PREPARATION: Woman after
mastectomy, showing trans–
rectus abdominis muscle
(TRAM) and surrounding
tissues, in preparation for
reconstruction. A.Mastectomy
site. B- right trans rectus
abdominis muscle. C- left trans
rectus abdominal muscle. D -
segment of abdominal tissues:
skin and fat, to be transferred
along with muscle to create the
new breast.
IN PROCESS: Woman in process
of trans–rectus abdominis muscle
(TRAM) reconstruction. A- lines of
reconstructed breast incisions.
B - right trans rectus abdominis
muscle. C - left
TRAM muscle is
swung over to re–create the new
breast. D - incision circle of re–
positioned "belly button" incision.
E - line of abdominal surgery.
LINES OF INCISION:
Woman with lines of trans–
rectus abdominis muscle
(TRAM) reconstruction
incisions. A - lines of
reconstructed breast incisions.
B - circle of re–positioned
"belly button" incision. C -
line of abdominal surgery
incision.
Bilateral Free flap with
nipple construction
Nipple tattooed on breast
after reconstruction
Woman with latissimus
dorsi muscle swung
forward to re–create the
new breast. A latissimus
dorsi muscle in new
location to re–create
breast.
Side view of breast area
with filled tissue expander in
place labels. A - tissue
expander–filled. B-  port. C
- catheter. D - syringe. E-  
ribs. F show the pectoralis
major muscle.
G - Other muscles of the
chest wall (3 lines to one
letter).
Side view of breast area
with unfilled tissue
expander in place. A -
tissue expander–unfilled.
B - port. C - catheter.
D - syringe. E - ribs. F is
the pectoralis major
muscle. G is other
muscles of the chest wall
(3 lines to one letter).
Left modified radical
mastectomy with
immediate
reconstruction, tissue
expander, and saline
implant.
BREAST RECONSTRUCTION                      Click on any image to enlarge  it!
P. O. Box 100215 .  Palm Bay .  FL  .  32910