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DIEP Flap vs. TRAM Flap Breast Reconstruction


Dr. David Passaretti can help you weigh the benefits of various breast reconstruction procedures, including DIEP flap vs. TRAM flap breast reconstruction, during a consultation at his Darien, CT, practice. We are committed to helping patients who have suffered from breast cancer or trauma and undergone mastectomy treatment enjoy a more aesthetic, natural-looking bust. Dr. Passaretti uses his extensive experience and advanced expertise to utilize some of the latest techniques in breast reconstruction surgery for our patients. To learn more about DIEP flap and TRAM flap procedures or decide which may be right for you, contact our plastic surgery office and schedule a consultation with Dr. Passaretti.

Your Initial Consultation

During your first appointment, Dr. Passaretti will examine your chest, go over your medical records, discuss your past or planned treatment, and post-surgical aesthetic goals. If you have undergone single or double mastectomy, are in good general health, and able to safely undergo surgery, we can begin discussing your eligibility for various types of breast reconstruction.

The TRAM Flap Method

One of the most common breast reconstruction techniques is the TRAM (Transverse Rectus Abdominis Muscle) flap procedure. During this surgery, Dr. Passaretti will remove muscle, fat, and skin tissue from your abdomen, then use this material to build up and reshape your breasts. Since it involves the use of autologous (your own) tissue, the TRAM technique can provide more realistic results than breast implants. Dr. Passaretti often recommends this approach for patients who have undergone single mastectomy. However, excising a portion of the abdominal muscle for use in reconstruction does require a more intensive surgical procedure that may disrupt the function of the abdominal tissue. It also involves a somewhat lengthy recovery.

The DIEP Flap Technique

The DIEP (Deep Inferior Epigastric Perforator) flap approach to breast reconstruction is very similar to the TRAM technique, except that Dr. Passaretti only removes skin and fat from the abdomen. The surgical process for DIEP is typically much longer than that of TRAM breast reconstruction because Dr. Passaretti will take care to preserve and reattach important blood vessels. Additionally, by leaving the muscular tissue intact, DIEP surgery requires a shorter healing period and does not carry as many risks for abdominal weakness. DIEP is often considered a more advanced version of TRAM because it provides beautiful, natural-looking results without the disadvantages of removing segments of the abdominal muscle.

Choosing The Right Procedure For You

Both TRAM and DIEP are sophisticated surgical techniques that can achieve excellent results. Dr. Passaretti will help you determine which method is suitable for your needs based on your medical record and existing conditions. For example, if you already suffer from abdominal weakness, DIEP may be a more ideal option for you, while patients with disorders that make undergoing lengthy surgery more difficult may opt for the shorter TRAM procedure.

Learn More About Your Breast Reconstruction Options

No matter which type of breast reconstruction surgery you choose, Dr. Passaretti can use his training to provide superb, safe results. Contact us today to learn more about DIEP flap and TRAM flap surgeries or schedule a consultation.

(203) 642-1891

"Thank you for making me look like a work of art! I sincerely appreciate everything that you’ve done for me."

-Plastic Surgery Patient

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Darien Office

722 Post Rd
Ste 201
Darien, CT 06820

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(203) 642-1891