TRAM Flap and shipment loss?

Five years ago my sister had a TRAM Flap and since that time she have gained a considerable amount of substance. She is actively on a weight loss program very soon, and she is wondering about her TRAM Flap and breast size considering that it is (from my understanding) belly tubby...so...will she lose a "boob" (The TRAM Flap one of course) in the process?
Answers:

Is this regular when first starting birth control?


It's been a while since I've worked for a plastic surgeon or see a TRAM flap surgery, but from what I remember...
When they do the TRAM flap, the simply pull the muscle up. So it's not necessarily solid, moreso muscle. In which case, no she won't lose the boob.

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