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TRAM Free Flap procedure involves transferring lower abdominal skin and fat to recreate the breast mound. In a TRAM Free Flap, the flap is detached entirely and then reattached to blood vessels in the chest or axilla (armpit).
The goal of breast reconstruction is to make the patient feel whole, balanced, and symmetrical, and to appear normal in clothing including a bra or swimwear.
The TRAM Free Flap method can only be performed by a microvascular surgeon and involves total transplantation of lower abdominal skin and fat to recreate the breast mound. In a TRAM Free Flap, the flap is detached entirely and then reattached. The operation takes between 5 to 8 hours depending on the size of the breast. The TRAM free flap procedure requires an in-house hospital stay of 3 to 4 days. Full activity can resume after 4 to 6 weeks.
Advantages of this technique include use of the patient’s own tissue and the ability to shape the tissue to match the remaining breast more accurately. In addition a flatter abdomen (tummy tuck) is also achieved.
Once the patient has recovered the result is long-lasting and the breast has a natural feel. Minor adjustment, if necessary, can be made at a second outpatient operation when the nipple/areola reconstruction is done.
I have many patients who have undergone this procedure and are happy to talk to others about their experience. A consultation is necessary first to determine if you are a good candidate for this procedure.
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