A case of acute swelling and enlargement of striae distensae shortly a
fter immediate breast reconstruction with TRAM flap is described. Alth
ough this condition may be an alarming sign of compromised blood suppl
y to the flap, the flap's other features were normal. The edema subsid
ed spontaneously within a week, and the flap demonstrated full surviva
l. Possible mechanisms of this phenomenon an discussed.