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American Family Children's Hospital
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Transverse Upper Gracilis (TUG) Flap Reconstruction

In a Transverse Upper Gracilis (TUG) flap procedure, a section of muscle, fat and skin is taken from the upper thigh and used to create a natural looking breast mound after mastectomy. The transplanted flap is reattached to the new breast site using microsurgical techniques. Unlike other procedures, the loss of gracilis muscle has little effect on form and function.

 

The breast incision will be circular, oval or a "soft" triangle - this was the skin from your upper thigh. This procedure will leave a scar that runs along the groin crease, but may be easily concealed by undergarments. Patients may experience the added benefit of a thigh lift as a result of this procedure.

 

Patients with inadequate abdominal tissue or those who have had abdominal surgery in the past are ideal for TUG flap reconstruction.

 

Transverse Upper Gracilis (TUG) Flap Reconstruction