What is TUG Flap Reconstruction?

TUG (transverse upper gracilis) flap reconstruction uses skin, muscle, fat and blood vessels from the upper inner thigh. Patients who have had previous abdominal surgery, eliminating the option for abdominal tissue use, can often benefit from this procedure.

How is TUG Flap Reconstruction Performed?

During this procedure, our team will remove a flap of skin, and muscles from the upper inner thigh muscle known as the gracilis muscle. The flap is then moved up to the chest to create a small to medium sized breast mound. The blood vessels will meticulously be attached to the chest using microsurgery. It is important to understand that, following this procedure, you will no longer have use of your gracilis muscle.


Following the procedure, patients should stay in the hospital for about three days to being their recovery. A compression garment should be worn for much of your recovery, and any drains that have been placed can be removed after one to two weeks. Strenuous activities and exercise should be avoided for four to six weeks post-op. It is important to follow our specific recovery instructions for a safe recovery.