• Has anyone in their sixties had a tram flap breast reconstruction? Would you tell me your experience and why you chose it?

    Asked by papayagirl on Friday, June 29, 2012

    Has anyone in their sixties had a tram flap breast reconstruction? Would you tell me your experience and why you chose it?

    2 Answers from the Community

    • whirl's Avatar

      A tram reconstruction can look extremely natural. It does mean a several hour surgery, 4 drainage tubes and a few days in the hospital. I was concerned of them taking some of my rectus muscle. I am a runner and having a strong core is important to me. I think would discuss this with your plastic surgeon. My friend had a tram and was in surgery for 9 hours. It is a long time to be under general anesthesia. I chose silicone implants. They are OK but not perfect. I chose silicone because if the saline ruptures you have a flat tire and probably insurance would not pay for a replacement.
      non of the options are without the cons.

      over 4 years ago
    • nancyjac's Avatar

      I am 64 and recently had tram flap surgery but it was for medical reasons rather than cosmetic reasons. I chose it because I had no other choice. I had inflammatory breast cancer and had to have several re-excisions of one mastectomy in order to get clean margins. As a result their was not enough skin to close the wound, so I had to have a tram flap transplanted from my right abdomen to my left chest. It had to be a tram flap rather than just a skin graft because just a skin graft wouldn't stand up to the subsequent radiation treatments.

      It was about a 6 hour surgery, required a week long stay at the hospital (although a couple of days of that week were for the last mastectomy re-excision and prior to the tram surgery. For about 1o days after that I had multiple drains coming out of both areas. After the drains were removed, I developed two fluid pockets, one of which delayed my radiation treatments until it was drained, but it subsequently has refilled.

      Ironically, I chose a bilateral mastectomy before it was known that a tram flap would be required. I wanted my left and right side to match rather than having only one breast or trying to match a fake breast to the remaining breast. Instead, I now have what looks like a male breast (more spread out and not as big) on the left side of my chest and the right side of my chest is completely flat. Conversely, the right side of abdomen is flat and the left side is not. And on top of all that, I have 2 area of excess skin near my left armpit that look like mini boobs, and my belly button is now part of my left chest because it was included in the abdominal transplant. And I still have a couple of hard lumps that are fluid pockets from the transplant. And the entire front side of my torso looks like a roadmap of scars.

      over 4 years ago

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