Skip Navigation
Skip Main Content

New Orleans Breast Center for ICAP Flap Surgery


Welcome to the Center for Microsurgical Breast Reconstruction, the premier destination for ICAP Flap breast reconstruction in New Orleans, LA, and Southwest Florida. Dr. Hugo St. Hilaire and his highly skilled team of breast reconstruction surgeons boast more than 15 years of unparalleled experience in the field of breast reconstruction.

Our center specializes in utilizing advanced microsurgical techniques that harness the patient's tissue for TDAP and ICAP Flap breast reconstruction. These innovative approaches ensure natural-looking results with improved long-term outcomes, tailored specifically to each patient's unique needs and body.

What sets us apart is our commitment to a holistic and integrative care approach. We understand that breast reconstruction is not just about physical transformation, but also emotional healing. From our first consultation to your final follow-up, we provide comprehensive care and support every step of the way.

With Dr. Hugo St. Hilaire and our exceptional team by your side, you can trust that you will receive the highest level of care, expertise, and compassion during your breast plastic surgery. Regain your confidence and embrace a brighter future with us.


Woman eating a bowl of fruit

TDAP/ICAP Flap Surgery Across New Orleans & SW Florida

Understanding TDAP & ICAP Flap Breast Reconstruction

During an ICAP Flap (intercostal artery perforator) procedure, skin and fat on the lateral chest wall can be used to augment the breast. Here’s how it works:

  • Tissue is taken from under the arm. The tissue used is named according to the blood vessels that supply it – the intercostal artery.
  • The living tissue is turned over and secured under the breast. The blood vessels are attached to matching vessels in the chest so that the flap is “re-perfused” with blood.
  • The breast area is then augmented and shaped using implants or fat transfer, allowing for a more natural postoperative outcome.

The ICAP procedure can be used as either primary reconstruction after mastectomy or secondary reconstruction after radiation therapy treatment. It also works well for women who have already had other types of reconstructive procedures but need more fullness or shape.

TDAP Flap procedures, on the other hand, are typically used for breast reconstruction only after a mastectomy. They involve taking tissue from the back or abdomen and moving it to the chest area.
While both procedures offer effective options for breast reconstruction, they each have their own advantages and limitations. The choice between ICAP and TDAP depends on factors such as body type, previous surgeries or treatments, desired outcome and personal preference.

At the Center for Microsurgical Breast Reconstruction, we specialize in both TDAP and ICAP breast flap surgery and will work closely with you to ensure the best possible outcome for your unique needs and situation. Contact us today to learn more about how this innovative procedure can help you feel restored.

Frequently Asked Questions

What are the benefits of microsurgical ICAP Flap breast reconstruction?

Microsurgical ICAP Flap breast reconstruction offers several benefits: 

  • It provides a more natural appearance and feel to the reconstructed breast.
  • It minimizes the risk of complications and improves the long-term outcomes of the reconstruction. 
  • It allows for a shorter recovery time compared to other methods.

Overall, this procedure offers a highly effective option for women seeking breast reconstruction after mastectomy.

How long is a typical hospital stay for ICAP flap surgery?

ICAP flap surgery is often performed as an outpatient procedure, meaning you may even be able to go home the same day. 

What can I expect during my recovery from TDAP or ICAP Flap surgery?

During your recovery from TDAP or ICAP Flap surgery, you can expect a gradual healing process. Initially, there may be some discomfort, swelling, and bruising in the treated area. Your surgeon will provide specific instructions for wound care, pain management, and any necessary medications. It is crucial to follow these instructions closely to ensure proper healing. 

The recovery period can vary depending on individual factors, but typically, it takes several weeks for the initial healing to occur. Over time, you will notice improvements in the appearance and feel of the treated area. Regular follow-up appointments with your surgeon will help monitor your progress and address any concerns you may have.

What kind of scarring can I expect after TDAP or ICAP Flap breast surgery?

The scarring after TDAP or ICAP Flap breast surgery can vary from person to person. Generally, you can expect some scarring around the incision sites, but the extent and visibility of the scars depend on factors such as individual healing, surgical technique, and post-operative care. It's important to discuss this with your surgeon as they can provide more specific information based on your unique situation.

How can I get started with reconstructive breast surgeons near me?

It’s easy to schedule your first free consultation with Dr. St. Hilaire and the Center for Microsurgical Breast Reconstruction. Just fill out our online form, and we’ll determine together if you’re a candidate for surgery. We’re excited to meet you!

Visit Your Top Microsurgical Breast Surgeons

Bring Us Your Battle Scars. We’ll Help You Feel Like You.