Muscle-sparing TRAM flap

Case ID: 0938

Individual results may vary.
View Angle: front
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Description: 61 year old 5 foot 5 inch 148 lb female who previously had left mastectomy and needed radiation to the left chest wall. As a result she had left arm lymphedema and severe tightness across the chest wall. Note hyperpigmentation of radiated skin.

View Angle: left-side
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Description: Because of the radiation, this patient was not a good candidate for implants. With lymphedema, the latissimus dorsi flap was not a good option.

View Angle: left-front-oblique
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Description: To get as much abdominal tissue for reconstruction as possible, a muscle-sparing TRAM was performed, preserving more perforators and blood supply than could be achieved with a DIEP flap in this thin patient.

View Angle: right-side
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Description: To get symmetry with her native right side, a mastopexy (lift) was performed.

View Angle: right-front-oblique
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Description: Nipple reconstructed but not yet tattooed. Pictures 2 years after flap and 9 months after the nipple reconstruction.

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