mess with them because the gluteal folds are really difficult to fix. I need to see proof that I can get fixed. I don't have that, but I am expected to trust a doctor to "try" to fix me?

A really good bbl doctor here in the USA that I saw rare pictures where he improved the infra gluteal folds in a patient of his, told me that he could not help my disfigurement. What a blow! If he can't fix me, then how can I believe another doctor that tells me they can without proof? I already once traveled far early on to a doctor that said he could fix me, but all he did was poke my buttocks and didn't have a clue what to do but wanted to "try," and still told me that I would always be disfigured. What a waste! I can't waste my time going to doctors that can't help me. This is why I am warning other women. No one wants to be in my situation.

My surgery went as planned and was considered a success by my SGAP doctor! Hasn't another woman been through this before with SGAP and got fixed? At least tell women they are going to be disfigured, don't try and tell disfigured women that they aren't disfigured when they clearly are.

Many women have advised me to seriously consider going out of the country for reconstructive surgery. I was shocked to learn that other countries are way more advanced than the USA in plastic surgery. I don't want to leave the USA for surgery if I can help it. I have not reached out to any foreign doctors yet. I am ashamed that I might have to go out of the country as it is more likely a foreign doctor can finish what the American doctors don't have the skills to finish. It is embarrassing enough to know that I was lied to and used to make a quick buck by a "reputable doctor."

I think Columbia is the leader in plastic surgery. There is also the Dominican Republic and Mexico, but Columbia is safer in my opinion. I only hear about Americans going to those 3 countries. I don't hear of Americans going to Brazil for plastic surgery. Do you know of any good doctors there? A bigger butt won't improve my disfigurement, it will just make it a bigger disfigured butt.

This is really difficult for my family.

I am open to ANY doctor that can help me.

If anybody knows of any doctors in any country, especially the USA that has experience fixing the buttocks after SGAP (or severely disfigured buttocks) please let me know ASAP.

Just to clarify, I had the SGAP procedure, not the IGAP, they took tissue from my upper buttocks and when they closed me up, they pulled on my gluteal folds upwards and towards the center and disfigured them. Plastic surgeons are taught not to ever disrupt the gluteal folds in school because they are very difficult to fix. My gluteal folds were not cut but are severely disfigured. I was told this happens a lot with the SGAP procedure, but women don't care how their buttocks looks. I cannot believe women would be happy with a severely disfigured buttocks. I thought I would be able to find another woman who had the same experience as me, but got fixed. This experience has changed my life and I don't want another woman to have to go through what I am going through.

Thank you for your kind words. Everyday is a struggle and I just want to make sure other women get the proper advice to help them make the best decisions for themselves