Hi and welcome. I am happy to share my experience of Tram Flap surgery. I had mine in January of this year. I was off work for 6 1/2 weeks. It is very painful and for about 3 weeks, you can't stand up straight. That really bothered my back. As long as you know that, it is very manageable and worth every ounce of pain (in my opinion). My surgery took about 7 hours and I was in the hospital for 4 days. I had 3 drains (always the worst part), one in the breast and 2 in the abdomen. The breast drain came out in a couple of days, but one of the abdomen drains stayed in almost 2 weeks. I had virtually no necrosis of the tissue. My PS said it was the healthiest tram he's seen. I also spoke with a woman who had the same PS do this surgery and she was very satisfied. I slept on a wedge for several weeks that kept my upper body at an incline, because you can't lay straight right away. It helps to also have something under your knees. With the help of Vicodin and a lot of rest, it was not all that bad.
My PS did an amazing job, including the follow up reduction/lift on the other side and nipple reconstruction. The best thing, I think, is the tummy tuck. I had quite a belly and it's gone. My new belly button is so cute! LOL I was a D cup before mast and after all the reconstruction surgeries, I'm a C. The thing I wasn't prepared for, though, was being told I still needed to wear a partial prosthesis when I went to get fitted for a 'regular' bra again. I refused to believe that. Not after going through all I did. After thinking about it and crying a little, I realize I do need a little something, but not a partial prosthesis. I just need a little filling in at the tip. I bought 2 pretty bras at Frederick's of Hollywood, believe it or not. They are full figure, but look nice. I had to get used to wearing them. It took a few days.
If you have any other questions, just ask. I'm here to help in any way I can. There is another woman (Bernadette) on here who is planning a Tram soon, also.
L & H,