The muscle in a tram flap can be obvious for up to a year, but it eventually settles down. As you get further out, this should resolve. Infections can cause problems. The autoimmune diseases can also prolong your healing and promote other issues. At 7 months, it is highly unlikely the muscle is dying, but go back and talk to your reconstructive surgeon and tell him or her your concerns.
arch s miller ms md facs
I have had my tramsflap surgery 5 years ago. I had edema and the muscle seemed hard and obvious when I did any movement. After a while it was not so obvious. The muscle on the outside, under my arm still seems hard. The edema should subside by now though.
Watch for lymphedema. Did you have a radical mastectomy? Ask you oncologist about that a.