Before and after bilateral delayed breast reconstruction using the TUG flap in a 49 year old breast cancer survivor. She previously had had skin sparing mastectomies and failed implant reconstructions. She recovered from chemotherapy and waited a year before considering reconstruction again.
She had little abdominal fat but more fat in her inner thigh region. Her goal was to be reconstructed slightly smaller than her original breast size. She was an ideal candidate for a TUG flap.
Bilateral inner thigh tissue was microvascularly transplanted to her chest to reconstruct two new breasts. Some of her missing chest skin was replaced using inner thigh skin. Six months later, she underwent bilateral nipple and areola reconstruction using the local star flap technique and medical tattoo.
Follow up photos are shown two years after her TUG flaps and one year after nipple and areola reconstruction. The inner thigh scars have faded and are barely visible from the front, even in bikini underwear. The thigh scars are hidden from behind in her buttock crease.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
