Breast Reconstruction:

BEFORE

AFTER

BEFORE

AFTER

Procedure: Breast Reconstruction after Mastectomy; Tram Flap

Purpose: To restore a natural looking breast after mastectomy through flap reconstruction such as the tram flap which does not use implants.

Surgery Length: 2-5 hours.

Anesthesia: General

Where: Hospital inpatient.

Recovery: Discomfort and swelling.

Back to work: 4-6 weeks.

Risks: Scarring, infection, capsular contracture in the case implants. Loss of flap & abdominal weakness.

Reconstruction of a breast that has been removed due to cancer or other disease is one of the most rewarding surgical procedures available and an important part of recovery for women after a mastectomy. Today, new medical techniques and devices have make it possible for surgeons to create a a natural looking breast that can come close in form and appearance to matching a natural breast. Frequently, reconstruction is possible at the same time immediately following breast removal.

The most common reconstruction technique uses breast implants. This process involves several stages; first, a temporary tissue expander is inserted and gradually filled in order to increase the skin in the area. This prepares the breast for the final stage, insertion of a permanent implant.

Many women desiring breast reconstruction do not want breast implants but perfer natural reconstruction. This procedure is called a Tram Flap (Transverse Island Abdominal Flap) and uses skin and muscle to create a new breast. The Tram Flap is really two procedures in one; a tummy tuck and breast reconstruction and uses a woman's own body tissue to form a new breast instead of a permanent implant. The Tram Flap involves taking tissue and muscle from the abdomen and transferring it under the chest wall to the mastectomy site, where the skin and muscle is then shaped and sutured into place. A nipple and areola are then added at a later time completing the new breast. The abdominal skin is then stretched and tightened in as most tummy tuck operations. There are specific risks associated with this procedure and should be discussed with your surgeon. Not all women are candidates for this procedure and other options should be considered.

Dr. Daniel Man's office is located directly across from Boca Raton Community Hospital at 851 Meadows Road, Suite 222, Boca Raton, Florida 33486, phone number 1-800-232-5508.