If there is sufficient tissue on the abdomen, the woman is generally in good health, and the abdomen is relatively free of scars from prior surgery, then the TRAM flap may be an option. Although it is performed in a single stage, there are revisions that may be needed to obtain the optimal shape. The reconstruction process is very personal and it is important that the timing and pace works for you. Photo Gallery View before and after photos featuring Dr. This usually involves the use of an allograft cadaver skin to make the pocket for the implant. Body Procedures click here. It is never too late to consider reconstruction.