TRAM Flap Reconstruction

Candidates

• Individuals who have a loss of breast tissue and skin following mastectomy on one or both sides may decide to have breast reconstruction using a TRAM flap.

Intended Result

• The objective of this type of surgery is to reconstruct or to replace breast tissue.

Procedure

• A flap of lower abdominal wall fat, muscle, and skin is transferred to the area of missing breast tissue with its own blood supply. In a standard TRAM flap, the blood supply is within the rectus muscles, which is left attached at the lower edge of the rib cage. In a free TRAM, the blood vessels are reconnected to the vessels in the axilla.
• The abdominal donor site is closed similarly to a tummy tuck, leaving a horizontal scare and a tighter abdomen.
• An attempt is made to create a “normal” breast mound and shape during the first operation, but subsequent smaller procedures are frequently necessary.
• Nipple/areolar reconstruction is performed at a later date.

Healing Process

• A TRAM flap breast reconstruction is a major surgery performed in the hospital, requiring several days of hospitalization.
• Ambulation will begin the day following the surgery and will be reasonably comfortable within 10 to 14 days.
• Complete recovery from surgery usually takes approximately 6 weeks.
• The abdominal donor site tends to cause patients the most discomfort during the healing process.

Additional Enhancement

• An additional procedure that will enhance the result is a breast enlargement, breast lift, or reduction of the opposite breast, and nipple/areolar reconstruction.

Insurance Guidelines

• Breast reconstruction is almost always covered by insurance.

Note: The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

To make an appointment for your initial consultation, call the Lewisburg Plastic Surgery & Laser Center today (570) 524-7777.