This procedure is one of the most commonly employed method of breast reconstruction. The procedure removes the excess skin and fat from lower abdomen along with its blood vessels as well as the underlying muscles attached to the blood vessels. This fat is shaped to resemble the removed breast. The flap is then either rotated into the defect while attached to the muscle (Pedicled Flap) or the tiny blood vessels are disconnected and joined back to blood vessels in the armpit or chest to restore the blood supply (Free TRAM Flap). This procedure has the advantage of replacing breast fat with body’s own fat and at the same give a “tummy tuck” where we all have an excess fat.

How will it look after?

A scar around the new umbilicus and a horizontal curve scar in lower abdomen will be visible. These scars do fade with time.

tram breast reconstruction


First 3-4 days are spent in the hospital, where some activity is started under supervision.You may also be advised an abdominal binder. By the third week, its expected that you would be able to do all the routine activities on your own.


  • Body’s own fat is used
  • The feel is soft and warm, unlike the implant
  • Able to create more natural looking breast as compared to implants
  • No chance of complications like implant rupture or capsule contractions

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