MS TRAM Flap Reconstruction

When rebuilding a woman’s breasts following breast cancer treatment, DIEP flap reconstruction is often the preferred method, as it uses the woman’s own skin and fat tissue from her abdomen without affecting the muscle. Sometimes, however, it becomes necessary to remove a small portion of abdominal muscle as well, using a method known as MS TRAM flap reconstruction. The decision to use this method can only be made during the procedure by an experienced breast reconstruction surgeon.

When a muscle-sparing transverse rectus abdominis myocutaneous (MS TRAM) flap reconstruction is necessary, a small portion of muscle surrounding the blood vessels supplying the tissue will be taken in addition to skin and fat tissue. The resulting reconstructed breast will look and feel very natural following surgery and optimal blood supply is provided. During your consultation regarding breast reconstruction, your surgeon will discuss this in detail.

Contact us online today to learn more about your options for breast reconstruction. The Institute of Reconstructive Plastic Surgery of Central Texas helps men and women from Austin, Round Rock and throughout Texas.

Benefits of MS TRAM Flap Reconstruction

MS TRAM flap reconstruction is a popular option for breast reconstruction when the use of implants is contraindicated or when the woman chooses to use her own tissue to reconstruct the breasts. Women often request flap reconstruction so that they will not have to use synthetic implants and will have a lifelong reconstruction that will not require the maintenance of implants.

MS TRAM flap reconstruction involves the removal of tissue and a small amount of muscle from the abdomen. This can provide the cosmetic benefit of removing excess abdominal skin and fat, similar to a tummy tuck, at the same time as the breast reconstruction. The operation is significantly more complicated than an abdominoplasty, however, and a detailed consultation with a surgeon at the Institute of Reconstructive Plastic Surgery of Central Texas will address all the details surrounding MS TRAM or DIEP reconstruction.

Understanding the Procedure

During the MS TRAM procedure, the flap is completely disconnected from the body. The blood vessels supplying the flap in the abdomen are cut, allowing the abdominal skin and fat to be transferred to the chest, where it is attached to blood vessels on the chest wall. These blood vessels are attached using a microscope by surgeons who are trained in microsurgery. Once new blood flow is established, the flap is carefully molded into a new breast. A skilled and experienced surgeon is essential for a successful outcome using this method.

Recovery and Results

You’ll notice a change in the appearance of your breasts right away. As the healing process continues over the coming weeks to months, your final results will reveal themselves.

Breast reconstruction from The Institute of Reconstructive Plastic Surgery of Central Texas using the DIEP or MS TRAM flap can deliver a lifelong and beautiful outcome after breast cancer treatment.