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TRAM Reconstruction

TRAM is an acronym for Transverse Rectus Abdominus Myocutaneous flap and simply describes the area of the stomach where tissue is used for breast reconstruction. During this procedure, the skin, fat, and rectus abdominus muscle are transferred as one unit to recreate the breast mound. There are two types of TRAM procedures: pedicled and free TRAMS. In the pedicled TRAM, the tissue is taken from the abdomen and rotated with the blood supply to the breast. With the Muscle-Sparing Free TRAM, the abdominal tissue is disconnected and transferred to the breast pocket. The blood supply is connected under a microscope to a new source under the arm or chest.



  • Your abdominal tissue does not have to be replaced
  • Creates a very natural looking breast
  • Tummy Tuck appearance to the abdomen
  • Gives an excellent cosmetic result, especially for women with larger breasts with moderate ptosis
  • The reconstructed breast changes with you as you gain or lose weight


  • More complex procedure requiring longer operative time
  • 5% risk of abdominal hernia
  • 1-2% chance of re-operative procedure for inadequate blood flow to flap or loss of flap
  • Slightly increased risk for DVT (deep vein thrombosis) or blood clots in legs
  • Slightly increased risk of blood loss and need for transfusion

At Florida Plastic Surgery Group, our plastic surgeons and breast reconstruction team will help guide you through the process one step at a time. The procedure requires a 3-5 day hospital stay and a recovery period of 4-6 weeks. Patients are also advised to avoid heavy lifting (over 10 lbs) for 6-8 weeks.

Insurance Coverage for Your Breast Reconstruction Surgery

Our plastic surgery team will work with you to ensure your treatment and surgery are covered by your insurance company. Pre-authorization from your insurance company is generally required. At Florida Plastic Surgery Group, our office staff will work with you and act as your advocate to the insurance company.

If you are interested in learning more about how a TRAM breast reconstruction can help you achieve your cosmetic goals, or to schedule a consultation with one of our plastic surgeons, please contact our office today.

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