SECONDARY SHAPING OF THE TRAM FLAP

Excellent results from TRAM flap reconstruction depend on proper patie nt selection and proper surgical planning and execution. It is difficu lt to achieve perfection and completion of the reconstruction in a sin gle operative procedure. The second stage gives the surgeon an excelle nt opportunity to not only perform the nipple-areola reconstruction bu t also to enhance the quality of the initial procedure and give the pa tient the best possible result as well.