What is TRAM Flap Reconstruction?

TRAM flap reconstruction is similar to DIEP flap reconstruction in that skin, fat, and blood vessels are detached from the lower belly wall and moved to the chest. However, with the TRAM flap technique, the muscles in the abdomen are cut.

How is TRAM Flap Reconstruction Performed?

During TRAM flap reconstruction, the blood vessels from the lower belly wall are reconnected to the blood vessels in the chest. In order to remove tissue from the abdominal wall, a horizontal scar will be made between the hipbones. This scar is placed below the bikini line, and is easy to conceal underneath clothing. The TRAM technique also offers the added benefit of a flatter abdomen due to the removal of abdominal tissue.


Because TRAM flap reconstruction involves cutting in the abdominal muscles, recovery time may be longer than other flap reconstruction techniques. Heavy lifting should be avoided for four to six weeks after your procedure. You will be provided with specific post-op instructions to help ensure a safe and comfortable recovery. It is important to schedule follow-up visits with your surgeon to ensure that your recovery is going according to plan.

For more information on TRAM flap reconstruction, or to schedule a consultation, contact us today.