Dr Steven Pisano, PRMA Plastic Surgery, San Antonio & Stone Oak, Texas | Specialist in breast reconstruction, microsurgery, restoring feeling after mastectomy, TruSense®, High Definition DIEP flap

Dr. Steven Pisano

Native Texan, born in Waco and raised in San Antonio, Dr. Steven Pisano attended John Marshall High School here in San Antonio. He is a graduate of University of Texas at Austin where he was enrolled in the Plan II Honors College; he received a Bachelor of Arts in Biochemistry.

Dr. Steven Pisano received his M.D. in 1985 from the University of Texas Health Science Center-Southwestern Medical School in Dallas. He then completed an Internship at University of Texas Health Science Center at San Antonio followed by general surgery training at the State University of New York in Buffalo.

Dr. Pisano took his plastic surgery training at the University of Texas Health Science Center in Houston. Following this training, Dr. Pisano spent a year as a Junior Faculty Associate-Microvascular Fellow at the University of Texas MD Anderson Cancer Center in Houston. There he received extensive training in reconstruction of the extremities, trunk, head and neck areas, and especially, in breast reconstruction.

Following his fellowship training at MD Anderson, Dr. Pisano founded – along with friend and colleague Dr. Peter Ledoux – Plastic Reconstructive and Microsurgical Associates, PRMA, with the goal of bringing state-of-the-art breast reconstruction to San Antonio and South Texas.

Dr. Pisano’s primary area of professional interest is in breast reconstruction with perforator-based autologous tissue. Dr. Pisano has a large body of experience with virtually all types of autologous tissue reconstruction, including: DIEP, SIEA, TUG, SGAP, IGAP, ALT, PAP, and Latissimus Dorsi flaps.

In the eighteen-plus years Dr. Pisano has been in private practice, he has amassed a tremendous experience in autologous tissue reconstruction, participating in over 3000 breast reconstruction procedures. Dr. Pisano, and the other members of PRMA, are recognized nationally as leaders in the field of breast reconstruction. The practice now cares for breast cancer patients who come from all over the United States, Canada and Mexico. Dr. Pisano has published articles in peer-reviewed journals and given numerous presentations at local, state, and national plastic surgery conferences.

Dr. Pisano has been active in the legislative process at both state and national levels. In 1994, he was instrumental in obtaining insurance coverage for breast reconstruction, testifying before a state congressional committee on the need for and value of post-ablative breast cancer reconstruction. He has traveled to Washington DC to meet with members of the U. S. Congress to stress the importance of patient access to health care, finding a solution to the Medicare sustainable growth rate, and advocating for patient choice in healthcare marketplace.

Dr. Pisano is Board-Certified by the American Board of Plastic Surgery, and is a member of the American Society of Plastic Surgeons. He also belongs to the American Society for Reconstructive Microsurgery, the Texas Society of Plastic Surgeons, and locally, the Bexar County Medical Society.

Dr. Pisano has dedicated his training and practice life to the care of the breast cancer patient. He has a personal and professional stake in restoring wholeness and a sense of well-being to women with breast cancer. He looks forward to the challenge and reward of caring for you, your friend, or your loved one.

Personal Information

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
University of Texas at Austin
Austin, Texas
B.A. Biochemistry, Plan II,
Honors Program, 1977-1981

Postgraduate Education
Internship: General Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, 1985-1986

Residency: General Surgery, State University of New York at Buffalo, School of Medicine, Buffalo, New York, 1986-1991

Residency: Plastic and Reconstructive Surgery, University of Texas Health Science Center, Houston, Texas, 1991-1993

Graduate Education
University of Texas Southwestern Medical School
Dallas, Texas
M.D., 1981-1985


Career Information

American Board of Plastic Surgery, November 1996 Recertified April 1, 2006

American Society of Plastic Surgeons
American Society of Reconstructive Microsurgery
Texas Medical Association
Bexar County Medical Society
Texas Society of Plastic Surgeons

Ochoa O, Chrysopoulo M, Nastala C, Ledoux P, Pisano S.
Abdominal wall stability and flap complications after deep inferior epigastric perforator flap breast reconstruction: does body mass index make a difference? Analysis of 418 patients and 639 flaps. Plast Reconstr Surg. 2012 Jul;130(1):21e-33e.

Pisano SM, Ledoux PR, Nastala CL. Breast Reconstruction in Private Practice A New Decade in Breast Reconstruction, Seminars in Plastic Surgery, Volume 18, November 2, 2004

Kroll S, Weber R, Goldberg D, Pisano SM. The Vermilion-Sharing Graft for Repairing a Vermilionectomy Defect. Plastic and Reconstructive Surgery 1996; 98: 876-879.

Pisano SM, Peimer, CA, Wheeler DR. Scaphocapitate Intercarpal Arthrodesis. J Hand Surgery, 1991; 16: 328-333.

Taheri SA, Williams J, Bohman L, Pisano SM. Superficial Femora Vein Transposition in Klippel-Trenaunay Syndrome. J Ped Surgery 1989; 24: 494-496.

Taheri SA, William J, Powell S, Cullen J, Peer R, Nowakowski P, Bohman L, Pisano SM. Illiocaval Compression Syndrome. AM J Surg 1987; 154: 169-172.

Taheri SA, Williams J, Powell S, Cullen J, Pisano SM. Illiocaval Compression Syndrome. Phlebology 1987; 2: 173-179.

Clinical Assistant Professor, University of Texas Health Science Center at San Antonio, Division of Plastic and Reconstructive Surgery,1995-2004

Junior Faculty Associate, University of Texas M.D. Anderson Cancer Center, Department of Reconstructive and Plastic Surgery, 1993-1994

Methodist Healthcare System, 1994 – present
Baptist Healthcare System, 1994 – present

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