TRAM (transverse rectus abdominus myocutaneous) Flap Technique This is the most complex of the commonly used techniques and is not appropriate for all patients. But with experience over the past decade, complication rates have dropped to a satisfactory level and most breast reconstruction surgeons now routinely perform the technique. It has also become more popular as concerns about silicone implants have increased.
A portion of the vertical muscle in the center of the abdomen (the rectus abdominus) and a large ellipse of skin and fat from the lower abdomen are transferred onto the chest wall and shaped in the form of a breast.
