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Upper Thigh (TUG flap) Reconstruction in Hull, York, Grimsby, Lincoln & London


In the Transverse Upper Gracilis (TUG) Flap, a crescent-shaped skin, fat and a small piece of non-essential muscle (Gracilis) is taken from the upper inner thigh to create a new breast mound using Microsurgery. The TUG flap has the same distribution as cosmetic thigh lift, and closure of the donor site creates and attractive inner thigh donor site.

In women with little abdominal fat but significantly more inner thigh fat, it is one of the best reconstructive options based on their figure by providing a soft and shapely breast furthermore; immediate nipple reconstruction is readily performed. The inner thigh tissue is sculpted ("coned") to produce an excellent projection and a natural breast shape. Results of a TUG flap breast reconstruction are aesthetically pleasing and durable. The procedure and recovery is similar to DIEP flap reconstruction in other respect.

Buttock Tissue (SGAP flap)


The Superior Gluteal Artery Perforator (SGAP) Flap is ideal for patients with inadequate amount of tummy or upper thigh volume or those who do not want scars in these areas. A slight buttock lift results in the donor area with a fine line incision easily hidden within the panty line.

The SGAP flap reconstruction is more demanding and lengthier than earlier methods due to the complex anatomy of the blood vessels and is consequently our third line option. The complication rate and flap loss is consequently a little higher than the DIEP breast reconstruction while the operative details, recovery and outcome are similar in other respect.

Procedure (TUG flap)

PURPOSE
Breast Restoration

OP TIME
5-6 hours

OUTCOME
Bra cup size B-C

ADMISSION
3-5 days

COMPLICATIONS
Flap loss; 4-5%,
Thigh: Wound breakdown & Numbness,
Seroma; 5-8%

Procedure (SGAP flap)

PURPOSE
Breast Restoration

OP TIME
7-9 hours

OUTCOME
Bra cup size B-C

ADMISSION
3-5 days

COMPLICATIONS
Flap loss; 5-8%,
Buttock: Wound breakdown & Numbness,
Asymmetry