TUG (Transverse Upper Gracilis) Flap Breast Reconstruction at Mercy

TUG flap breast reconstruction, or Transverse Upper Gracilis flap breast reconstruction, is a microsurgical procedure for breast reconstruction offered by the plastic surgeons of The Breast Reconstruction and Restoration Center at Mercy. As experts in microsurgical breast reconstruction, our doctors work with patients to develop the best treatment plan for breast reconstruction.

What is TUG Flap Breast Reconstruction?

TUG flap breast reconstruction uses the inner portion of the patient’s upper thigh to create a new breast. Tissue along with the gracilis muscle are removed from just under the groin crease and reconnected to the mastectomy site using microsurgical techniques. Whereas other breast reconstruction procedures, such as DIEP flap, SGAP flap, and IGAP flap, do not remove any muscle, the relocation of muscle from the thigh does not interfere with the leg function.

Who are the best candidates for TUG Flap Breast Reconstruction?

TUG flap breast reconstruction is an option for patients with small to medium-sized breasts who do not need their breasts reconstructed with a lot of volume. For patients who do not want an abdominal scar, have had a tummy tuck, do not have enough abdominal tissue for a DIEP flap, or enough buttock tissue for a SGAP flap or IGAP flap, the TUG flap breast reconstruction is a treatment option.

Are additional breast reconstruction surgeries needed following TUG Flap Reconstruction?

The shape of the flap taken from the inner thigh during TUG flap breast reconstruction enables a natural looking breast as well as the possibility to create an areola and nipple without further surgeries.

How is TUG Flap Breast Reconstruction coordinated with breast surgery?

Mercy's breast reconstruction surgeons coordinate with the breast cancer surgeons at The Hoffberger Breast Center at Mercy, to develop the best treatment option for each patient wanting breast reconstruction following mastectomy.