It is possible to perform additional work on your abdominal wall, depending on its condition, the type of TRAM flap surgery done, and how the abdominal wall reconstruction was achieved. For example: was this a free flap or pedicled rectus muscle flap, how much of the muscle was used in the pedicle blood supply, was the abdominal wall defect repaired with just sutures or was a mesh used to reinforce the abdominal wall, how much abdominal wall weakness do you actually have?
Your surgeon would be in the best position to understand these issues and advise you what, if anything, can be done to improve your situation. Without an examination and knowledge of your situation, it is impossible for me to be specific about what course of action can and should be done.
Thank you so much for you response and advice. I really don't want to see the same surgeon again. I was not completely happy with her performance. First surgery on 7/13/04. She did not get the line right on the breast plus too much fat was left in it and there was also "dog ears". I discussed this with her and she said to come back within one year and she would correct the problem. On 4/22/05 She was able to remove the dog ears and the excess fat in the breast but she did not correct the line. Unfortunately, I had personal problems in my life and was not able to concentrate on this issue. I am going to visit with a different surgeon with whom I had a consultation with back in 2005.