Natural Breast Reconstruction: The Gold Standard in Care

Whether you're facing reconstruction after mastectomy or lumpectomy, seeking revision of unsatisfactory reconstruction results, or hoping to restore natural breast sensation, you've found the solution. At PRMA, we specialize in DIEP flap reconstruction – the gold standard in natural breast reconstruction that uses your own tissue to create beautiful, lasting results that look, move, and feel natural.

FOR EXPERIENCED CARE & RESULTS

Why Patients From All Over The World Trust PRMA

12,000 +
Breast Reconstructions
75 +
Nominations Awards Received
30 Years Experience
Outstanding Patient Care
99 %
Surgery
Success Rate
UNDERSTANDING YOUR OPTIONS

Why DIEP Flap is the Gold Standard in Breast Reconstruction

The DIEP flap represents the pinnacle of modern breast reconstruction. Unlike traditional implants or older flap techniques, DIEP flap reconstruction creates a natural, warm, soft breast using your own tissue – specifically, the skin and fat from your lower abdomen that many women are happy to part with!

What makes the DIEP flap special?
  • Creates a breast that looks, feels, and ages naturally
  • Preserves all abdominal muscles for faster recovery
  • Provides a flatter abdomen, similar to a tummy tuck
  • Offers lifetime results without implant replacements
  • Reduces long-term complications compared to other options
PRMA is internationally recognized as a Center of Excellence for DIEP flap reconstruction. Our surgeons have performed thousands of successful procedures, making us one of the most experienced teams worldwide. Whether you're planning ahead for reconstruction or seeking to improve previous results, we're here to help you achieve the most natural outcome possible.
YOUR JOURNEY TO NATURAL RESULTS

The DIEP Flap Advantage for Every Situation

After Mastectomy

Transform your recovery journey with the most advanced reconstruction available. The DIEP flap procedure provides natural-looking breasts that move and feel like your own tissue.

After Lumpectomy

Restore symmetry and confidence with precise tissue reconstruction that perfectly matches your remaining breast tissue.

Implant-to-DIEP Conversion

Experiencing implant complications or dissatisfaction? Convert to natural, lifetime results with our specialized DIEP flap technique that can also improve the return of feeling.

Revision After Failed Reconstruction

Unhappy with your current reconstruction results? Our expertise can help restore your confidence with natural DIEP flap revision surgery.

ADVANCED OPTIONS

Elevating Your Reconstruction Experience

Restoring Natural Sensation

Our groundbreaking nerve reconstruction technique, TruSense®, can help restore feeling to your reconstructed breast. This innovative approach reconnects carefully selected nerves during reconstruction, offering the potential to regain sensation that many women think is permanently lost after mastectomy.

High-Definition Body Contouring

Our innovative approach combines natural breast reconstruction with advanced body contouring for optimal aesthetic results. By precisely sculpting both your breast and donor site, we create beautiful, harmonious results that enhance your overall figure.

Post-Mastectomy Pain Solutions

Chronic pain after mastectomy shouldn't be your new normal. Our specialized nerve treatment protocols can provide relief from post-mastectomy pain syndrome (PMPS), helping you return to a comfortable, active life.

Lymphedema Surgery

Breast cancer treatment can lead to arm swelling known as lymphedema. Our surgeons are experts in the latest microsurgical techniques that help reduce lymphedema and any associated arm discomfort.

BEFORE & AFTER GALLERY

Explore Our DIEP Flap Breast Reconstruction Photos

Seeing is believing. Explore our comprehensive before and after photo gallery to witness the transformative power of DIEP flap breast reconstruction. These images showcase real patients' journeys, highlighting the natural-looking results and improved body contours achievable through our advanced techniques.

Sensitive Content

Patient had prior implant reconstruction at another facility and was unhappy with the result.

Stage 1 : Bilateral implant removal and immediate DIEP flap breast reconstruction was performed.

Stage 2 : Scar revision to the breasts and abdomen were performed along with fat grafting for an improved overall breast contour and increased fullness.

Sensitive Content
Stage 1 : Bilateral mastectomy with immediate high definition DIEP flap breast reconstruction.

Stage 2 : Bilateral breast revision with liposuction.
Sensitive Content

Stage 1 : Bilateral mastectomy with immediate high definition DIEP flap breast reconstruction

Stage 2 : Bilateral breast revision with liposuction.

THE RECOVERY JOURNEY

Week-by-Week Recovery Timeline

Knowing what to expect during recovery is important. The healing journey is different for everyone, but here is an outline of what patients can expect after surgery:

Week One: Getting Started
  • 2-3 day hospital stay
  • Walking the morning after surgery
  • Personalized pain management
  • Initial recovery at home
Week Two: Building Strength
  • First follow-up appointment
  • Drain removal if ready
  • Begin gentle arm exercises
  • Switch to wireless bra
Week Three: Gaining Independence
  • Return to light activities
  • Resume work-from-home
  • Increased mobility
  • Final drain removal
Week Four: Progress Check
  • Follow-up with surgeon
  • Plan revision details
  • Increased physical activity
  • Return to driving
Week Five: Finding Your Rhythm
  • Normal activity increases
  • Managing new sensations
  • Continued healing
  • Building confidence
Week Six: Looking Forward
  • Most restrictions lifted
  • Return to normal routines
  • Long-term care plan
  • Celebrating progress
WHY CHOOSE DIEP FLAP AT PRMA?

The Natural Advantage

Lifetime Results

  • Natural tissue that ages with your body
  • No future implant replacements needed
  • Permanent, stable outcomes
  • Authentic look and feel

Enhanced Recovery

  • Preserved core strength and mobility
  • Minimally invasive muscle-sparing technique
  • Faster return to daily activities
  • Reduced risk of complications

Expertise You Can Trust

  • Over 1,000 successful procedures per year
  • 99% surgery success rate
  • Specialized experience with complex cases
  • Leaders in microsurgical innovation

Comprehensive Care

  • Customized surgical planning
  • Advanced nerve restoration options
  • Expert scar management
  • Ongoing support throughout recovery
MEET YOUR SURGICAL TEAM

World-Renowned Experts in Natural Breast Reconstruction

Our team of nine board-certified, fellowship-trained surgeons brings over 100 years of combined experience in advanced breast reconstruction. Each surgeon specializes in microsurgical techniques, ensuring you receive the highest level of care available anywhere in the world.

 

Dr. Peter Ledoux
Dr. Steven Pisano
Dr. Chet Nastala
Dr. Minas Chrysopoulo
Dr. Gary Arishita
Dr. Oscar Ochoa
Dr. Lauren Whipple
Dr. Andrew Gassman
Dr. Anton Fries
Dr. Tyler Merceron
Dr. Courtney Carpenter
TESTIMONIALS

Hear What Our Patients Have to Say

Wendy
San Antonio, TX

PRMA is one of the premier surgeons in this area of expertise. And if you have the ability to come here and be a part of this team, I promise you won’t regret it! 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.

Kelsey
New Braunfels, TX

I couldn’t be happier. I’m so proud… not just of myself, but I’m proud to say that I went to PRMA, just to be completely honest, not cheesy but it’s true. 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.

Sarah
San Antonio, TX

 I would like to say [...] throughout the whole procedure, from the first procedure, to the second procedure, to my final procedures, I never felt less than a woman. I like my breast, and so the entire time I never felt like I was not a woman at any point. So, definitely, I would recommend PRMA to anyone and everyone.

OUR LOCATIONS

9635 Huebner Rd
San Antonio, TX 78240
540 Madison Oak Dr, Suite 600
San Antonio, TX 78258

Schedule Your Consultation

Take the first step toward natural breast reconstruction with a consultation. Virtual appointments are available.