Pedicled TRAM Flap Breast Reconstruction

Conveniently located to serve Pensacola, FL.

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Pedicled TRAM Flap Breast Reconstruction Overview

The skin and fat of your lower abdomen are transferred to your chest to reconstruct your breast(s). The transferred skin and fat are kept alive by leaving it attached to your rectus abdominis (6-pack) muscle. This muscle is cut down low and left attached above. The tissue is then “swung” up to your chest, never being fully disconnected from the body (that is why it is called a “pedicled” flap). The transferred tummy skin, fat, and muscle is then shaped into a breast. The abdomen is then closed with mesh and with multiple sutures like a tummy tuck, leaving a horizontal scar across the lower abdomen.

Guide To Breast Augmentation

Guide To Breast Procedures

What I Wish I Knew

Facts About Pedicled TRAM Flap Breast Reconstruction

Typical Timing/Age

Overall health is more important than age. Most (not all) women with breast cancer, at high risk for breast cancer or a history of breast cancer are safe candidates for the procedure.

Cost

Insurance covers this procedure.

Goal

To reconstruct the breast(s) without the need for an implant and improve abdominal contour.

Facility

Hospital

Positioning

You may need to keep your hips flexed at all times for 1-2 weeks to help minimize the tension on your abdominal skin incision. You also need to keep pressure off your chest: so no sleeping on your stomach or side for ~1 month.

Walking

You are encouraged to walk around the house as much as possible to help reduce the risk of DVT and thromboembolism.

Work

2-4 weeks depending on your type of work.

Swelling

It can persist for 3-6 months.

Bruising

Usually subsides after 2-3 weeks.

Problem

Absent breast(s) after mastectomy
Deformed breast(s) after lumpectomy
Deformed breast(s) after radiation
Deformed breast(s) after another type of reconstruction.

Preparation

Patients cannot be using any nicotine-containing substances. Eat lots of protein

Anesthesia

General anesthesia

Hospital Stay

2-3 days on a regular inpatient floor.

Assistance

You will need someone to help take care of you after surgery as you will not be able to lift children, heavy items, etc.

Showering

After 48 hours you should remove your dressings and take a shower.

Exercise

3 weeks for light exercise. 4 weeks for regular exercise. 6 weeks for abdominal exercises.

Sex

Wait 3 weeks because you don’t want to stress your incisions or increase your blood pressure during the early healing period. No one except you can touch your new breast(s) for 8 weeks.

Risks & Complications

Partial flap loss. Fat necrosis. Abdominal wall hernia. Abdominal wall bulge. Hematoma, Seroma, Infection, Poor scarring, Dehiscence, Delayed wound healing, Skin necrosis, Asymmetry, Numbness, Thromboembolism, Contour irregularities, Need for revision, complications related to anesthesia.

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Before & After Gallery

Procedures are performed by board-certified by the American Board of Plastic Surgeons, Dr. Butler, Dr. Leveque, and Dr. Patterson in Pensacola, FL.

Breast Before and After images
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Meet Our Team

At Gulf Coast Plastic Surgery, we understand that the selection of a plastic surgeon is an extremely important decision for any prospective patient. We believe communication, education and individualized patient care are the foundation for creating a strong and trusting patient-physician relationship. Our entire staff is absolutely committed to providing compassionate, personalized, individual attention before, during, and after surgery. We work together to deliver the best possible aesthetic outcomes in a setting that embodies the standards and lifestyle you seek.

 

Dr. Butler, Dr. Leveque, and Dr. Patterson all from Gulf Coast Plastic Surgery

We Accept Financing

Gulf Coast Plastic Surgery offers a variety of payment options so that your cosmetic surgery will suit your budget. All major credit cards are accepted, and financing plans are available.

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