BREAST RECONSTRUCTION WITH TRAM FLAP 259

A 49-years-old plastic surgery patient from Shreveport, LA came for consultation regarding breast reconstruction. She had bilateral mastectomy done 4 years ago followed with breast expander and implant reconstruction. She did not like her flat, hard and shapeless breasts. She wanted to know whether her abundant abdominal tissue could be used for breast reconstruction.

After detailed clinical evaluation and extensive discussions about risks and benefits of bilateral breast reconstruction with abdominal tissue we proceeded with bilateral TRAM flap reconstruction. After removal of breast implants, redundant skin and fat tissue from lower portion of the abdominal wall was transferred to create new breasts. The resulting abdominal wound was closed in the form of abdominoplasty (tummy tuck surgery).

Before breast reconstruction with patient own abdominal tissue; notice a tight, flat, shapeless breasts (left); one year after breast reconstruction with bilateral TRAM flap and nipple-areola reconstruction (right). Notice increased projection and size of breasts, symmetry and flat abdomen on side view.

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