Autologous Breast Reconstruction (Using your own tissue)
Latissimus Dorsi Muscle Flap
Like the TRAM flaps, this procedure uses muscle, in addition to skin and fat, to reconstruct the breast.
The latissimus dorsi muscle (the fan-like muscle that connects from your lower back to your arm) and some of the overlying skin and fat are used from underneath the shoulder and from the back of the chest wall.
As the skin and muscle of the latissimus dorsi flap may have insufficient volume for a desired breast reconstruction, a breast implant sometimes is placed under the reconstructed skin and muscle to more completely fill out the tissue.
Pedicled TRAM (Transverse Rectus Abdominis Muscle) Flap
Like the above flaps, the abdominal skin and fat is used for breast reconstruction. The rectus abdominus muscle (belly “six pack”) on one side is taken around the blood vessels to preserve them. The muscle is turned or folded on itself and the flap is passed under the chest wall skin up into the chest to provide blood flow for the new flap.
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