The TRAM Flap procedure is not offered at the Center for Restorative Breast Surgery. More advanced techniques now allow for use of the same tummy fat to create a new breast without destroying the abdomen’s muscles or implanting artificial mesh. Pioneering work at our Center has resulted in the development of sophisticated microsurgical techniques that make the TRAM flap obsolete as a choice for breast reconstruction at the Center for Restorative Breast Surgery.
The Latissimus Flap procedure creates an incision across the back and moves the large “rowing muscle” from the back to the breast. This muscle is thin so an implant must usually be placed under it to form the new breast’s projection and shape. The sacrifice of this muscle causes some shoulder weakness and the scar placement is considered unappealing. The Latissimus Flap is not offered as a first line choice for breast reconstruction at the Center For Restorative Breast Surgery.