Transverse Upper Gracilis Flap Breast Reconstruction St. Louis
During a TUG flap procedure, a woman’s inner thigh tissue is used to reconstruct the breast. No implants are used as part of the reconstruction. Generally, skin, fat and muscle from the inner upper thigh is used. One or both thighs may be used for a unilateral or bilateral mastectomy.
Ideal Candidates
Candidates for this procedure include patients who are having or have had a mastectomy or are unhappy with a previous expander/implant reconstruction. Patients with previous radiation are also excellent candidates for this procedure. Women who do not desire abdominal flap reconstruction or are unable to have reconstruction with their own abdominal tissue as a result of prior abdominal surgery or inadequate volume of tissue are also candidates.
Poor candidates for this surgery are women who have little fat on their thighs and, therefore, may not be able to attain the breast size they desire.
The Surgery
During the procedure, the breast surgeon performs the mastectomy first. If a mastectomy has already been done, then Dr. Cabbabe begins with the patient lying on their back. Tissue including skin, fat and muscle is removed from the upper inner thigh along with an artery and vein attached. The site where the tissue was removed is closed with sutures and a drain is placed.
Blood vessels between the ribs are identified to provide inflow of blood into and out of the skin, fat and muscle from the thigh. Under a microscope, the artery and vein (s) are reconnected with fine sutures to re-establish blood flow to the flap. The breast is then shaped and molded on the chest to recreate the breast.
A breast lift or breast reduction may be needed on the other breast in order to improve symmetry if a unilateral mastectomy is being done. A new nipple can be made and areolar tattooing can be done if desired in the case of mastectomy.
Preparing for Surgery
Recovery
Contact Us to Learn More
Dr. Cabbabe is a highly-skilled, double-board certified plastic surgeon who will develop a surgical plan that’s tailored to your specific needs. If you’re interested in learning more about the procedure, contact our office to schedule your informative consultation today.