The Stacked Flap Procedure
During the Stacked flap procedure, a horizontal incision is made between the hipbones, and Dr. Cusimano takes the entire flap of tissue from the lower abdomen or one flap from each side. He will then stack the flaps or fold the flap in half to create a new breast. Stacking the flaps in this manner can help to provide needed volume. The small blood vessels in the flap(s) as matched to the blood vessels in your chest and reattached under a microscope.
Another form of stacked flaps for bilateral breast reconstruction would involve taking skin and fat from the lower abdomen and combining this with another donor source such as the inner thighs and recreating each breast with a combination of both flaps. This allows for increased volume for those patients who started out with larger breasts than what their abdominal tissue will provide them.
Because tissue is moved from the belly to the chest your belly will be flatter and tighter, as if you had a tummy tuck.