All visitors are required to wear masks.

For COVID-19 safety, all visitors to ChristianaCare facilities and services are required to wear masks. This includes visitors who are vaccinated. Please read our visitor guidelines before arrival.

Masks required at outpatient locations; visitors and support persons limited

All visitors at outpatient locations must be masked in alignment with the masking guidelines on our visitation policy page here. Patients at ChristianaCare’s outpatient services are advised to come to their appointments alone unless a support person is absolutely needed. If a support person is needed, such as a parent, guardian or spokesperson, we highly encourage that the support person be vaccinated. Outpatient practices are not requiring vaccination or a negative COVID test for visitors at this time.

All hospital visitors required to be vaccinated or have a negative COVID-19 test.

  • Inpatients in our Christiana, Wilmington and Union hospitals may have one visitor daily between 10 a.m. and 8 p.m. The visitor must be 16 or older.
  • Patients having outpatient surgery may have one support person accompany them. Support persons must be 16 or older.
  • All visitors and surgical support people must show proof of vaccination OR a negative COVID-19 test within the prior 72 hours.

Before visiting, click here for more details about visitation.

Visit or for local vaccination and testing sites.

Plastic Surgery


The SGAP (superior gluteal artery perforator) flap uses this artery and the skin and fat from your upper buttock, attached to blood vessels, to create a new breast. This procedure does not use any muscle to reconstruct the breast.

SGAP is a free flap procedure that requires your surgeon to detach the tissue from your buttock and reattach it to blood vessels in your chest. The procedure requires a longer surgery and recovery time than some other reconstruction procedures.

The donor scar of the SGAP flap is hidden on the upper buttock area. This may be a good choice for a woman who has small breasts with little abdominal tissue. Your surgeon can assess your body shape to guide your flap options.

Who can have this procedure?

SGAP may be right for you if you:

  • Prefer a breast reconstruction without an implant and do not have enough tissue in other areas of your body to consider other flap procedures.
  • Have had radiation to the chest wall in the past.

Things to Consider

  • Not all breast reconstructive surgeons have the expertise to perform this complex procedure. ChristianaCare’s Stephanie Caterson, M.D. is very experienced in flap procedures and has performed more than 20 SGAP flaps.
  • SGAP requires a lengthy hospital stay and recovery time.
  • It may not be possible to reconstruct both breasts at once due to the length of the procedure. Bilateral breast reconstruction with SGAP flaps may need to be done in a staged fashion.

For more information or to schedule an appointment, call our office at 302-623-3605.