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Variations of the TRAM flap can use the Rectus muscles or not. Depending on the type that you had, you may have a loss of one, two, or neither of your muscles. Check with your surgeon. Best, Dr. Karamanoukian
The short answer is no. Muscles once moved for reconstruction do not regenerate. There are however many versions or modifications of the TRAM flap so check with your surgeon to see what was performed.
There are many different modifications to a TRAM flap and the amount of muscle that is taken with the flap. The defect from the muscle taken is typically closed and can be reinforced with either mesh or a biologic implant like cadaver or pig dermis, but muscle definitely doesn't grow back. The days of taking all of the muscle are almost gone (even with a pedicled TRAM), but only your surgeon knows how much was taken.
If you had a pedicled TRAM the muscle was rotated up to the chest for the reconstruction. If you had a free TRAM either a piece or all the muscle was removed. No, it will not grow back.
Scar is in three dimensions--- it is not just a surface phenomenon. the scar is pulling perpendicular to the skin and in doing so, it is bow-stringing some bands that go to your lateral chest as well as your upper arm.This is not unusual and I have seen this several times after axillary...
Tissue expanders are similar to a saline implant in which both come empty or as a silicone shell. The expanders are textured and thicker than a regular saline implant. They do have a metal backing behind the valve so when the tissue expander is being filled in the office, the...
With procedures and outputs. As long as the clear, yellow tinged fluid persists in great volumes, the drain is left in. You don't mention if you had implants replaced, and if so, whether implants were textured or smooth. In my clinical opinion and with my patients, I...
