TUG Flap Breast Reconstruction (Transverse Upper Gracilis)

The TUG flap procedure uses tissue from the inner portion of the upper thigh (just under the groin crease) to reconstruct a "natural", warm, soft breast. The resulting thigh scar is generally very well hidden near the groin crease. Patients also receive an "inner thigh lift" as an added benefit of the surgery.

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The TUG flap is a very good option for women who have small to medium sized breasts, want to avoid an abdominal scar, or are not candidates for DIEP or SIEA flap breast reconstruction (e.g. have had previous abdominoplasty or do not have enough lower abdominal tissue).

The procedure uses skin, fat and the gracilis muscle to reconstruct the new breast. Unlike loss of other muscles (like the rectus abdominus), loss of the gracilis muscle does not result in any noticeable functional impairment. The tissue is dissected from the inner thigh and transplanted to the chest where it is reattached microsurgically.

The ideal shape of the TUG flap allows shaping of the breast with a very aesthetic contour and projection. Like the DIEP, SIEA and GAP flaps, the living tissue also ensures a soft, warm and very "natural" reconstruction.

Key Information: 
  • The TUG flap uses tissue from the upper, inner thigh (just under the groin crease) to reconstruct a "natural", warm, soft breast
  • The resulting thigh scar is generally very well hidden
  • Patients also receive an "inner thigh lift" as an added benefit of the surgery
  • The TUG flap is a very good option for women who:
    • have small to medium sized breasts
    • want to avoid an abdominal scar
    • are not candidates for DIEP or SIEA flap breast reconstruction
  • Loss of the gracilis muscle does not result in any noticeable functional impairment
  • View TUG flap before and after photos
  • To learn if you are a TUG flap candidate or to schedule a consultation, please contact us here or call us on (800) 692-5565.
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