TRAM Flap Breast Reconstruction in Tampa

The TRAM flap in breast reconstruction is a surgical method in which tissue from the lower abdominal wall is transferred to the chest to reshape the breast. Short for 'transverse rectus abdominis muscle', the TRAM flap can be approached in two ways. The flap can be designed as either a pedicle flap, which means that it is attached to its original blood supply, or as a free TRAM flap. The free flap is made when Dr. Albear disconnects the tissue from its blood source, and uses microsurgery to connect the blood vessels to the recipient site. The flap tissue for both types comprises fat, skin, blood vessels, and at least one abdominal muscle.

When to Consider TRAM Flap Breast Reconstruction in Tampa

Women who choose TRAM flap breast reconstruction have undergone a mastectomy or other procedure for breast cancer. Candidates for the procedure may have one or more of the following, additional, indications:

• Alternate methods of breast reconstruction have failed
• Other types of breast or chest wall deformities
• Realistic goals for surgery
• Coping well with diagnosis and treatment
• Large or small opposite breast (difficult to match with an implant)

Your TRAM Flap Breast Reconstruction Procedure

TRAM Flap breast reconstruction procedure is a major operation in which Dr. Albear will transfer abdominal tissue to the location where your breast will be reconstructed. The surgery is conducted in a hospital setting and under general anesthesia; it may be conducted at the same time as the mastectomy, or some time after once you have recovered.

During a free TRAM flap operation, a portion of abdominal tissue is removed with its attached blood vessels positioned on the chest. The blood vessels are then reattached to provide blood flow to the transferred flap through microsurgery. If you are receiving a pedicle flap, the skin and fat are left attached to the lower portion of one rectus abdominus muscle, and are tunneled under the chest wall to reconstruct the new breast.

In many cases, the flap itself will complete the breast mound, but in some cases a breast implant can be added to help you achieve your goals. Dr. Albear will discuss with you your goals and expectations so that your needs can be met fully.

What Happens After TRAM Flap Breast Reconstruction?

Generally 4-5 days of hospitalization is required following a TRAM flap breast reconstruction procedure. It takes many patients between 6 weeks to 2 months before they are able to resume normal activities, though the recovery process varies from individual to individual. Dr. Albear will discuss your recovery plan, so you know what to expect after breast reconstruction.

To learn more about the indications for, risks, or costs of TRAM flap breast reconstruction in Tampa and Pasco County, FL, please contact Dr. Albear's Wesley Chapel office to schedule a personal consultation. The office is conveniently located to serve the greater Tampa Bay area.