• Reconstruction surgery

    Asked by Sunshine123 on Tuesday, May 7, 2013

    Reconstruction surgery

    Saline Implants verses Tram Flap reconstruction. I'd like to hear from anyone who has had either of these for breast reconstruction. Why did you decide on this particular method and your results and experiences. Thank you

    10 Answers from the Community

    10 answers
    • Ydnar2xer's Avatar

      What about DIEP, the method that uses lower belly fat (below bellybutton), gives you a tummy tuck and then uses that fat to shape/create breasts? IT uses NO MUSCLE , which is a huge bonus.

      over 3 years ago
    • Tallgrass69's Avatar

      I had the Tram Flap I wasn't offered Saline Implants. I was told I have enough fat in my stomach to reconstruct. I was in surgery for 11hr not including recovery. pain pain pain. and you have to sit forward,walk bent over, and sleep that way. I got a bed sore in my rear. You can't get up outta bed without help I should have gone to the rehab center Dr. reccomended. scare from one side to the other. hhc came hole in my stomach wouldn't heal for at least 2 months. But that's me (problem child) still numb still tender. God Bless

      over 3 years ago
    • karen1956's Avatar

      Tissue expanders and then silicone implants....in clothes i look decent...I never looked into tram flap...I think I was lat flap or something other long procedure and was told I was not a candidate as I didn't not have enough for 2 breasts.....If I had to do it over again, I would probably pick the same choice (unless I didn't do recon)....

      over 3 years ago
    • Risa's Avatar

      Hi Sunshine,
      I had two friends that had Tram Flap reconstruction and recommended that I not get it. I was very fortunate to have immediate implant reconstruction when I had my mastectomy. It was really great to wake up and have boobs. They were almost my normal size but a bit perkier.
      My rehabilitation was very easy. The reason that my friends were against the Tram Flap was that they had a lot of problems such as soreness, numbness and infection. Both my Breast Surgeon and my Oncologist recommended implants. I had the "gummy bear" type under the muscle and have no complaints whatsoever. Good Luck with your decision.

      over 3 years ago
    • laurie's Avatar

      I had the tram flap. The recovery is a good solid 6-8 weeks. I healed well and had no complications. I have had a revision to the original surgery and I had a lift on the other side to make everything even. I love having a flat stomach and my breasts look better than before breast cancer! I chose the tram flap because I wanted to use my own tissue and I wanted to look natural. I love that my team flap breast will age like my natural breast as the years go by.

      over 3 years ago
    • Msreje's Avatar

      Good morning Sunshine123, I had a single mastectomy and the plastic surgeon reconstructed the breast from fat he took from my belly. This was his recommendation, I was not given any choices. It was a very long surgery- 10 hours- but it was done during a single procedure. I am not a brave person and the thought of going back for breast reconstruction after the mastectomy terrified me. The plastic surgeon wanted to reduce my breast from a DD to a C and then in the future reduce the other breast. I declined, I would not go for another round of surgery for cosmetic reasons. My surgery was exactly one year ago in May. My new breast looks just like the other one and I do not have any more belly fat!!!!! This was the highlight of my surgery. I still need to go for the nipple attachment but since I am still undergoing treatment- first chemo and now herceptin- the plastic surgeon needs me to wait. As to the recovery period it was ok, not easy but not terrible. All surgical recoveries are hard. Emotionally I was drained because I was scared but I got thru it and now it seems like ages ago. I am sure you will make a choice that is good for you. It is great that you are reaching out to this community for opinions. All the best for you at this time.

      over 3 years ago
    • laurie's Avatar

      Sunshine - I wanted to add - Get a consult from several different plastic surgeons! I saw three different doctors before I chose the one that did my surgery.

      over 3 years ago
    • debco148's Avatar

      I was one of the folks who had the saline implant approach, so at time of Mastectomy, I had an expander placed also. But, my body rejected the expander and it had to be removed. This was last year around this time. So, then I completed my chemo, rads, etc. and just had to have some scar tissue removed...tested as well...thank God it was just scar tissue, another worry time for me. But, now I'm looking at this Fall for the DIEP method. They take fat from stomach and add to breast, then reconnect the blood vessels so you have your own tissue. I don't think anyone recommends Trans Flap anymore since it involves moving muscle from your back to the breast. I know of someone who had it done and feels like the muscle is pulling back and it is not staying in place in the breast area... also you lose strength in the back and other issues. The DIEP is the modern approach now although it is a long surgery and recovery. I'm scared, but that expander just didn't work for me.

      over 3 years ago
    • Nonnie917's Avatar

      I had the type of trans flap that involved the stomach. I deceded on it because I wanted some of my stomach fat taken away. However, as big as I thought I was, it wasn't enough to make complete breasts so now I am have the new silicone implants put in. They are safer now than they use to be and much softer than the saline ones. The new ones have a gel inside and double walled. So even if the outer wall were to get a little hole there is no chance of leakage and if the inner wall were to get a small hole the gel just forms and clog and goes nowhere. I didn't even consider the type of flap surgery where they take it from your back. I can't imagine that the pain would ever go away on that one.

      over 3 years ago
    • savingrace's Avatar

      Hi Sunshine. I agree with Laurie, I too had the tram flap. I did research on the different procedures that could be done and I had a long talk with my plastic surgeon. I felt the tram flap was the best for me. Even though my body could reject my own tissues, the chances were slim and to get rid of the stomach, YES! The worst part of the whole procedure was having to stay in the hospital room in 90 degree heat for two days, but with cups of ice to suck on and a wet wash cloth I made it. I had no complications, the drain tubes got in my way but they didn't cause me pain. All in all I have been completely satisifed with my decision. Research it thoroughly and talk to as many doctors as it takes until you feel comfortable and at peace with a decision.

      over 3 years ago

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