The second method uses autogenous tissue from the abdomen (called the TRAM flap) to recreate a breast mould. An ellipse of skin and fat from the lower abdomen is raised as a flap together with one of the rectus muscle to ensure blood supply. The flap is pulled upwards into the chest wound through a subcutaneous tunnel. The defect in the abdomen is closed in a similar fashion as a tummy tuck or abdominoplasty. The flap is trimmed, shaped and inset into the chest defect to create a breast mount. This method has the fringe benefit of a tummy tuck. The procedure takes about 6 hours under general anaesthesia. Hospitalization for 4-5 days is required for rest and recuperation. The overall recovery time is about 2-3 weeks.