I had a tram flap 4 my left breast reconstruct. Mine was done from my stomach. I think there are other sites they also use. You might want 2 ask positives & negatives of using the sites.
Dear Rembrandt: A double TRAM flap is theoretically possible but most plastic surgeons will do this only in select circumstances where conditions are favorable to do so. A patient must have adequate skin but also adequate muscle. Other considerations would be radiated tissue. This is a questions that should be addressed to a plastic surgeon, preferably one who does many such flaps. This physician could evaluate the possibility of bilateral TRAM flap as it relates to your specific situation. As an aside, you should probably not skip the biopsy. If a mastectomy and flap were done and there was no cancer, the insurance may not pay for it.