The most common form of tissue flap breast reconstruction uses a section of fat, muscle, and skin taken from the lower abdominal area to reconstruct the breast after a mastectomy. The tissue remains attached, via a pedicle, to its original blood supply in the abdomen but is moved underneath the skin from its original position to the chest area, where it is used to form the breast mound. Because a breast reconstructed in this manner maintains its own blood supply and uses natural tissue, it can potentially be more symmetrical and natural-looking than a breast that is reconstructed using a saline or silicone breast implant. Because I was the first surgeon to ever perform the TRAM flap procedure in Europe, I have had the honor of instructing doctors from all around the world in the TRAM and free TRAM breast reconstruction techniques.
See examples of Bilateral TRAM Flap Breast Reconstruction