35 year old patient who is 5′ 5″ with a left outer quadrant breast cancer with a pre op A – B cup breast size – desired larger breast volume post mastectomy and reconstruction. She underwent bilateral skin sparing mastectomy and at the same time autologous breast reconstruction with bilateral V-TRAM flaps. The “V” stands for the vertical component of the abdominal fatty tissue and skin that is located along the central most portion of the abdomen receiving its blood supply directly from the underlying abdominal muscle. The patient did accept a central vertical abdominal as well as a transverse or horizontal incision as in the traditional TRAM flap scars – that she traded in for a larger and all natural breast reconstruction. The abdominal donor site was repaired with both an in lay as well as an on lay mesh to reinforce the abdominal musculature and secure a long-term abdominal wall integrity with an hour-glass contour. Six months after this surgery she underwent bilateral nipple reconstructions, followed by tattooing of the nipple areolar complexes. Her reconstructed breasts remain soft and natural maintaining their shape and contour.
- Patient #: 2561
- Gender: Female
- Age: 31 - 35
- Procedure: TRAM Flap Breast Reconstruction