Breast Reconstruction with SGAP, IGAP, TUG

The operation in short

Breast reconstruction can be performed on other areas of the body, although it is more common to use an implant from the abdomen or back. These alternative areas are the inner surface of the thighs (known as the upper transverse flap of the thin adductor muscle – TUG flap / Transverse Upper Gracilis flap) and the buttocks area (S-GAP or I-GAP flap). In our clinic, after a thorough examination, we can assess which are the most suitable areas from which the transplant can be taken in order to achieve the best possible result, always acting with your safety in mind.

These flaps are made of skin and fat. In the majority of patients fat obtained from the buttocks area is more compact than other areas of the body, thus leaving a slight feeling of hardness in the restored breast. However, for the right patient, this surgery, in the absence of other options, can be a very good alternative.

Flap from the inner surface of the thigh or TUG – The operation briefly

This surgery (Transverse Upper Gracilis flap) uses skin and fat from the upper inner surface of the thighs and leaves a scar that extends from the area of the groin in the front to the gluteal fold. Applying microsurgery techniques, the tissue is transferred to the removed breast with a success rate of 95-99%.

The operation has the ability to restore only a small or medium in size breast and, therefore, is not considered suitable for all patients, however, in some cases, it can be used to restore part of the breast. However, if the patient wants a larger and fuller breast, it is possible to inject fat into the area a second time, so that the restored breast reaches the desired size.

Recovery from Surgery and Final Outcome

Duration

Depending on the type of operation, the duration may vary from 3 to 5 hours.

Duration of hospitalization

The patient is usually required to stay in the hospital for 6 days.

Mobilization

Patients will need to stay in bed for two days, during which a bladder catheter will be required.

After four days they will be able to move, while after ten to fourteen days they will be able to walk without feeling any discomfort.

After four weeks, patients will be able to exercise, while after three to four months they will have fully recovered and will be able to return to work.

Bandages – bras

Bandages on the operated area should remain for about two to four weeks.

Complications

There is a 3% chance of developing postoperative complications that include partial or complete failure of surgery.

Please do not hesitate to contact us if you have any questions.