(Transverse Upper Gracilis) 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. 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 TUG flap is a very good option for women who:
- want to avoid an abdominal scar
do not have enough abdominal tissue for DIEP or SIEA flap breast reconstruction
have had previous abdominoplasty (“tummy tuck surgery”)
have had multiple previous abdominal surgeries