TRAM Flap Breast Reconstruction

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Procedure Type: Breast Reconstruction
Breast reconstruction can use donor muscles and tissue from the patient's body; one of these procedures uses the abdominal muscle, also called the TRAM flap (transverse rectus abdominis myocutaneous). In plain English, the rectus abdominis muscle is the one that burns when you complete a lot of sit-ups.

Transverse Rectus Abdominis Myocutaneous Flap 

During TRAM Flap Breast Reconstruction, Dr. Matthew Lynch will take out some of the abdominal skin and fat and a small section of the abdominis rectus muscle and use it to form your new breast. The area involved is located between your belly button and the pubic area. This section of skin, fat, and muscle is them moved to its new location on the chest.

There are two different types of TRAM flap surgery - "free" and "pedicle."

The Free TRAM flap (Transverse Rectus Abdominus Myocutaneous) requires the use of advanced microsurgical technique. The skin, fatty tissue and muscle from the abdomen (rectus abdominus) is removed from the abdomen and separated from the existing blood supply. The blood supply is then reconnected under a surgical microscope in its new location to create a breast mound. The abdomen is then closed.

A TRAM flap may also be a "pedicle". This means the abdominal skin, muscle and fatty tissue is not removed from the blood supply, but rather "tunneled" underneath the upper abdominal skin and tissue to the breast area to reconstruct the breast mound.

Typically, the TRAM flap reconstruction provides the most natural feeling and appearing breast.

Not all women are candidates for TRAM Flap surgery. Dr. Lynch will discuss with you which type of surgery is most appropriate in your case, and explain to you the expected results and estimated recovery time. Dr. Lynch's specialty is breast reconstruction, so he will be able to create a breast for you that will feel and look as close to original as possible.

As with any surgery, some discomfort, swelling, and bruising may occur, and for most patients usually resolves in a few days. Recovery after this procedure will require avoiding strenuous activity and heavy lifting for a period of time immediately following the procedure. Surgical scars will be placed deliberately to minimize perception and will fade over time.

Dr. Lynch specializes in breast procedures. Dr. Lynch's advanced fellowship training in breast reconstruction was completed at the world renowned MD Anderson Cancer Center at the University of Texas. He is widely recognized as one of New Jersey's most experienced and best trained breast reconstructive surgeons.

Dr. Lynch performs Breast Augmentation, Breast Lift, Breast Reduction and Breast Reconstruction procedures. The New Jersey Breast Center for Plastic and Reconstructive Surgery and the Princeton Rejuvenation Institute include a state of the art accredited operating suite and ambulatory care center. The Reliant Surgical Center and its professional and caring staff will assure that your procedure is completed in comfort and privacy.


Learn more about TRAM Flap Breast Reconstruction at

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