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Breast Cancer Surgery

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What is Breast
Cancer Surgery?

A breast cancer diagnosis can feel overwhelming. Fortunately, understanding your options for surgery for breast cancer treatment is a powerful first step in reclaiming control. Breast cancer surgery refers to procedures that remove cancerous tissue from the breast and surrounding areas, and it’s often one of the first treatments recommended. 

The most common types of breast cancer surgery include lumpectomy, which removes only the tumor and a margin of healthy tissue, and mastectomy, which involves removing part or all of the breast. Depending on the extent of the cancer and your personal preferences, mastectomy options can include nipple-sparing, skin-sparing, or total mastectomy.

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Understanding Your Options

Every breast cancer diagnosis is unique, and so is every treatment path. Based on the size, location, and stage of your cancer, your PRMA breast surgeon will recommend one or more breast cancer surgical options tailored specifically to your medical needs and personal preferences.

Mastectomy Procedures

A mastectomy involves removing the entire breast and may be recommended when cancer is more advanced, when there is a genetic risk such as a BRCA mutation, or when radiation is not preferred. PRMA supports all mastectomy types, including skin-sparing and nipple-sparing options, to help preserve natural appearance and support optimal reconstruction outcomes.

For patients traveling from outside the area, PRMA can coordinate with a local breast surgeon to perform the mastectomy so reconstruction can be completed here without unnecessary delays.
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Lumpectomy Reconstruction

A lumpectomy removes only the tumor and a small margin of surrounding tissue, preserving most of the breast. When paired with reconstruction, this approach, often called oncoplastic surgery, can reshape the breast for a natural contour and symmetry. It's typically pursued for early-stage cancers where breast conservation is possible and desired. PRMA works closely with your surgical team to ensure optimal cosmetic and oncologic outcomes.
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Immediate vs. Delayed Reconstruction

After a breast cancer diagnosis, one of the first choices you may face is whether to have breast reconstruction at the same time as your mastectomy (immediate reconstruction) or to wait until after completing additional treatments like chemotherapy or radiation (delayed reconstruction). A PRMA surgeon will help walk you through this option.
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Real Patients. Real Stories

Behind every procedure is a woman with her own story, each one a powerful reflection of resilience and the life-changing impact of advanced reconstruction
Explore All Stories
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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 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."
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!"
Wendy G.
San Antonio, TX

Why Choose PRMA

With over 16,000 successful breast reconstructions, including 12,500 natural tissue flap procedures, PRMA isn’t just a global leader in breast reconstruction; we’re the pioneers behind groundbreaking techniques that continue to elevate the standard of post-mastectomy care for patients nationwide.

What Sets PRMA Apart:

  • TruSense® Sensation Restoration: a proprietary technique developed by PRMA to help women regain breast sensation after reconstruction.
  • High Def DIEP®: An advanced microsurgical approach that delivers more natural-looking results with refined contouring.
  • Dual-Surgeon Advantage: Every flap procedure is performed by two microsurgeons, enhancing safety, precision, and outcomes.
  • Implant-to-Flap Expertise: Nationally recognized for successfully converting failed implant reconstructions into natural tissue solutions.
  • Comprehensive Patient Support: From dedicated liaisons to the Breast Advocate® App, patients are guided at every step with compassion and clarity.
  • Advanced Lymphedema Surgery: Offers leading-edge treatments for lymphedema and post-mastectomy pain syndrome.
  • Texas-Based, National Reach: Patients from across the U.S. choose PRMA for its affordability, insurance-friendliness, and seamless travel support.
  • Trusted Experience: With 30+ years of innovation and over 15,000 reconstructions, PRMA is one of the most experienced centers in the world.
  • Empowerment Through Education: PRMA makes complex decisions easier by educating patients on all their options, including rarely-discussed sensation restoration.
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Refer a Patient-Nationwide

When your patients need advanced care, PRMA is the partner you can trust. Our team is a referral destination nationwide for advanced breast reconstruction, sensation restoration, lymphedema surgery, and more, offering seamless coordination, groundbreaking techniques, and outcomes that consistently elevate patient satisfaction.
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Rebuilding Beyond Breast Cancer

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