• ADVANCED BREAST RECONSTRUCTION
  • Plastic & Reconstructive microsurgeons
  • PATIENT-FIRST CARE
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world-class reconstructive center

The Global Leaders in Tissue-Based Breast Reconstruction

For over 30 years, we’ve led the field in advanced breast reconstruction using natural tissue. Our reputation for surgical excellence and patient-first care has made PRMA one of the most trusted breast reconstruction centers in the world.

30+

years of SURGICAL innovation & service

16,000+

Successful Breast Reconstruction Procedures

100+

Combined Years of Surgeon Experience
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Regain Confidence. Restore Sensation. Return to You.

From natural tissue reconstruction to sensation restoration, PRMA offers every advanced option you need so you feel whole again, grounded in decades of microsurgical expertise.
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prma’s choice

DIEP Flap Breast Reconstruction

Our most trusted technique using your own tissue for a more natural, long-lasting result.
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Restore Sensation with TruSense®

Our proprietary technique that restores breast sensation to help you feel like yourself again.
Explore all breast reconstruction options available to you.
the most advanced option for you

Why Tissue-Based Reconstruction at PRMA

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Natural-Looking Result

Natural tissue reconstruction creates soft, natural-looking breasts that age with you—no implants needed.
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Dual-Surgeon Precision

Every DIEP flap procedure at PRMA is performed by two expert microsurgeons working together, not one. This team-based approach improves precision, shortens time under anesthesia, and significantly reduces the risk of complications, delivering safer surgeries and better long-term outcomes.
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Sensation Restoration with TruSense®

PRMA is a national leader in restoring breast sensation after reconstruction. Using proprietary TruSense® techniques, our surgeons reconnect nerves during surgery, helping many women regain feeling and reconnect with their bodies after cancer.
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Proven Safer than Implants

Natural tissue reconstruction avoids the long-term risks associated with implants, including rupture, capsular contracture, and repeat surgeries. Studies show higher complication rates with implants, which is why PRMA is committed to offering a safer, longer-lasting reconstruction option using your own tissue.
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High-Definition Natural Results

Our High Def DIEP® technique delivers refined contouring and natural breast shape using your own tissue. The result is a softer, more natural appearance that looks and feels like you, not a reconstruction.
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Specialists in Complex & Revision Cases

PRMA is nationally recognized for treating patients with failed or painful implant reconstructions. We specialize in converting implant-based reconstructions to natural tissue solutions when others say it cannot be done.
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Care That Treats the Whole Woman

Healing after breast cancer is physical and emotional. Our patient-centered approach focuses on restoring confidence, dignity, and wholeness, not just reconstructing breasts.
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Before & After

See real results from women who’ve trusted PRMA with their reconstruction journey.
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after after2
Procedure: Bilateral Mastectomy with Immediate High Definition DIEP Flap Breast Reconstruction
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after patient after 3
Procedure: Bilateral Mastectomy with Immediate High Definition DIEP Flap Breast Reconstruction
Before Tissue Expander Before 4
after Tissue Expander After 4
Procedure: Bilateral Nipple-Sparing Mastectomies and Immediate Breast Reconstruction with Tissue Expanders and Alloderm
Before Breast Lift Before 3
after Breast Lift After 3
Procedure: Mommy Makeover with Bilateral Breast Lift and Abdominoplasty
other advanced procedures

Surgical Solutions Beyond Breast Reconstruction

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breast surgery

Breast Cancer Surgery

Expert surgical care tailored to your diagnosis, including lumpectomy and mastectomy options.
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Lymphedema Treatment

Advanced microsurgical techniques to relieve swelling and restore lymphatic function after breast cancer.
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Cosmetic Surgery

Refined aesthetic procedures designed to restore balance, symmetry, and confidence.
trusted by thousands nationwide

Hear from Patients We’ve Helped

Christina
DIEP Flap Reconstruction
“Dr. Chrysopoulo answered any questions and offered suggestions. I always felt supported. I was never worried or concerned. The responses were almost always instant, so it was very helpful.”
Christina
Christina L., 38
San Antonio, TX
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DIEP Flap Reconstruction
"From my first appointment with Dr. Nastala to the ladies calling me over the phone, everyone was so amazing and so welcoming through the whole process."
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Kelsey C.
New Braunfels, TX
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DIEP Flap Reconstruction
"I am so happy with my results. You don’t know what to expect going into this. PRMA has been so good to me and my doctor was so skilled. I have a few scars that are healing but they are my battle wounds!"
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Wendy G.
San Antonio, TX
Outstanding Patient Care

Expert Care That Puts You First

Your personal journey is unique. That’s why our team is dedicated to listening, guiding, and supporting you at every stage from first consultation through lifelong recovery.

  • Personalized Treatment Plans
  • Support at Every Step
  • Lifelong Follow-Up Care
Care
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Surgical Experts. COMPASSIONATE PARTNERS.

World-Class Surgeons at PRMA

Highly skilled. Compassionate. Focused on you. Meet the surgeons behind PRMA’s world-class care.
Recognized by the San Antonio Business Journal with multiple Healthcare Hero awards
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start your reconstruction journey

Schedule a Virtual Consultation Today

Connect with a PRMA specialist to discuss your breast reconstruction goals, explore your options, and get expert guidance on your next steps.