The TRAM flap (transverse rectus abdominus myocutaneous) is a tissue flap procedure that uses muscle, fat and skin from your abdomen to create a new breast mound after a mastectomy. Most women have enough tissue in their abdomen area to create a new breast. But if there is not enough tissue, a small implant can be placed to fill out the size of the new breast. Two methods are used to move your tissue from your tummy to your chest — free flap and pedicle flap.
