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If you have a mastectomy to treat or prevent cancer, breast reconstruction can surgically recreate a natural-looking breast. One option for breast reconstruction is a transverse rectus abdominus myocutaneous (TRAM) flap procedure. In a TRAM flap, the surgeon first removes muscle, fat and skin from the lower abdomen. (If you lack sufficient abdominal tissue, areas such as the back, buttocks or thigh may be used instead.) The tissue, or "flap," is then transferred to the mastectomy area, where it is shaped to form a new breast. A TRAM flap can be performed at the time of your mastectomy (immediate reconstruction) or at a later date (delayed reconstruction) for one or both breasts. This procedure produces: a breast that feels natural and a slimmer, flatter abdomen (as is seen in a tummy tuck). Please note: A TRAM flap leaves a scar that extends along the lower abdomen, from one hip to the other. As a result, the recovery period may be longer than with breast construction with implants or tissue expanders.
The two types of TRAM flap breast reconstruction are the pedicle flap and free flap.
You may be a good candidate for TRAM flap reconstruction if you:
You may not be a good candidate for TRAM flap reconstruction if you:
Depending on your particular situation, other flap options to create the new breast may include:
The TUG flap and SGAP/IGAP flaps are generally used with patients who lack enough abdominal tissue for the DIEP or SIEA flap.
Our plastic surgeons have extensive experience in all types of breast reconstructive techniques, including the newest and most innovative procedures. When appropriate, we combine techniques, using flaps, implants and nipple tattooing to achieve the most natural-looking outcome.All forms of breast reconstruction after mastectomy have inherent risks, which will be fully discussed during your consultation.
Division of Plastic and Reconstructive Surgery
Wang Ambulatory Care Center 435
We are also located at:
Mass General/North Shore Center for Outpatient Care 102 Endicott Street Danvers, MA 01923
The Mass General Division of Plastic and Reconstructive Surgery is located in the Wang Ambulatory Care Center at 15 Parkman St. Parking is available in the Parkman St. and nearby Fruit St. and Yawkey Center garages. Please note that some GPS systems do not recognize the 15 Parkman St. address. If you use a GPS system to drive to Mass General, enter Blossom St. as your destination, and then turn onto Parkman directly from Blossom.
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