Is PAP/TUG Flap Breast Reconstruction the Right Option For You?
The PAP (profunda artery perforator) flap is an excellent option for patients who cannot or would prefer not to use their abdomen for autologous breast reconstruction. The tissue is taken from the back of the leg just underneath the buttock crease. This area is sometimes referred to as the banana roll. No muscle is ever sacrificed in this operation.
The TUG Or transverse upper grades Gracillis Flap is taken from the inner thigh. The flap is used for breast reconstruction in patients who cannot or would rather not use their abdomen has a donor site. The 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 has largely replaced the TU G.