I wanted to share this for anyone trying to choose a surgeon...because I know firsthand how…read moreoverwhelming and important this decision is. When I first met Dr. Gassman, I'm not even going to lie... my first thought was, "He looks like Doogie Howser" I remember thinking, wait... are you old enough to be doing this?! But that feeling didn't last long. I came in with a million questions (seriously), and he answered every single one with patience, confidence, and detail. He never made me feel rushed or like I was asking too much which meant a lot during such a big decision. I also did a ton of research on him where he's worked, reviews, everything. That's when I learned how much he specializes in DIEP flap reconstruction and microsurgery, which made me feel even more confident in choosing him. I also loved learning that he has a passion for art and uses that in his work--and honestly, it shows. He is incredibly talented and takes pride in what he does. For reference, I'm 5'3" and about 205 pounds, so if you're someone who's plus size and wondering how this surgery might go for you--I hope this helps ease your mind. Also--before surgery, I was a very small A cup. I actually joked with Dr. Gassman and told him, "I'm the president of the itty bitty titty committee, and if you can get me out of the committee, I would greatly appreciate it" Let's just say... I woke up from my first surgery officially out of the committee--whoop whoop! I had my first DIEP flap surgery on December 3, 2025. I want to share this part because I know it's something everyone worries about--pain. For that first surgery, Dr. Gassman used nerve blocks, and he is phenomenal at them. I actually didn't use any pain medication at all, which still surprises me looking back. The recovery itself was tough (as expected with a major surgery), but the pain control was handled so well. I just had my second surgery on March 20, 2026, and I was honestly nervous...but it ended up being so much easier. I didn't have nerve blocks that time, and it honestly just feels like I did a really intense workout--more sore than actual pain. That was a huge relief. My results are looking good so far, and I even got a new belly button and was able to lower my scar, which I'm super grateful for ! I also want to recognize Dr. Elmi, who performed my double mastectomy. I originally started this journey as a preventative measure, but after my first surgery, she sat down with me and gently explained that I did in fact have cancer. She took the time to draw everything out and explain exactly what type it was in a way I could truly understand. Even though I don't live in San Antonio, she made sure I was set up with care back home in Florida, which meant so much to me. Looking back, I laugh at my first impression--but I'm so grateful I trusted both of these doctors. They are not only highly skilled, but they truly care about their patients. If you are trying to make this decision, I hope my experience gives you a little peace of mind. You will be in very good hands.

If you're looking for the gold standard in reconstructive breast surgery, PRMA is it. From the…read moremoment you walk in, you're treated like a person, not a procedure. The surgeons are masters of their craft -- meticulous, compassionate, and refreshingly human. The nurses and staff keep you informed, comfortable, and cared for every step of the way. My outcome exceeded my expectations both aesthetically and functionally, and the recovery support was outstanding. PRMA isn't just where you go for surgery -- it's where you go to feel whole again.

One of The Best plastic surgeons in Texas. People come from all over the US to see him. He…read moreperformed three surgeries on me due to breast cancer and I couldn't be happier with the results. His staff is amazing. They are professional, caring and very helpful even is you have after hour concerns. Nurse Jonnie cares for you as if you were a family member. I love her! I have to add, Dr. Ledoux is exceptionally handsome. Take a list of questions or concerns when you have an appointment with him because once you look into those gorgeous blue eyes, you forget why you're even there.

Dr Ledoux exceeded my expectations. After being diagnosed with breast cancer, there were so many…read moreuncertainties. Any fears I had were immediately gone after speaking to Dr Ledoux! PRMA is great with comfort and healing for survivors. They truly know how to make you feel whole again! I cannot thank Dr Ledoux and his nurse Jonnie enough for the exceptional care, the kindness and compassion that I received! I had a BMX with immediate DIEP flap reconstruction. I couldn't have asked for a better outcome! Absolutely no pain and recovery was a breeze! Thank you Dr Ledoux and PRMA for making me feel complete! Forever grateful!

Dr. Chrysopoulo is a lovely human being, and is everything that I could possibly hope for in a…read moresurgeon - he's surgically talented and very experienced, warm, compassionate, an incredible listener, and he really takes the time necessary to serve his patients best. Choosing Dr. Chrysopoulo as my doctor and traveling to San Antonio was the best decision for me and I am absolutely thrilled with my results and with the experience of being cared for by all the staff at PRMA. I honestly couldn't recommend him more highly.

I would like to thank Dr. C and nurse Denise for the great care and service I received during my…read morereconstruction. My reconstruction results exceeded my expectations. I am especially thrilled with the flat belly that resulted from the DIEP flap procedure. Dr. C's warmth, and patience really helped me to feel comfortable going through this very emotional process. He gave me all the information, which I needed to decide what the best decision was for me. Denise was also great in taking care of me and being available to answer all of my questions. I feel very blessed and thankful to have had Dr. C and Denise take care of my breast reconstruction.

had an excellent experience with Dr. Barone for my face and neck lift. She achieved such…read morenatural-looking results--I feel like a younger version of myself without looking overdone. Dr. Barone is not only highly skilled, but also incredibly personable. She truly takes the time to get to know you and makes you feel comfortable from the very beginning. Her office has a warm, welcoming atmosphere, which made the entire experience even better. I would absolutely recommend her to friends and anyone considering this procedure.

Dr. Barone and her ENTIRE team were excellent to work with. I knew exactly what was going to happen…read moreon day of surgery and each team member was committed to making me feel as comfortable as possible. Follow up appointments were quick and easy. I have never felt better! I would definitely recommend Dr. Barone for all your cosmetic needs.

I have a great professional team since I was diagnosed with breast cancer type 3…read more Dr. Arishita and the PRMA team are wonderful. I had a Lat flab on my right side on March 2 2020 after my chemo, mastectomies and radiation. I'm so grateful for him that really, there's no words to express, his professionalism and the way he cares for his patients. For ever grateful

Dr. Arishita does excellent work. I would recommend whole heartedly. He fixed a problem that I had…read morepreviously with breast reconstruction after breast cancer and I couldn't be happier with the results. He appears to care for his patients and the quality of his work is amazing.

I turned to Dr. Pisano and PRMA after a failed breast reconstruction with another surgeon. They…read morespecialize in the DIEP flap reconstructions like the one I had, and I have no doubt that PRMA generally delivers good results with the DIEP flap. But they're a DIEP assembly line, and I wouldn't recommend going there for anything else. It's a volume practice that doesn't have the time to deal with more complicated cases. Dr. Pisano recommended a back flap for me. He warned me that it might not result in any cosmetic improvement depending on the amount of damage from the previous surgeries, but it would at the least replace damaged tissue with healthy tissue so that the next surgery could be successful. That turned out to be the case. I was disappointed after the first surgery but hopeful that the next one would work. The second surgery wit Dr. Pisano was a complete flop. We did a reduction on the healthy breast and fat graphs on the reconstructed breast. After the surgery, I was still a D cup on one side and a B cup on the other. I assume Dr. Pisano knew that the results weren't good because right after the surgery he told my husband that we might be able to try the fat graphs again and be more creative about where to take the fat or we could talk about an implant. But a few days later, his nurse told me that he "didn't recall" that conversation, that my insurance wouldn't cover anything else, and that I would have to pay Dr. Pisano's higher cosmetic rates if I wanted a better outcome. I felt like I'd been kicked in the head. When I asked his nurse why the fat graphs didn't work, she told me that I was "a trim little thing." Who knew that would be such a surprise to my surgeon? At that point, I had lost all faith in Dr. Pisano so I went to another surgeon. He told me that my insurance would cover as many revisions as necessary to achieve symmetry, but the reimbursement was low so some surgeons wouldn't accept it. I don't know why PRMA doesn't just explain that to patients. It's hard to imagine that people who work all day with cancer patients could be so cruel and heartless. As for Dr. Pisano, I'm sure he has more successes that failures, but I can't recommend a surgeon who has so little personal integrity. I remember during my first appointment, he was talking about all that I had been through and he reached up and touched the cross he wore around his neck. I was touched by the move, but in hindsight it would have been more appropriate if he had been wearing a dollar sign.

I experienced almost every complication possible and some not mentioned. The way in which problems…read morewere handled was with avoidance, so cowardly on a human level and unprofessional. I would strongly suggest avoiding this Doctor.

I had my procedure with Dr Fisher in December of 2017. I had lost 175lbs and had tons of loose…read moreskin. All of my interactions with Dr Fisher and his staff were positive. I love my new body and could not be more pleased with my results. His prices are very reasonable. He did such a good job I am hoping to have more work done later this year.

Dr. Fisher is amazing. Made me feel so comfortable and less self conscious. WOW his staff was so…read moreinformative and communicative. I can't wait to see him again. I am ready for my "Fisher Flap"!

Love Dr Fisher and his staff. In December of 2017 he did a lower body lift with Lippo to my thighs…read morea brachialplasty and breast augmentation. I had lost over 175 lbs and had tons of excess skin. He was very honest in his evaluation on what could be achieved. I traveled from out of state and his staff was very helpful and friendly. I had some complications that Dr Fisher took care of without any further charges. I always felt my concerns were addressed promptly and politely.

From the owner: Led by San Antonio plastic surgeon Dr. Peter Fisher, San Antonio Plastic Surgery Center offers…read moreplastic surgery, skin treatments, breast augmentation, body contouring surgery & more. Our office is located in the San Antonio Medical Center. Dr. Fisher frequently operates out of the nearby Methodist Specialty and Transplant Hospital (MSTH), as well as Forest Park. Due to his innovative surgical techniques and experience in post-bariatric body contouring, patients travel to our office from around the country. We provide free consultations to out-of-town clients, even those as close as Austin. As an additional incentive, Dr. Fisher includes autologous augmentation (fat transfer) for the buttocks in the cost of lower body lift surgery. Contact us today.