- Contact Dr. Levine and the Center for Breast reconstruction at 212.245.8140
- Our New Location: 57 West 57th Street, Suite 1603, New York, NY 10019

The TUG or transverse upper grades gracillis flap is taken from the inner thigh. This flap is used for breast reconstruction in patients who cannot, or would rather not use their abdomen as a donor site.

This flap uses a small muscle called the Gracillis , and takes its blood supply from that muscle. The skin and fat that is used with this flap is very similar to the territory of the PAP flap. Since the PAP procedure does not sacrifice any muscle and can be placed further back, just underneath the buttock crease, the PAP flap has largely replaced the TUG.

To learn more about the TUG and PAP flap, visit our Center's Procedures Page:
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Learn about other types of advanced Perforator Flap Procedures we offer:
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Learn more about Breast Reconstruction Surgeon, Dr. Joshua L. Levine:
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