How We’re Different

Since the practice began in 1994, the PRMA surgeons have performed over 8,900 breast reconstruction procedures, of which 8,000 are microsurgical flap procedures, making PRMA one of the busiest breast reconstruction centers in the world!

Here at PRMA, we believe in providing our patients and their loved ones exceptional care and support.  We believe shared decision making between patient and surgeon is key in a successful breast reconstruction journey.  

PRMA performs over 700 perforator flap breast reconstructions every year making us one of the busiest breast reconstruction centers in the world.

Shared Decision Making

Shared decision making is the most important aspect of patient centered health care! Patients and their physicians work together to make the best decisions for individualized care. It is our belief at PRMA that each patient is unique, and as such, no two breast reconstruction journeys will be alike.

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Nipple-Sparing Mastectomy

Nipple-sparing mastectomy is the latest evolution in mastectomy technique. The procedure preserves the entire skin envelope and nipple areola. Only the underlying breast tissue is removed. When combined with immediate breast reconstruction, nipple-sparing mastectomy provides superior cosmetic results without compromising cancer treatment. At PRMA, we routinely offer nipple-sparing mastectomy to appropriate candidates

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Lymph Node Transfer Surgery

Vascularized lymph node transfer is the latest advance in the surgical treatment of lymphedema (arm swelling). The procedure involves replacing lymph nodes damaged or removed by previous breast cancer treatment with healthy lymph nodes from another part of the body. This helps restore the lymphatic drainage of the arm and can significantly improve arm lymphedema.

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Sensory Nerve Repair #FeelTheDIEP

Most women facing mastectomy and breast reconstruction want to know what kind of feeling their new breast(s) will have. Unfortunately mastectomy leaves many women with very little feeling long term (if any), regardless of whether they have breast reconstruction or not. There is some good news though…. Most women undergoing DIEP or SIEA flap breast reconstruction are also candidates for reconstruction of the sensory nerves in the breasts that provide feeling. The feeling in the new breast won’t be as good as what Mother Nature provided but it’s certainly a lot better than the alternative. A nice bonus at the very least.

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Abdominal Motor Nerve Preservation #SpareTheNerve

There is more to a DIEP flap than just preserving the abdominal muscle. We also take extra care to save the abdominal motor nerves to preserve function!

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Failed Implant Breast Reconstruction-What Are Your Options? #WeFixFailed

The most commonly performed method of breast reconstruction today uses tissue expanders and breast implants. This can be a great option for many women, but not all women are completely happy with their results, or worse yet, the reconstruction doesn’t work out because of ongoing implant-related problems. For these reasons, PRMA Plastic Surgery provides options to help restore natural breast appearance after failed implant reconstruction.

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Failed "Flap" Breast Reconstruction-What Are Your Options? #WeFixFailed

Due to the expertise required to perform these procedures with a high success rate, it is important to make sure your surgeon is board-certified by the American Board of Plastic Surgery and has extensive experience in microsurgery. The most successful microsurgical practices performing surgeries like the DIEP flap boast success rates of 99% or higher. All surgery has risks and unfortunately, for some patients things will not go according to plan. This can happen to anyone, even in the hands of the best doctors. If you have experienced an unsatisfactory result after breast reconstruction, PRMA is here to help.

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PRMA Plastic Surgery