Topic: complications for flap reconstruction

Hi Sunlight,

I sure wish you didn't have to go thru what is coming.  I know that the sisters you will find on these posts will be able to answer questions that you will have with an authority because they have lived it.  I know I have been blessed by many of them.

As far as the TRAM flap recon goes, it is one of the oldest of the tissue recon methods.  Most PS will do this type if the patient doesn't want implants.  It is a very BIG surgery with a long recovery time.  The biggest drawback is that you are left with compromised stomach muscle.  The tummy tuck is nice.  It happens because they take a 3-3 1/2" strip of stomach fat & muscle, run it under your abdominal skin and then create the breast.  The hardest part is walking upright because the stomach muscle is so tight and has been running horizontal for your whole life.

You may want to investigate some of the other tissue recon available.  The DIEP/SIEA, GAP & TUG are all methods that use your own tissue but with greatly reduced recuperation times.  You do end up with a tummy tuck with the DIEP/SIEA but keep the stomach muscle intact.  I am amazed at the number of PS that do not tell their patients about these other options.  Not all PS do them because they involve microsurgery but, in my opinion, they are well worth having to travel if you have to because of the easier recovery.

I had the SIEA the first time and will be having the TUG for the left breast.  Just do lots of investigation before you make a final decision.  It also helps to ask lots of questions. 

I wish you all the best in making your decision.  Please feel free to contact me in the Private Message area if I can help you in any way.

Sunkist in MI