Breast Reconstruction

Breast Reconstruction: Pedicled TRAM

The Pedicled TRAM flap uses of one of the rectus abdominus muscles (sit-up muscle) for breast reconstruction. The surgery begins with an incision from hip to hip. Then, a “flap” of skin, fat and one of the patient’s abdominal muscles is tunneled under the skin to the chest to create a new breast. Sometimes preliminary "delay" surgery needs to be performed to improve the flap survivability. This procedure uses a patient's own tissue to create a natural breast. It can be associated with abdominal wall weakness but typically has a quicker recovery than microsurgical techniques.

Like microsurgical TRAMs, DIEP and SIEA flaps it provides the added benefit of a tummy tuck.

It is important to recognize that not everyone will be a good surgical candidate. Previous abdominal surgery, a history of smoking, other medical issues and many other factors can make other breast reconstruction options more appropriate. Dr. Williams will take the time to discuss each patient's options in detail.