TRAM Reconstruction
TRAM is an abbreviation for transverse rectus abdominus myocutaneous flap and simply describes that part of the tummy tissue being used for breast reconstruction. The skin, fat, and rectus abdominus muscle are transferred as one unit to recreate the breast mound. There are two types of TRAM procedures: pedicled and free TRAMS. In the pedicled TRAM, the tissue is taken from the abdomen and rotated with the blood supply to the breast. With the Muscle-Sparing Free TRAM the abdominal tissue is disconnected and transferred to the breast pocket. The blood supply is connected under a microscope to a new source under the arm or chest.
Hospital Stay – 3-5 days
No lifting over 10 lbs for 6-8 weeks
Recovery period – 4-6 weeks
ADVANTAGES
- Your own tissue never has to be replaced
- Creates a very natural appearing breast
- Tummy Tuck appearance to the abdomen
- Gives an excellent cosmetic result, especially for women with larger breasts of with moderate ptosis
- The reconstructed breast changes with you as you gain or loose weight
DISADVANTAGES
- More complex procedure requiring longer operative time
- Risk of abdominal hernia – 5%
- 1-2% chance of re-operative procedure for inadequate blood flow to flap and even loss of flap
- Slightly increased risk for DVT (deep vein thrombosis) or blood clots in legs
- Slightly increased risk of blood loss and need for transfusion
Our Saint Augustine breast reconstruction team will help guide you through the process one step at a time. At the Desai Center of Plastic and Reconstructive Surgery, we believe that patients, their desires, and anatomy are all unique. Therefore, Dr. Desai will explain all the options and listen to your particular wishes to create a personalized approach to your reconstruction. To schedule a consultation, call us now at (904) 262-DESAI (3372) or complete the contact us form.
Options for Breast Reconstruction
Reconstruction using only your own tissue
Insurance for your Breast Reconstruction Surgery in Jacksonville
Our plastic surgery team will work with you to ensure your treatment and surgery are covered by your insurance company. Pre-authorization from your insurance company is generally required. At Desai Plastics, our office staff will work with you and act as your advocate to the insurance company.
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