Liposuction 2 Years After Tram-flap Reconstruction?

I've gained fat above my navel to under my breasts now and diet and exercise isn't helping. Is Liposuction a possibility ?

Doctor Answers 3

Liposuction post tram flap

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
As stated before, it is very safe to undergo liposuction following a tram flap provided there is no evidence of hernia.  Moreover, please go see your surgeon to evaluate the bulge to make sure that it is not the muscle itself.

Liposuction after TRAM flap

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes, having undergone a TRAM flap would not be an impediment to abdominal liposuction. However, you should ascertain whether any area under your breasts is bulging because of the healing of the flap as opposed to fat pockets.

Liposuction after breast reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


If possible and desired, your best option to seek the most informed answer to your question is to see your reconstructive surgeon. I regularly perform breast reconstruction (TRAM flaps and other reconstruction methods) and cosmetic procedures (liposuction included) in my practice. There may be a bulge in the upper abdomen from a portion of the TRAM flap itself depending on the exact technique utilized which can really only be answered by your surgeon or a review of the operative notes. If there is excess 'fat' that you noticed only recently as opposed to immediately after surgery, in this area, this may be able to be addressed with liposuction with no damage to the reconstruction. The TRAM flap tissues that are transferred to the chest to reconstruct the breast after mastectomy are often based on a blood vessel that runs in the rectus abdominus muscle that is tunneled under the skin of the upper abdomen and into the chest, and this may account for a bulge in this area. However, this is typically noticeable immediately after surgery and gets significantly better with time as the muscle shrinks. I hope this has helped you.

Dr. Sean Simon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.