Her Fight is Our Mission

TUG (Transverse Upper Gracilis) flap reconstruction is an excellent option for women seeking natural breast reconstruction, especially those who may not have sufficient abdominal tissue for procedures like the DIEP flap. This technique uses skin, fat, and blood vessels from the upper inner thigh to create a soft, natural-looking breast. In addition to restoring the breast, the procedure also improves thigh contour — offering both reconstructive and aesthetic benefits in one surgery.

At Apollo Athenaa Women’s Cancer Centre, our plastic and reconstructive surgeons’ expertise in microsurgical techniques allows us to deliver TUG flap reconstruction with precision, safety, and a deep understanding of each patient’s unique needs.

This technique is particularly suitable for: 

• Women with limited abdominal tissue or who have previously undergone abdominal surgeries
• Those seeking a natural, implant-free reconstruction
• Patients interested in thigh contouring

How the Procedure is Performed

• Tissue Harvesting: A flap of skin and fat is carefully removed from the upper inner thigh, along with the blood vessels that supply it. This process is done with precision to preserve surrounding muscle and ensure the best donor site appearance.
• Microsurgical Transfer: The harvested tissue is transferred to the chest, where microsurgical techniques are used to connect the thigh’s blood vessels to those in the chest. This critical step ensures the tissue remains healthy and viable in its new location.
• Breast Shaping: The flap is sculpted into a natural breast shape, taking into account symmetry, volume, and the patient's aesthetic goals. Our expert surgeons focus on achieving results that are as close to natural as possible.
• Microsurgical Precision: Vascular anastomosis (joining of blood vessels) is performed under high magnification using advanced microsurgical techniques, ensuring reliable blood flow and flap survival.

Recovery 

• Hospital Stay: Most patients stay in the hospital for 4–5 days, during which the surgical team monitors the flap closely to ensure optimal healing.
• Recovery Timeline: Light daily activities can typically resume in 3–4 weeks, with full recovery taking about 6–8 weeks. 
• Follow-Up and Physiotherapy: Regular follow-ups are scheduled to monitor the flap and donor site healing. Physiotherapy may be recommended to enhance mobility and ensure a smooth recovery.

Key Advantages

• Natural Autologous Tissue Reconstruction: Using the patient’s own tissue, the TUG flap results in a soft, lifelike breast that ages naturally with the body and eliminates risks associated with implants.
• Thigh Contouring Benefit: Removal of tissue from the upper inner thigh results in improved contour and a leaner thigh profile, providing an added cosmetic benefit that enhances overall body aesthetics.

At Apollo Athenaa, we approach breast reconstruction with a commitment to excellence, empathy, and individualised care. Our expert plastic and breast reconstructive team has extensive experience in performing complex reconstructions, including TUG flaps, with outstanding aesthetic and functional outcomes. With advanced surgical skill, dedicated recovery support, and a focus on patient comfort, we provide a truly comprehensive and empowering reconstructive experience.