Started Out as DIEP

My sister's bi-lateral mastectomy was last Wednesday.  If you read previous posts, she was told to gain 25 pounds to prepare her stomach to harvest the fat and tissue to recreate new boobs.  However, there was always a chance that there would not be enough "material" to harvest and the DIEP technique would have to become Tram-flap which would then mean stomach muscle would be used in addition to the fat and tissue.  Well, unfortunately after 12 hours in surgery, it started out as DIEP and ended up as a Tram-flap.
Why is there concern?  Tram-flap recovery is much longer since the muscle has now been cut and removed.  Also, there is a tendency to loose strength in the abdomen.  My sister is very active so, hopefully, this will not be the case.  She has been in the ICU for the past five days and I just heard from her (via text) that is going home today.  It has been brutal!
See, Caryl, I told you to consume more cookies and pasta!