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Transverse Rectus Abdominis Myocutaneous (TRAM) Flap

Transverse rectus abdominis myocutaneous (TRAM) flap surgery was developed decades ago and is no longer recommended or performed at the Johns Hopkins Breast Center, because of the risk of hernia or abdominal bulge and the limit on lifting anything over 20 pounds post surgery. The breast surgeons at Johns Hopkins perform newer and more advanced surgical procedures that can offer women a more natural result.

In TRAM flap surgery, the tissue remains attached to its original site, retaining its blood supply. The flap, consisting of the skin, fat, and muscle with its blood supply, is tunneled beneath the skin to the chest, creating a pocket for an implant—or in some cases, creating the breast mound itself.

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