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Dr Chet Nastala, PRMA Plastic Surgery, San Antonio, Texas, Stone Oak | Specialist in breast reconstruction, microsurgery, restoring feeing after mastectomy, aesthetic plastic surgery, TruSense®, High Definition DIEP

Dr. Chet Nastala

Dr. Nastala celebrated his 20th anniversary with PRMA in July 2022 after joining Dr. Pisano and Dr. Ledoux in 2002. He spent his early years in Texas on the faculty at the University of Texas Health Science Center, serving the community reconstructing trauma victims all over South Texas, developing the breast reconstruction program, and achieving national recognition for the plastic surgical training program teaching residents. He is proud of his teaching awards while serving as both the residency director and head of plastic surgery. His passion for teaching was developed at The University of Pittsburgh Residency in Reconstruction and Microsurgery. Dr. Nastala achieved numerous awards there including the coveted Charles C Moore teaching award.

Dr. Nastala attended Harvard University graduating Magna Cum Laude in biochemical sciences. He was Varsity Golf team captain and enjoyed travel and competition but developed his passion for medicine and surgery through his work in the cardiovascular laboratories at Thomas Jefferson in the summers. Attending Duke University Medical School allowed him the unique opportunity to pursue surgical research and present his work internationally and meet mentors in Plastic Surgery inspiring him to use his talents for the reconstruction of cancer patients.

During the last two decades at PRMA, Dr. Nastala has focused his efforts on developing one of the best breast reconstruction practices in the country. As patients have come from all over Texas and beyond, he has focused on delivering the best surgical care possible. He also served as the Secretary, Vice President, then President of the San Antonio International Society of Plastic Surgeons. Along with Dr. Ochoa, he has been instrumental in the research efforts of the practice as listed on his CV developing important protocols for nerve regeneration (TruSense technique), and improving clinical outcomes with ERAS – Enhanced Recovery After Surgery –, all important topics to improve our patients’ care and minimize complications and post-operative discomfort.

Dr. Nastala enjoys spending family time playing golf and pickleball as well as hiking and fly fishing. He loves playing the piano and entertaining at the PRMA Christmas and anniversary parties and knows no one is safe from his satirical lyrics.

“In my opinion, there is no group of surgeons so supremely talented, humble, giving, and dedicated to the core mission of autologous breast reconstruction, as the surgeons of PRMA.”

Curriculum Vitae
San Antonio plastic surgeon specializing in plastic and reconstructive surgery

Office Address
9635 Huebner Road, San Antonio, TX 78240
Tel (210) 692-1181
Fax (210) 692-7584

Education Information

 

Undergraduate Education
1981-1985
Harvard University: College of Arts and Sciences, Cambridge, MA
Bachelor of Arts, 1985
Biochemical Sciences
magna cum laude

Postgraduate Education
1989-1992: University of Pittsburgh Medical Center, Pittsburgh, PA, Richard L. Simmons, M.D., Chairman, Dept of Surgery, GMT I, II, III – Intern/ Resident in General Surgery

1992-1994: University of Pittsburgh Medical Center Pittsburgh, PA, Michael T. Lotze, M.D., Director, Surgical Oncology, Howard D. Edington, M.D. Plastic Surgical Oncology, Surgical Oncology and Surgical Research Fellowship

1994-1996:University of Pittsburgh Medical Center, Pittsburgh, PA, Richard L. Simmons, M.D., Chairman, Dept of Surgery, GMT IV-V, Chief Resident in General Surgery

1996-1998:University of Pittsburgh Medical Center, Pittsburgh, PA, J. William Futrell, M.D., Chief, Plastic Surgery, GMT VI-VII, Plastic Surgery Residency

GRADUATE EDUCATION
1985-1989
Duke University: School of Medicine, Durham, NC
Doctor of Medicine, 1989
Kenneth Pickrell Scholarship

LICENSURE
1990 MD 045402 L – Pennsylvania State License
1991 BN 3062522 – Federal Drug Enforcement Agency
1992 – Laser Certification, University of Pittsburgh
1993 – Emergency Medical Command Certification
1993 – Advanced Trauma Life Support
1993 – Advanced Cardiac Life Support
1994 – Laser Re-Certification, University of Pittsburgh
1995 – Laser Re-Certification, University of Pittsburgh
1998 K6181 – Texas State License
1998 90108801- Texas Department of Public Safety

Career Information

CERTIFICATION
American Board of Surgery, Certified February 1999, renewal 7/1/2009
American Board of Plastic Surgery, Certified September 1999, renewal 9/18/2009

ACADEMIC APPOINTMENTS
7/2002
Private Practice, Plastic and Reconstructive Surgery, Plastic, Reconstructive and Microsurgical Associates of South Texas

7/2001
Chief, Plastic and Reconstructive Surgery,University of Texas Health Science Center San Antonio

1/2001
Program Director, Plastic Surgery Residency, Interim Chief, Plastic and Reconstructive Surgery, University of Texas Health Science Center San Antonio

2000
Associate Program Director, Plastic Surgery Residency, University of Texas Health Science Center San Antonio

1999
University of Texas Health Science Center San Antonio, Director of Graduate and Student Education in Plastic Surgery

1998
University of Texas Health Science Center San Antonio, Assistant Professor of Plastic Surgery, Chief, Section of Aesthetic and Reconstructive Breast Surgery

MEDICAL STAFF APPOINTMENTS
2001
Southwest Texas Methodist Hospital System, Plastic and Reconstructive Surgery, San Antonio, TX

2001
University Health System, Chief, Plastic and Reconstructive Surgery, San Antonio, TX

1999
Baptist Health Network, San Antonio, TX, Attending Plastic Surgeon

1999
Christus Santa Rosa Health Care System, Attending Plastic Surgeon, San Antonio, TX

1999
Audie L Murphy Veterans Administration Hospital, Chief, Section of Plastic Surgery, San Antonio, TX

1998
Audie L Murphy Veterans Administration Hospital, Director of Plastic Surgical Services, San Antonio, TX

1998
University Health System, Attending Plastic Surgeon,San Antonio, TX

Committees
2013-2014President, San Antonio International Plastic Surgery Society

2011-2012Vice-President, San Antonio International Plastic Surgery Society

2009-2010Treasurer, San Antonio International Plastic Surgery Society

2000-2002Young Plastic Surgeons Committee, American Society of Plastic Surgery

2000-2002Utilization Review Committee, University Health System, San Antonio, TX

2000-2002Chairman, Laser Committee, University Health System, San Antonio, TX

1999-2001Operating Room Committee, University Health System, San Antonio, TX

1999-2001UTHSCSA Cancer Committee, University of Texas Health Science Center San Antonio

1999 Laboratory Animal Services Resource Utilization, Department of Surgery, University of Texas Health Science Center San Antonio

1999 Oral Maxillofacial Surgery Chair Search Committee, University of Texas Health Science Center San Antonio

Honors & Awards
1981-1985 Magna cum laude, Ada Howe Kent Scholar, Harvard College Scholarship

1985-1989 Dr. Kenneth L. Pickrell Scholarship, Duke University School of Medicine

1996 Mark Ravitch Teaching Award — Surgery

1997 Charles C. Moore School of Medicine Teaching Award – Surgery

2000 Outstanding Educator Award — Division of Plastic Surgery, UT Health Science Center, San Antonio

PROFESSIONAL SOCIETIES
American Society of Plastic Surgeons
American Society of Reconstructive Microsurgery
American College of Surgeons
Texas Society of Plastic Surgeons
Texas Medical Society
San Antonio International Society of Plastic and
Bexar County Medical Society
University of Pittsburgh Plastic Surgery Society
Teaching Service at UTHSCSA

Medical Student Anatomy Lectures: Clinical Correlations Human Anatomy Dissection Course

Lectures on Hand Anatomy, Trunk Anatomy, The Anatomy of Flaps and Grafts. Clinical Anatomical Correlations in Cleft Lip and Palate Repair

Medical Student Clinical Lectures in Plastic and Reconstructive Surgery

Responsible for weekly lectures for medical students including an introduction to Plastic Surgery, Hand surgery, Breast reconstruction, Burn Management, Wound care, and Facial trauma management.

Graduate Resident Clinical Education Core Curriculum Course

Responsible for planning and implementing weekly Plastic Surgery Conference designed to comprehensively review of the entire spectrum of Plastic and Reconstructive Surgery. Weekly lectures have specific goals and objectives for each topic to help residents organize their own leaning and provide an in depth understanding of current practice of Plastic Surgery. Scholarship and an environment of inquiry is fostered. I attend clinical teaching workshops and instructor courses regularly to consistently improve teaching ability.

Weekly Clinical Teaching: Plastic Surgery Attending Rounds

Coordinator. Weekly City Wide Plastic Surgery Grand Rounds.

Responsible for coordinating Grand Rounds involving entire spectrum of Plastic and Reconstructive Surgery clinical practice and basic science. Ensures presentations meet continuing medical education (CME) guidelines and objectives. Encourage participation of all clinical and full time academic faculty

Completed UTHSCSA “Effective Clinical Teaching” instructor’s course

February 24-25, 2000, 13 contact hours CME. Division of Educational Research and Development, Office of Educational Resources. William D. Hendrickson, MA, MS Workshop Director

Completed UTHSCSA Clinical Teaching Spring Workshop

March 29 through May 3, 2000. Division of Educational Research and Development, Office of Educational Resources. Nancy C. Hudepohl, PhD Course Director

Mentor: Medical Student Billy Kim, MS2 Summer internship program: Plastic Surgery Clinical Research in wound healing, UTHSCSA

Mentor: Robert Kessler, M.D., Senior Resident in Plastic Surgery at the University of Texas Health Science Center at San Antonio: Best Paper Award at the 2000 Senior Plastic Surgery Resident’s Conference, U Florida, Gainsville. “HIV-1 Protease inhibitors and the Plastic Surgeon.”

Other

Nastala, C.L. Molecular species of rabbit skeletal tropomyosin: Correlation of effects on actomyosin adenosine triphosphatase with conformational stability. Thesis in the Department of Biochemistry and Molecular Biology, Harvard University, 1985.

Grants & Protocols

IL-12 gene therapy using direct injection of tumors with genetically engineered autologous fibroblasts. Hideaki Tahara, M.D., PhD; co investigator 1994

Phase 1 dose escalating study of recombinant human interleukin-12 (rhIL-12) administered ny intravenous injection in patients with advanced solid malignancies. Michael T. Lotze, M.D. co-investigator 1995

Cost-effectiveness and clinical benefits of VAC therapy in the treatment of Veterans requiring skin grafting of wounds. Chet L Nastala, M.D., Pramrod Nelluri, M.D., Robert C. Lyons, M.D. 2000. ($40,000, funding pending)

Reconstruction of Nipple/Areola with tattooing in Breast Cancer Patients. San Antonio Area Foundation $3,415. 2001

Publications

Referred Articles

Kresh, J.Y., Nastala, C.L., Bianchi, P.C., Goldman, S.M., Brockman, S.K. The relative buffering power of cardioplegic solutions. The Journal of Thoracic and Cardiovascular Surgery 1987; 93(2): 309-311.

Tyler, D.S., Nastala, C.L., Lyerly, H.K., Matthews, T.J., Bolognesi, D.P., Weinhold, K.J. Direct ADCC: Evidence for circulating antibody armed cytotoxic CD16+ NK/K cells in patients infected with HIV-1. Surgical Forum 1988; 418-420.

Prince, A.F., Horowitz, B., Baker, L., Schulman, R.W., Ralph, H., Valinsky, J., Cundell, A., Brotman, B., Boehle, W., Rey, F., Piet, M., Reesink, H., Lelie, N., Tersmette, M., Miedems, F., Barbosa, L., Nemo, G., Nastala, C.L., Allan, J.S., Lee, D.R., Eichberg, J.W. Failure of a human immunodeficiency virus (HIV) immune globulin to protect chimpanzees against experimental challenge with HIV. Proc Natl Acad Sci 1988; 85: 6944-6949.

Lyerly, H.K., Skinner, M.A., Tyler, D.S., Nastala, C.L., Matthews, T.J., Bolognesi, D.P., Weinhold, K.J., Anti-HIV immune cytolysis is independent of viral envelope glycosylation. Surgical Forum 1988; 420-422.

Tyler, D.S., Nastala, C.L., Stanley, D.S., Matthews, T.J., Lyerly, H.K., Bolognesi, D.P., Weinhold, K.J. GP120 Specific cellular cytotoxicity in HIV-1 seropositive individuals: Evidence for circulating CD16 positive effector cells armed in vivo with cytophilic antibody. Journal of Immunology 1989; 142: 1177-1182.

Tyler, D.S., Lyerly, H.K., Nastala, C.L., Shadduck, P.P., Fitzpatrick, K.T., Langlois, A.J., Moylan, J.A. Barrier protection against the human immunodeficiency virus. Current Surgery 1989; 46: 301-304.

Tyler, D.S., Stanley, S.D., Nastala, C.L., Austin, A.A., Bartlett, J.A., Stine, K.C., Lyerly, H.K., Bolognesi, D.P., Weinhold, K.J. Alterations in antibody dependent cellular cytotoxicity during the course of HIV-1 infection. Humoral and cellular defects. Journal of Immunology 1990; 144:3375-3384.

Nastala, C.L., Edington H., Storkus, W.J., and M.T. Lotze. Recombinant Interleukin-12 (r-mIL-12) mediates regression of both subcutaneous and metastatic murine tumors. Surgical Forum 1993; 44: 518-521.

Nastala, C.L., McKinney, T., Edington H., Tahara, H., Gately, M.K, Storkus, W.J., and M. T. Lotze. Interleukin-12 (IL-12) induces specific anti-tumor immunity in animals bearing established subcutaneous murine sarcoma. Surgical Forum 1994; 45.

Hoehnke, C., Nastala, C.L., Tahara, H., Suzuki, T., Edington, H. and M.T. Lotze. The use of gene transfer of viral IL-10 to facilitate allogeneic skin transplantation. Surgical Forum. 1994; 45.

Nastala, C.L., Edington H., McKinney, T.G., Tahara, H., Brunda, M., Gately, M., Wolf, S., Hubbard, B., and M.T. Lotze. Recombinant interleukin-12 (IL-12) administration induces tumor regression in association with interferon-gamma production. Journal of Immunology 1994; 153: 1697-706.

Matthes, G, Zabel, D. D., Nastala, C.L., Shestak, K.C. Endometrioma of the abdominal wall following combined abdominoplasty and hysterectomy: Case report and review of the literature. Annals of Plastic Surgery 40(6):672-5,1998.

Nastala, C.L., Techniques in Perineal Reconstruction. eMedicine, emedicine.com 2001 (online journal, peer reviewed)

Nelluri, P.K., Lyons,R.C.., Nastala, C.L., Garza, J.R.. Functional Assessment of the sciatic nerve after repair with local delivery of FK506 in rats. Canadian Journal of Plastic Surgery, Vol 10 No x March 2002.

Leong K, Nastala CL, Wang PT. Cosmetic aspects of cranial reconstruction.

Neurosurg Clin N Am. 2002 Oct;13(4):491-503, vi.

Pisano, S.M., Ledoux. PR, Nastala, C.L. Breast Reconstruction in Private Practice. A New Decade in Breast Reconstruction. Saleh Shenaq., MD.ed Seminars in Plastic Surgery Vol 18 No 2, 2004, 157-73.

Ochoa O, Chrysopoulo M, Nastala C, Ledoux P, Pisano S. Abdominal Wall Stability and Flap Complications after Deep Inferior Epigastric Perforator Flap Reconstruction (DIEP) Breast Reconstruction: Does BMI make a Difference? Analysis of 418 Patients and 639 Flaps, Plast Reconstr Surg. 2012 Jul;130(1):21e-33e.

Books & Chapters

Weinhold, K.J., Lyerly, H.K., Matthews, T.J., Tyler, D.S., Nastala, C.L., and D.P. Bolognesi. Specific cell-mediated cytotoxicity against HIV-1 envelope glycoprotein coated CD4 cells. in Autoimmune aspects of HIV infection, Andrieu, J.M., Bach, J.F., and P. Even, eds. Royal Society of Medicine, London 143-151, 1988.

Matthews, T.J., Rusche, J.R., Skinner, M., Putney, S.D., Lyerly, H.K., Nastala, C.L., Tyler, D.S., Weinhold, K.J., and Bolognesi, D.P. Immunology of the external envelope viral glycoprotein. in AIDS and associated cancers in Africa, Giraldo, G., Giraldo, E., Clumeck, N., Gharbi, M., Kyalwazi, S., and Guy de The, eds. Karger, Basel 237-245, 1988.

Tyler, D.S., Stanley, S.D., Nastala, C.L., Lyerly, H.K., Matthews, T.J., Bolognesi, D.P., and Weinhold, K.J. Antibody-directed Anti-HIV-1 Cellular Cytotoxicity: Role of NK/K cells armed with gp120-specific antibodies in therapeutic and vaccine strategies. in Vaccines 89: New Chemical and Genetic Approaches to Vaccination, Prevention of AIDS and other Viral Bacterial, and Parasitic Diseases, Ginsberg, H., Brown, F., Lerner, R.A., and R.M. Chanock, eds. Cold Spring Harbor Laboratory, 155-158, 1989.

Lyerly, H.K., Tyler, D.S, Nastala, C.L., and K.J. Weinhold. Anti-HIV-1 ACDD. in AIDS Vaccine Research and Clinical Trials, Putney, S.D. and Bolognesi, D.P. eds. Marcel Dekker, Inc. New York 157-177, 1990.

Freeswick, P.D., Nastala, C.L., and T.R.Billiar. Molecular Mechanisms of Hepatic Failure. R.G. Landes Co. ISBN 1570590982, Dec 1995

Nastala, C.L., McCraw, J.B., and A. McMellin. Vaginal Reconstruction using the Gracilis Myocutaneous Flap. In Reconstructive and Plastic Surgery of the External Genitalia, Gary Alter, ed. W.B.Saunders, Co. 1998.

Nastala, C.L., and K.C. Shestak. Breast Reconstruction. In Plastic Surgical Secrets, Weinzweig, J. ed., Hanley and Belfus, Philadelphia, 254-258, 1999.

Miller, A.R., Chew, H.K., Zellers, R., Nastala, C.L.., and F. Sharkey. Breast Sarcoma. In Cancer Therapy 2002.

Pisano, SM., Ledoux and Nastala C.L; Breast Reconstruction in Private Practice.

In: A New Decade in Breast Reconstuction, Saleh Shenaq, Ed Seminars in Plastic Surgery Volume 18 Number 2, 2004.

Nastala, C.L., Minas T Chrysopoulo, Steven M Pisano, Peter R Ledoux, Free Transverse Myocutaneous Flap Breast Reconstruction, in Surgery of the Breast: Principles and Art: 3rd Edition Ch 55 Scott Spear, Ed. ISBN-13: 9781605475776 Lippincott Williams & Wilkins, 11/15/2010, Edition: 3, 1792pp

Ochoa O, Pisano, Chrysopoulo M, Ledoux, Arishita Nastala Abdominal Wall Stability and Flap Complications after Deep Inferior Epigastric Perforator Flap Breast Reconstruction (DIEP) Breast Reconstruction: Does BMI make a Difference? Chapter in Breast Reconstruction, pp 1397-1405 Shiffman, Springer.com 2016

Published Abstracts & Lectures

Nastala, C.L. Mock circulatory system evaluation of left ventricular assist. Proceedings of the Annual Conference for Engineering in Medicine and Biology 1984; 37:65.

Nastala, C.L.Molecular species of rabbit skeletal tropomyosin: Correlation of effects on actomyosin adenosine triphosphatase with conformational stability. Thesis, Department of Biochemistry and Molecular Biology, Harvard University, 1985.

Kresh, Y., Nastala, C.L., Goldman, S., Fox, D., Brockman, S. The relative buffering power of cardioplegic solutions. Faculty of the American Society of Engineering in Biology 1985.

Kresh, J.Y., Nastala, C.L, Goldman, S.M., Fox, D., Brockman, S.K. Continuous monitoring of intramyocardial pH: Relative buffering power of cardioplegic solutions. International Society for Heart Transplantation 1986.

Nastala, C.L., Tyler, D.S., Lyerly, H.K., Matthews, T.J., Bolognesi, D.P., Weinhold, K.J. Antibody isotypes directing anti-GP120 antibody dependent cell mediated cytotoxicity. Proceedings of the Fourth International Conference on AIDS, presented in Stockholm, Sweden. 1988; 1:2102.

Tyler, D.S., Nastala, C.L., Stine, K.C., Bartlett, J., Bolognesi, D.P., Lyerly, H.K., Weinhold, K.J. Therapeutic application of interleukin-2 augmentation of HIV-1 specific cellular immune reactivity. Proceedings of the Fourth International Conference on AIDS, Stockholm, Sweden. 1988; 2:3524.

Tyler, D.S., Nastala, C.L., Lyerly, H.K., Stanley, D.S., Matthews, T.J., Bolognesi, D.P., Weinhold, K.J. HIV specific killer cells armed in situ with cytophilic antibodies. Proceedings of the Fourth International Conference on AIDS, Stockholm, Sweden. 1988; 1:2183.

Nastala, C.L., Edington, H., McKinney, T, and M. Lotze. Immunologic effects of murine interleukin-12 in vitro on human and murine lymphoid cells. The Society for Biologic Therapy of Cancer, presented in Williamsburg, VA. 1992; 37.

Nastala, C.L. and H. Edington. Clostridium septicum associated with benign and malignant colonic neoplasms and neutropenic enterocolitis. Surgical Infection Society. presented in Baltimore, MD, 1993.

Nastala, C.L., Edington H., McKinney, T.G., Tahara, H., Brunda, M., Gately, M., Wolf, S., Hubbard, B., and M.T. Lotze. Local administration of interleukin-12 blocks in vivo progression of murine adenocarcinoma and sarcoma. Keystone Symposia, Immunotherapy of Cancer, presented in Taos, NM. Journal of Cellular Biochemistry, supplement 17D, 1993; 134.

Tahara, H., Zeh, H., Pappo, I., Nastala, C.L., Robbins, P.D., and M.T. Lotze. Tumor growth alteration with local interleukin-12 secretion achieved by gene transfer. Keystone Symposia on Gene therapy, Keystone, CO. 1993.

Nastala, C.L., Edington H., Tahara, H., Zeh, H., McKinney, T., and M. T. Lotze. Murine interleukin-12 generates anti-tumor reactivity in vitro against murine tumors. Society for Surgical Oncology, Los Angeles, CA. 1993.

Tahara, H., Zeh, H., Pappo, I., Nastala, C.L., Robbins, P.D., and M.T. Lotze. Suppressed growth of murine melanoma in vivo with local secretion of interleukin-12 delivered by transfected fibroblasts. Proceedings of the American Association for Cancer Research, Orlando FL. 1993; 34:463.

Nastala, C.L., Edington H., Storkus, W.J., and M.T. Lotze. Recombinant Interleukin-12 (r-mIL-12) mediates regression of both subcutaneous and metastatic murine tumors. ACS Surgical Forum San Francisco, CA. 1993; 44: 518-521.

Pappo, I., Tahara, H., Nastala, C.L., Robbins, P.D., Zeh, H., and M.T. Lotze. Cancer gene therapy with IL-12, alone or in combination with systemic IL-2 administration delays or prevents the growth of murine sarcomas. Association for Academic Surgery, Hershey, PA 1993.

Nastala, C.L., McKinney, T., Edington H., Tahara, H., Gately, M.K, Storkus, W.J., and M. T. Lotze. Interleukin-12 (IL-12) induces specific anti-tumor immunity in animals bearing established subcutaneous murine sarcoma. ACS Surgical Forum Chicago, IL. 1994; 45.

Nastala, C.L., Newton, E.D., Edington, H.D., and K.C. Shestak. Outcome measures in free flap reconstruction of the foot. Robert H, IVY Society, Philadelphia, PA 3/97

Nastala, C.L., Treatment of Secondary Deformities in Cleft lip and Palate. Plastic Surgery Grand Rounds, University of Texas Health Science Center at San Antonio 10/1/98

Nastala, C.L., Current Progress in Melanoma. The San Antonio Surgical Society 10/15/98

Nastala, C.L., Methods of perineal reconstruction. Plastic Surgery Grand Rounds, University of Texas Health Science Center at San Antonio 1/14/99

Nastala, C.L., The use of the Posterior Thigh Flap in Vaginal Reconstruction. Society of Air Force Clinical Surgeons. San Antonio, TX 3/31/99

Nastala, C.L., Management of tendon injuries. Plastic Surgery Grand Rounds, University of Texas Health Science Center at San Antonio 9/16/99

Nastala, C.L., Breast Hypertrophy and Protease Inhibitors in the HIV Positive patient: The role of the Plastic Surgeon. Texas Society of Plastic Surgeons, Barton’s Creek, TX 10/8/99

Kessler, R., Nastala, C.L. Breast Hypertrophy and Protease Inhibitors in the HIV Positive patient. Texas Society of Plastic Surgeons, Barton’s Creek, TX 10/99

Nastala, C.L., Advances in Wound Care. San Antonio International Society of Plastic Surgeons, San Antonio, TX 4/2000

Moderator TexMed 2000; Plastic Surgery Session of the Texas Medical Association, San Antonio, TX 5/25/2000

Nastala, C.L., Skin Sparing Mastectomy and Immediate Breast Reconstruction, State of the Art, TexMed 2000; Texas Medical Association, San Antonio, TX 5/25/2000

Nastala, C.L., Decubitus Ulcers, When in Surgery Appropriate? Texas Medical Association, TexMed 2000; San Antonio, TX 5/25/2000

Desvigne, L., Nelluri, P., Nastala, C.L., Garza, J.R.. The Aging neck: Central bands are independent of platysma decussation. Senior Res Conference, Providence, RI 3/01

Lyons,R., Nelluri, P., Nastala, C.L., Garza, J.R.. A local drug delivery method to enhance nerve regeneration. Senior Res Conference, Providence, RI 3/01

Nastala, C.L., Texas Society of Plastic Surgeons, Short Scar Breast Surgery: Is it here to stay? La Cantera, San Antonio TX 9/21/01

Nastala, C.L., Advanced Concepts in Cosmetic and Reconstructive Breast Surgery. Plastic Surgery Grand Rounds, University of Texas Health Science Center at San Antonio 2/14/02

Nastala, C.L., Pisano, S.M., Ledoux, P.R., Texas Society of Plastic Surgeons, The DIEP Flap in Breast Reconstruction, The Gold Standard? Hyatt Hill Country, San Antonio TX 9/21/03

Dev, V.R., Ledoux, P.R., Pisano, S.M., Nastala, C.L., American Society of Plastic Surgeons, Innervating the DIEP Flap: Anatomical Considerations to Simplify and Improve Somatosensory function of the Reconstructed Breast. San Diego California, 10/26/03

Nastala, C.L., Pisano, S.M., Ledoux, P.R., American Society of Reconstructive Microsurgery Surgeons, The DIEP Flap in Breast Reconstruction, Improving the Efficiency of Health Care Delivery . Palm Springs, CA, 1/2004

Pisano, S.M., Ledoux, P.R., Nastala, C.L., American Society of Reconstructive Microsurgery Surgeons, Clinical Course Performing the DIEP Flap Breast Reconstruction in Private Practice Tucson AZ, 1/2006

Nastala, C.L., Implications of Radiation in Breast Reconstruction Surgery, Methodist Breast Conference 2009

Nastala, C.L., Nipple Sparing Mastectomy, Safety and Implications in Breast Reconstruction, Methodist Breast Conference, 2010

Nastala, C.L., Sullivan, S. Horton, K, Oakes, S, and Zamboni, W., Reimbursement in Breast Reconstruction, ASPS Meeting, 2012

Nastala, C.L., Managing Complex Cases in Breast Reconstruction using Acellular Dermal Matrix, SAISPS Meeting, 2013

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