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Restore Confidence Naturally  
TUG Reconstruction
at Athenaa

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What is 
TUG Flap Reconstruction
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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, 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 seeking a natural, implant-free reconstruction and those interested in thigh contouring.

How the Procedure 
is Performed
At Apollo Athenaa, every surgical step is carefully planned and performed by experienced surgeons with a focus on safety, precision, and recovery.
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  • A flap of skin and fat is carefully removed from the upper inner thigh, along with the blood vessels that supply it.
  • 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.
  • The flap is sculpted into a natural breast shape, taking into account symmetry, volume, and the patient's aesthetic goals.
  • Vascular anastomosis (joining of blood vessels) is performed under high magnification using advanced microsurgical techniques, ensuring reliable blood flow and flap survival.
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Recovery 
Healing at Apollo Athenaa is supported through structured post-operative care,
counselling, and rehabilitation support.
Hospital Stay

Most patients stay 4–5 days for close monitoring of flap viability and healing.

Early Recovery

Light daily activities can usually resume within 3–4 weeks.

Full Healing

Complete recovery typically takes about 6–8 weeks.

Follow-Up Care

Regular reviews and physiotherapy support optimal healing and mobility.

Key 
Advantages
At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.
Natural Tissue
Uses the patient’s own tissue to create a soft, lifelike breast that ages naturally and avoids implant-related risks.
Thigh Contouring
Removal of tissue from the upper inner thigh provides a slimmer, more contoured thigh, adding a cosmetic benefit.
Functional Preservation
Minimally impacts surrounding muscles, maintaining strength and mobility in the donor site.
Expert Care
Performed by a skilled, multidisciplinary team with advanced surgical techniques and dedicated recovery support for optimal aesthetic and functional outcomes.
Continuum of Care
At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Each woman is supported through.
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Post-operative care, including flap monitoring, wound care, drain management, and guidance for scar healing.

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Structured rehabilitation, with physiotherapy to restore core strength, posture, and shoulder mobility, supported by nutritional guidance.

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Emotional support and counselling, addressing body image concerns and emotional adjustment after mastectomy.

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Ongoing follow-up and survivorship care, ensuring long-term flap health, functional recovery, and quality of life.

Frequently Asked Questions
Who is a good candidate for TUG flap reconstruction?
01

Women with enough upper inner thigh tissue who want natural, implant-free reconstruction and may not be suitable for abdominal flaps.

Will the breast feel natural?
02

Yes. Using your own tissue creates a soft, warm, and lifelike breast that moves naturally.

What about scars?
03

There will be a hidden scar on the inner thigh and a scar on the breast. The thigh scar is usually well-concealed and can improve thigh contour.

How long is recovery?
04

Hospital stay is 4–5 days. Light activities can resume in 3–4 weeks, with full recovery by 6–8 weeks.

Does it affect thigh strength or mobility?
05

Only a small muscle is used, so most women retain normal thigh strength and mobility after recovery.

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