Breast Reconstruction

-TRAM (Transverse Rectus Abdominus Myocutaneous) Flap
-Latissimus Dorsi Flap (Back Flap)

Indications:

  • Loss of breast tissue and skin following mastectomy – one or both sides
  • Loss of breast tissue only following subcutaneous mastectomy
  • Loss of breast tissue following release of capsular contractures after implant placement

Description of Procedure:
  • TRAM: Ambulation will begin the day after surgery and be reasonably comfortable within 10-14 days. Complete recovery usually takes about 6 weeks. The abdominal donor site causes the most discomfort during healing.

  • Latissimus Dorsi Flap: Discomfort of the back and chest wall site of reconstruction will be present for several weeks. Full use of the area will require about 6 weeks of healing. All of the sutures will be removed in two weeks. A small drain in the breast pocket will be removed in 2-3 days. Another drain in the back will be removed in 5-10 days.
Intended Result:
  • Reconstruction of a missing breast(s) or replacement of breast tissue.
  • Creation of “breast” that looks essentially normal in clothes and near normal without clothes
Recuperation and Healing:
  • A TRAM flap breast reconstruction and a Latissimus Dorsi Flap reconstruction is a major procedure performed in the hospital and requiring at least several days of hospitalization.
  • TRAM: Ambulation will begin the day after surgery and be reasonably comfortable within 10-14 days.
  • Complete recovery usually takes about 6 weeks.  The abdominal donor site causes the most discomfort during healing.
  • Latissimus Dorsi Flap: Discomfort of the back and chest wall site of reconstruction will be present for several weeks. Full use of the area will require about 6 weeks of healing. All of the sutures will be removed in two weeks. A small drain in the breast pocket will be removed in 2-3 days. Another drain in the back will be removed in 5-10 days.

Additional Procedures to Enhance Results:
Nipple-areolar reconstruction
Lifting of opposite breast
Enlargement of opposite breast
Reduction of opposite breast

Breast Procedures
 

 

 
 
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