The ability of TRAM flap to reconstruct a breast, after unilateral (single-sided) mastectomy and to match the opposite side, is unequivocal.
Here, a patient with left breast cancer is shown:
Left Column: Pre-op
Middle Column: Same patient after TRAM flap to reconstruct a mastectomy defect.
Right Column: Final outcome, after nipple-areola reconstruction and pigmentation.