Love Handle Flap in Washington DC

With his colleagues at Johns Hopkins, Dr. Rad is a co-inventor of the Love Handle “SGAP” flap, the most advanced breast reconstructive operation in the world. Dr. Rad is one of only 30 surgeons worldwide who has the technical experience to perform this flap routinely and safely.  For this reason patients for whom traditional reconstructive procedures have failed seek out Dr. Rad’s microvascular experience. In the right patients, the Love Handle “SGAP” flap offers patients natural tissue reconstruction when the DIEP flap or implants are not good options due to prior abdominal surgery and/or radiation treatment.  Dr. Rad utilizes the Love Handle flap to reconstruct an entire breast for patients who do not have enough abdominal tissue for the DIEP Flap
The best candidate for the LSGAP Flap is one for whom:
  • the love handle region has plentiful fat whereas the abdominal region has a paucity of fat
  • breast radiation precludes implant reconstruction

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Which Option is Best?

  • LSGAP Flap or DIEP Flap?
    • When there is adequate abdominal fat, the DIEP Flap is Dr. Rad’s preferred option due to the feasibility of simultaneous bilateral reconstruction, the improvement in abdominal contour, and the relative ease of surgery.
    • In the absence of adequate abdominal fat, the LSGAP Flap is Dr. Rad’s preferred second choice.
  • Every patient has a unique situation and there is no cookie-cutter approach. Dr. Rad spends time with each patient to achieve the best results with the least amount of surgery and in the safest manner possible.


  • Breast reconstruction is safe and is performed under general anesthesia and a short hospitalization is standard for most reconstructive procedures.
  • Dr. Rad works with board certified anesthesiologists and performs surgery at Inova Fairfax Hospital, the best rated tertiary care hospital in northern VA.

Other Options

  • Implant Reconstruction is the most popular option owing to its simplicity; however, implant reconstruction is not a good option in the setting of prior breast radiation.
  • DIEP Flap Reconstruction is the gold standard in tissue reconstruction for patients with adequate abdominal fat.
  • Dr. Rad performs Corrective Reconstruction for many women who have had botched breast reconstruction by other surgeons. 

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The love handle flap is the perfect alternative for patients who have ample love handle fat, who don’t have extra fat in the abdominal region, and who want to use their own tissue for reconstruction.

View Before/After Gallery

Photos are of patients who have given explicit written agreement to have them displayed. For patient privacy reasons, the majority of Dr. Rad’s patients prefer their before/after photos to remain off-line. However, Dr. Rad will be happy to show you, in the setting of a confidential consultation, a series of before/after photos, not displayed here, to address your specific concerns. SHERBER+RAD cannot guarantee specific results. Individual results may vary.

What Patients Are Saying