They can still feel feminine and improve self esteem greatly with this procedure. In the pedicle (“tunneling”) method of this procedure, tissue is separated from its original location (without being completely disconnected), turned upwards and tunneled under the abdomen. It’s brought up through a mastectomy site or scar depending on time for reconstruction after surgery to make two breasts as natural looking as possible.
The free TRAM reconstruction is different. Rather than remaining attached, the tissue has been completely removed from the body – transferred to where you have had surgery. The flap is then connected to the breast’s circulation and when it reaches its destination, blood will be sent through this new tissue.