TRAM flap is an older procedure which uses the rectus abdominus muscle, lower belly skin and fat to create the breast mound. A DIEP flap uses the same lower belly skin and fat; however, the entire muscle is preserved, the tissue is completely detached from the body then blood vessels are reattached in the chest to reconnect and create a breast mound.

Yes. You will stay in the hospital for 3 days.

Yes. The purpose of the TRAM flap is to ensure the newly transplanted tissue survives. No additional breast contouring will be performed at this time as it can compromise the success of the flap.

Yes. 1 drain in the breast and 2 drains in the abdomen. They will stay in place 1-3 weeks depending on the volume of fluid output.