Abstract
Total or partial skin deepithelialization of the transverse rectus abdominis musculocutaneous (TRAM) flap is an integral component of this technique for achieving a successful breast reconstruction. In a manner similar to dermabrasion, the carbon dioxide laser in a defocused mode permits precise removal by vaporization of the epidermis and outer dermis. The extended application of this method for deepithelializing the TRAM flap is simple, rapid, and safe. Because a portion of the dermis always remains intact, another inherent advantage of this method is preservation of the subdermal vascular plexus that may be important for maintaining any precarious flap perfusion.
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