Please ask why you can't have a DIEP. It is superior to the Tram and doesnot compromise any muscle and althoug a longer operation, the recovery is quicker and less painful. In my area, they no longer do Tram either pedicle or free, unless there is an insufficient blood supply. This happens very rarely and usually only with people who have smoked. If your surgeon cannot do a Diep, you have the right to be refered to a surgeon who does.
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