Abstract
The TRAM flap has become a popular method of breast reconstruction as pedicled or free flap, and various modifications have been introduced. The ideal purpose of breast reconstruction is to create soft and aesthetically pleasing breasts. Usually, Asian oriental women with breast cancer are younger, have smaller breasts, and a thinner lower abdomen than occidental women. Sometimes, the near total area of the flap is used to create a satisfactory breast for matching with a normal breast or with an augmented normal breast. The fascia–sparing free TRAM (FSFT) flaps used by the authors incorporate as many as possible perforators and preserve most of the anterior rectus fascia, to maximize the vascularity of the flap (soft breast) and minimize donor–site morbidity.
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