TUG – Breast Reconstruction using Your Inner Thigh
In patients where there is not enough abdominal fat and skin, a second choice for breast reconstruction is the upper inner thigh region. This is a new technique where an elliptical piece of skin and fat is taken from the upper inner thigh. The incision is closed as if the patient was having a thigh lift. A small muscle (the gracilis muscle) is taken with the flap in most cases, however there is no functional loss from removing this muscle.
Once the tissue is safely detached from the inner thigh it is reattached to the small blood vessels in the breast area, resulting in a microsurgical tissue transfer. The tiny blood vessels are connected together using microsurgery techniques. Once this is complete, the blood flow to the tissue is restored. Next, the tissue is shaped to fit the mastectomy defect.