
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.