Using the muscle and skin from the abdomen
A flap of fat and some muscle, with its overlying skin, is taken from the abdomen. It is then tunnelled upwards from the abdomen and put on the chest wall to create the shape of a breast. This method usually gives enough tissue to match the remaining breast, so an implant is not usually needed.
This type of operation is referred to as a pedicled TRAM flap because the transverse rectus abdominis muscle is used.
Benefits and disadvantages
Breast reconstruction using muscle, fat and skin from the back or abdomen, is a major operation and needs a hospital stay of at least one week.
The pedicled TRAM flap can only be used for women who are in good health and do not smoke. After the muscle of the abdominal wall has been removed, a mesh is used to strengthen the muscles to prevent hernias or bulges. However, a few women may still develop a hernia or bulge
Wolf hope this helps - it is from the macmillan site and explains in a really basic term.
Oh and I have "been" - tummy rub from DH, hot flannels and hot steaming tea.