TRAM Flap Dallas - Breast Reconstruction Technique Plano
TRAM Flap Breast Reconstruction
The TRAM (Transverse Rectus Abdominal Muscle) flap procedure uses tissue from the abdomen to reconstruct the breast. In most patients, the TRAM flap provides enough tissue to completely rebuild the breast mound. This procedure is sometimes referred to as a “tummy tuck” reconstruction because it may leave the stomach area flatter.
Dallas Plastic Surgeon Dr. Meade Specializes in the TRAM Flap technique
In an “attached” or pedicled TRAM flap, skin and fat are lifted from the donor site, and then tunneled under the skin to the chest and shaped into a breast. The new breast remains connected to its original blood supply, and is therefore described as being “attached” or pedicled. The connection of the blood supply is via the rectus abdominis muscle. Doctor Meade prefers to do this operation after strengthening the blood supply to the skin by performing a “delay” procedure where some but not all of the vessels are cut. The remaining vessels are left alone for about 14 days and they strengthen up (dilate) to be used as a pedicled flap.
A “free” TRAM flap is a complete transplant in which tissue is entirely removed from the abdomen and then attached to the breast area using microsurgical techniques that reconnect the tiny blood vessels from the flap to vessels on the chest area. This technique does not have the need for a delay procedure.
In either case, TRAM flap surgery is a major operation – four hours under general anesthesia for an attached procedure, usually six for a free one. A blood transfusion may be required, particularly if chemotherapy is required. The typical hospital stay is 2-3 days, and normal daily activity can resume after six to eight weeks.
Click here to view photos of Breast Reconstruction procedures.
Click here to read frequently asked questions regarding the TRAM flap technique.
