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Secondary shaping of the free TRAM: an inferior pedicle reduction mammaplasty.

Farace F, Rubino C, Posadinu A, Pittalis E, Campus GV

Plastic Surgery-Burn Unit Department, University of Sassari, Sassari, Italy.

Secondary shaping of the transverse rectus abdominis myocutaneous (TRAM) flap is a routine treatment, and includes liposuction, skin excision, inframammary fold replacement, dermal fat grafts or lipofilling. Major flap revision may include an augmentation procedure with implants or expanders. We present an inferior pedicle breast reduction in a woman who underwent breast reconstruction using a free TRAM flap. To our knowledge, there are no reports about reduction mammaplasty or mastopexy in Free TRAM flap breast reconstruction. Reduction mammaplasty should be regarded as a valuable option in free TRAM or deep inferior epigastric perforator secondary reshaping.

Published 24 January 2008 in J Plast Reconstr Aesthet Surg, 61(2): 204-6.
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