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Over 2,500 DIEP flaps performed
Superior results
Excellent reputation
In network for most US insurance plans
NO balance billing
Patients treated from Texas, across the USA and all over the World

PRMA of South Texas

9635 Huebner Rd.
San Antonio, TX 78240
Phone: 210-692-1181
Toll Free: 800-692-5565
Fax: 210-692-7584

Click here to view map.

Microsurgical Breast Reconstruction With Perforator Flaps

Microsurgical breast reconstruction techniques using perforator flaps were pioneered in the 1990's and represent the state of the art in reconstructive breast surgery after mastectomy. The tissue removed at the time of mastectomy may be replaced with the patient's own warm, soft, living tissue to recreate a "natural" breast.

Skin, fatty tissue, and the tiny blood vessels that supply nutrients to the tissue ("perforators") can be taken from the patient's abdomen (SIEA flap and DIEP flap procedures) or buttocks (GAP flap procedure).

Unlike conventional tissue reconstruction techniques (like the TRAM flap), these perforator flap techniques carefully preserve the patient's underlying musculature. The tissue is then transplanted to the patient's chest and reconnected using microsurgery.

Preserving underlying muscles lessens postoperative discomfort making the recovery easier and shorter, and also enables the patient to maintain muscle strength long-term. This is particularly important for active women.

While microsurgical breast reconstruction offers many advantages to the patient, the surgeries are very complex and time-consuming and specialized training is required. Before choosing a surgeon ensure that he/she is a plastic surgeon certified by the American Board of Plastic Surgery and has extensive experience with perforator flap breast reconstruction. Ask about the success rate of the procedure in their hands (most specialists boast a flap survival rate of at least 97%) and how many they have performed.

Insurance companies are federally mandated to pay for the cost of breast reconstruction. Unfortunately, some patients will still face difficulties in gaining access to perforator flap specialists. Here again it pays to seek out plastic surgeons who specialize in DIEP flap, SIEA flap and GAP flap breast reconstruction as typically an insurance specialist is available to help patients with insurance issues.

Our surgeons perform over 300 microsurgical breast procedures with perforator flaps per year (with a success rate of 99%+) making PRMA Plastic Surgery one of the busiest breast reconstruction centers in and beyond the USA.

To learn more about each of the perforator flap techniques offered at PRMA please click on the relevant link:

DIEP flap

SIEA flap

GAP flap

Please visit our Gallery to view breast reconstruction before and after photos.

Abdominal Flaps

If you would like to schedule a consultation with one of our San Antonio plastic surgeons, please contact us today.

Microsurgical Breast Reconstruction with Perforator Flaps, San Antonio, Texas (TX), USA - PRMA Plastic Surgery is one of the largest private practices in the US performing microsurgical breast reconstruction with perforator flaps. Our plastic surgeons are breast reconstruction specialists and perform more hundreds of microsurgical breast reconstructions each year. Techniques performed include DIEP flap, SIEA flap, TUG flap, GAP flap and muscle-sparing free TRAM flap procedures. Patients are routinely welcomed from across Texas (including Austin, New Braunfels, Dallas, Fort Worth, Houston, Arlington, El Paso, and Corpus Christi), out-of-state, as well as from outside the USA (including Mexico). Most forms of US insurance are accepted. Please contact us today to learn more or to schedule an appointment with one of our breast reconstruction experts.


Home Surgeons Breast Reconstruction DIEP Flap Find A DIEP Surgeon SIEA Flap TUG Flap GAP Flap TRAM Flap Latissimus Dorsi Flap Breast Implants & Alloderm One-Step Perforator Flaps Abdominal Flaps New Technology Message Boards/Forums Our Experience Breast Reconstruction Blog Breast Cancer News Cosmetic Surgery Non-Surgical Face Breast Body Photo Gallery Abdominoplasty (Tummy Tuck) Arm Lifts (Brachioplasty) Body Lift Breast Augmentation (Breast Implants) Breast Lift Surgery Breast Reconstruction Surgery Breast Reduction Surgery Eye Lid Lift Surgery (Blepharoplasty) Face Lift Surgery (Rhytidectomy) Testimonials Leslie's Diary Patient Info DIEP Reconstruction FAQs Cosmetic Surgery FAQs DIEP Insurance FAQs Travel/Lodging Articles/Press/Radio Useful Links Breast Reconstruction State Laws Patient Safety Information Newsletter Contact Us Privacy Policies & Online Forms Site Map	Over 2,500 DIEP flaps performed Superior results Excellent reputation In network for most US insurance plans NO balance billing Patients treated from Texas, across the USA and all over the World PRMA of South Texas 9635 Huebner Rd. San Antonio, TX 78240 Phone: 210-692-1181 Toll Free: 800-692-5565 Fax: 210-692-7584 Click here to view map.	Microsurgical Breast Reconstruction With Perforator Flaps Microsurgical breast reconstruction techniques using perforator flaps were pioneered in the 1990's and represent the state of the art in reconstructive breast surgery after mastectomy. The tissue removed at the time of mastectomy may be replaced with the patient's own warm, soft, living tissue to recreate a "natural" breast. Skin, fatty tissue, and the tiny blood vessels that supply nutrients to the tissue ("perforators") can be taken from the patient's abdomen (SIEA flap and DIEP flap procedures) or buttocks (GAP flap procedure). Unlike conventional tissue reconstruction techniques (like the TRAM flap), these perforator flap techniques carefully preserve the patient's underlying musculature. The tissue is then transplanted to the patient's chest and reconnected using microsurgery. Preserving underlying muscles lessens postoperative discomfort making the recovery easier and shorter, and also enables the patient to maintain muscle strength long-term. This is particularly important for active women. While microsurgical breast reconstruction offers many advantages to the patient, the surgeries are very complex and time-consuming and specialized training is required. Before choosing a surgeon ensure that he/she is a plastic surgeon certified by the American Board of Plastic Surgery and has extensive experience with perforator flap breast reconstruction. Ask about the success rate of the procedure in their hands (most specialists boast a flap survival rate of at least 97%) and how many they have performed. Insurance companies are federally mandated to pay for the cost of breast reconstruction. Unfortunately, some patients will still face difficulties in gaining access to perforator flap specialists. Here again it pays to seek out plastic surgeons who specialize in DIEP flap, SIEA flap and GAP flap breast reconstruction as typically an insurance specialist is available to help patients with insurance issues. Our surgeons perform over 300 microsurgical breast procedures with perforator flaps per year (with a success rate of 99%+) making PRMA Plastic Surgery one of the busiest breast reconstruction centers in and beyond the USA. To learn more about each of the perforator flap techniques offered at PRMA please click on the relevant link: DIEP flap SIEA flap GAP flap Please visit our Gallery to view breast reconstruction before and after photos. Abdominal Flaps
	If you would like to schedule a consultation with one of our San Antonio plastic surgeons, please contact us today.
	Microsurgical Breast Reconstruction with Perforator Flaps, San Antonio, Texas (TX), USA - PRMA Plastic Surgery is one of the largest private practices in the US performing microsurgical breast reconstruction with perforator flaps. Our plastic surgeons are breast reconstruction specialists and perform more hundreds of microsurgical breast reconstructions each year. Techniques performed include DIEP flap, SIEA flap, TUG flap, GAP flap and muscle-sparing free TRAM flap procedures. Patients are routinely welcomed from across Texas (including Austin, New Braunfels, Dallas, Fort Worth, Houston, Arlington, El Paso, and Corpus Christi), out-of-state, as well as from outside the USA (including Mexico). Most forms of US insurance are accepted. Please contact us today to learn more or to schedule an appointment with one of our breast reconstruction experts.