PRMA Plastic Surgery Performs Record Breaking 7,500th Microsurgical Free Flap Breast Reconstruction

By: Courtney Floyd


We have exciting news!  We have hit a new major milestone by completing our 7,500th free flap breast reconstruction procedure! This makes PRMA one of busiest breast reconstruction centers in the world.

Microsurgical free flap procedures represent the state of the art in reconstructive breast surgery after mastectomy. The breast tissue removed by a mastectomy is replaced with the patient’s own living tissue from another area of the body (lower abdomen, thigh, buttock, etc.) to reconstruct a natural, warm, soft breast. With procedures like the DIEP flap or SIEA flap, sensory nerve reconstruction can also be performed to restore breast feeling after mastectomy.

Many women travel from across the globe to San Antonio for the sought-after DIEP flap procedure. The procedure uses the patient's own abdominal skin and fat to reconstruct a breast after mastectomy. Unlike the more widely known TRAM flap, the DIEP preserves all the abdominal muscles. Only abdominal skin and fat are removed similar to a "tummy tuck". Saving the abdominal muscles means patients experience less pain, enjoy a faster recovery, maintain their core strength long-term, and have a lower risk of complications.

“We are honored to perform today’s advanced breast reconstruction procedures on such a large scale,” says PRMA co-founder Dr. Steven Pisano.

Founded in 1994, PRMA has grown to include a team of seven microsurgeons with two locations and has performed over 8,900 total breast reconstruction procedures for women worldwide.

“Rebuilding lives after breast cancer is our passion,” says co-founder Dr. Peter Ledoux. “It’s incredible to see how many lives the practice has impacted since we opened our doors 24 years ago.”   

1 Comment

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  • Charmaine Damico-Slinkard

    Congratulations Dr. Pisano!!!  You all are such a blessing to women in need of these type of surgeries (such as myself).  Continued best and successes.

PRMA Plastic Surgery