On This Page
- What Is Tug Flap Reconstruction?
- Ideal Candidates
- Reviews & Opinions Of Existing Patients
- Surgical Technique
- The Tug Flap Reconstruction Experience
- Why Choose Snyder Plastic Surgery For Tug Flap Reconstruction
- Frequently Asked Questions About Tug Flap Reconstruction
- Schedule A Consultation
- Additonal Information
- Follow Us On Instagram
At Snyder Plastic Surgery, we want every patient to feel empowered with options for natural, personalized breast reconstruction. The TUG (Transverse Upper Gracilis) flap uses skin, fat, and a small portion of the gracilis muscle from the inner thigh to recreate a soft, natural breast shape following mastectomy.
This technique provides a well-vascularized tissue transfer that can achieve excellent cosmetic results while subtly contouring the inner thigh area.
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Healing Process after Breast Reconstruction
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What Is TUG Flap Reconstruction?
The TUG flap reconstruction uses tissue from the upper inner thigh to rebuild the breast. It is a type of autologous breast reconstruction, meaning it uses your own tissue rather than implants. During this procedure, Dr. Snyder removes a section of skin, fat, and the underlying gracilis muscle and transfers it to the chest, where it is shaped into a new breast mound.
Because the donor site is on the inner thigh, this technique also has the added benefit of gently slimming and contouring the thigh area. The TUG flap is particularly beneficial for women who do not have sufficient abdominal tissue for reconstruction methods such as DIEP or SIEA flaps.
Ideal Candidates
TUG flap reconstruction may be ideal for women who:
- Do not have enough abdominal tissue for DIEP, SIEA, or TRAM flap reconstruction
- Have had previous abdominal surgeries that limit donor-site options
- Are thin or athletic with limited fat tissue on the abdomen
- Prefer a natural reconstruction using their own tissue instead of implants
- Are in good overall health and are non-smokers
Dr. Snyder will evaluate your anatomy, surgical history, and goals to determine whether the TUG flap is the best reconstructive option for you.
Surgical Technique
The TUG flap technique provides both functional and cosmetic benefits. During the procedure, tissue is taken from the upper inner thigh, including a small portion of the gracilis muscle. This area has reliable blood flow, which supports healthy healing and long-term results.
Because the gracilis is a minor muscle, removing it does not cause noticeable leg weakness or functional loss. Patients also benefit from a subtle inner thigh lift effect, leaving a discreet scar along the natural crease of the groin.
This technique is an excellent choice for women who are not candidates for abdominal-based reconstruction. Though not as widely performed as other flap procedures, the TUG flap provides natural, long-lasting results for appropriately selected patients.
The TUG Flap Reconstruction Experience
Once you decide to move forward with surgery, understanding what to expect before, during, and after your procedure can help you feel confident in your decision and recovery process.
What to Expect: Step-by-Step
In your consultation at Snyder Plastic Surgery, Dr. Ned Snyder IV will review your medical history, anatomy, and prior surgeries to determine which reconstruction option is best for you. If you prefer a natural option without implants and do not have enough abdominal tissue for a DIEP flap, the TUG flap may be your ideal solution.
TUG flap reconstruction is performed under general anesthesia, often in coordination with your mastectomy if performed at the same time. Dr. Snyder removes tissue and skin from the inner thigh and transfers it to the chest to create a new breast mound. The transferred tissue is shaped and connected to the blood vessels in the chest using microsurgical techniques.
The TUG flap can be used to reconstruct small to medium-sized breasts. Because the gracilis muscle is removed, there is minimal risk of functional leg loss or hernias, and the donor site is closed with a contouring effect.
Most patients need about six weeks or longer for full recovery. During the initial recovery period, it may be difficult to sit or stand comfortably for long periods. Swelling, bruising, and soreness are expected but gradually improve with time.
You will need assistance with daily activities, drain care, and wound management during the first few weeks. Follow all postoperative instructions carefully and attend all follow-up appointments with Dr. Snyder to monitor your healing progress.
Why Choose Snyder Plastic Surgery for TUG Flap Reconstruction
At Snyder Plastic Surgery, Dr. Ned Snyder IV and his skilled team offer a comprehensive approach to reconstructive surgery, focusing on natural, patient-specific outcomes. As a board-certified plastic and reconstructive surgeon, Dr. Snyder combines advanced microsurgical skill with compassionate, individualized care.
With offices in Austin and Round Rock, TX, Snyder Plastic Surgery provides a trusted, supportive environment for women seeking restoration, confidence, and peace of mind after breast cancer.
Frequently Asked Questions About TUG Flap Reconstruction
What is the difference between a TUG flap and a PAP flap?
How long is recovery after a TUG flap reconstruction?
Will I lose strength or movement in my leg after a TUG flap?
How natural will my breast feel after TUG flap reconstruction?
Who is not a good candidate for a TUG flap?
Schedule a Consultation
If you are considering TUG flap breast reconstruction, contact Snyder Plastic Surgery to schedule a private consultation in Austin or Round Rock, TX. Dr. Ned Snyder IV and his compassionate team will discuss your surgical options, explain the recovery process, and develop a personalized plan that aligns with your goals.
learn more Additonal Information
For additional information about our services, procedures, and the patient experience at Snyder Plastic Surgery, please explore our website or contact our office. We are committed to providing comprehensive care and support from the initial consultation through recovery. Schedule a consultation today to begin your journey towards a more confident and beautiful you.
