• What has your experience been with the tram flap?

    Asked by sueoop on Sunday, April 28, 2013

    What has your experience been with the tram flap?

    I had both breasts removed last May and expanders placed. Then chemo followed by radiation. I have had a "severe" reaction to the radiation and implant reconstruction is no longer an option. Dr. says I should do a tram on one side and be happy with an implant on the other.

    5 Answers from the Community

    5 answers
    • StamPurr's Avatar

      I don't have an answer to your question, but rather a second part. I'm wondering about differences between TRAM and DIEP? Because I'm having radiation (and at 53) and I have some extra skin and fat at my tummy, it was suggested that I consider a "flap" reconstruction. I personally know two people who have had TRAM procedures -- my mom about 20 yrs ago and a close friend more recently) and both are happy with the results. I think DIEP sounds less invasive. I would just need to find a doctor who has a LOT of experience doing the procedure and I think because it is newer that might be harder. What does everyone think and what have you all experienced?

      over 4 years ago
    • sueoop's Avatar

      I would so much rather have the DIEP. I was told by 1 ps that I've gained too much weight since starting the tamoxifen, all abdominal and back, and I am no long a candidate for the DIEP procedure. My orthopedic surgeon tells me that sacrificing abdominal muscle after spinal fusion of L4 and L5 is a really bad idea. That just about rules out my options. I am incredibly depressed by this whole situation as I am not ready to embrace life looking more manly than a lot of men I know.

      Still trying to find the bright spot in this latest development.......

      over 4 years ago
    • MarS676's Avatar

      I suggest you continue looking for a PS experienced in flap surgery. I was told that I was not a candidate for DIEP surgery because I did not have enough belly flat which I taught was ridiculous. I found a PS who not only said I qualified but was able to rebuild my breasts to a C cup. I am extremely happy with my results. Also with a DIEP flap abdominal muscles are spared whereas with TRAM they are used. Good luck with your decision.

      over 4 years ago
    • gwendolyn's Avatar

      I'm sorry you find yourself in such an upsetting situation. If I were you I would see one or more additional plastic surgeons to find someone who presents an acceptable option. I wish you the best of luck.

      over 4 years ago
    • RebeccaWard's Avatar

      There are several plastic and reconstructive surgeons in the Houston Texas area. One of the surgeons that is highly skilled and experienced in flap procedures is Aldona Spiegel and the website is: www.breastrestoration.org

      over 4 years ago

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