**5. Other flaps and techniques**

## **5.1 PAP flap**

The first live demonstration of PAP flap was by Allen in 2010. PAP flap named as profunda artery perforator flap was originally described for breast reconstruction.

It is based on perforators of the profunda femoris artery which traverses the adductor magnus muscle and supplies the medial and posterior side of the thigh. This can be considered a good option for breast reconstruction when abdominal skin is unavailable and a DIEAP flap is not possible [5].
