Can I do Coolsculpting or other fat loss procedure in the area where I had a TRAM FLAP?

Question

I had a double mastectomy and TRAM FLAP in 2005. I have a very large, relatively hard, bulge in the area which arose about 4 years ago when I started "core training" for my abs. I am now 30 pounds overweight but the bulge was there even 20 pounds ago. The TRAM FLAP was an extrememly intricate procedure and am just not certain if I can "touch" it again. Would appreciate advise as to how to flatten it out, if possible, and as to whether I can do a procedure in the area such as Coolsculpting. Thanks. Von

Jason Emer, MD · Answer

There should be no reason you cant have any noninvasive treatment if this area is truly fat.  I suggest seeing someone who is an expert in fat treatments for a consultation.  Best, Dr. Emer.

Robert Whitfield, MD · Answer

You need to be seen and examined.  The most common reason for a bulge after TRAM flap is a weakness in the abdominal wall that allows for the pressure in the abdomen to expand this area.  Treating this area with CoolSculpting or any other means needs to be evaluated properly though physical examination by a Plastic Surgeon who understands your surgical history.

Dean P. Kane, MD, FACS · Answer

Dear docking:Great question!The fat in any bulge of skin that will fit into the CoolSculpting (CS) applicator can be treated. If the bulge is to firm to fit or you wish to contour more than the limitations of CS, consider liposuction. I recommend you obtain a consultation by a Board Certified Plastic Surgeon who is well trained in TRAM flaps, CoolSculpting  and liposuction to provide a proper evaluation and recommendation. The "technician" performing the CS should know where the vessels entering / leaving the TRAM tissues are so they are not "cooled" in the process for 2 reasons, 1. Cooling the vessels directly may cause reduced blood flow to a point of compromising the circulation to the tissue. 2. You may not have enough collateral blood supply to perfuse the flap should the primary vessels be thrombosed. I hope this was helpful! I wish you the very best!

Can I do Coolsculpting or other fat loss procedure in the area where I had a TRAM FLAP?

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Can I do Coolsculpting or other fat loss procedure in the area where I had a TRAM FLAP?

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Everything you need to know about CoolSculpting

Our mission is to create a world where every investment in modern beauty is Worth It.