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.

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.

Ayala Plastic Surgery is amazing. I went in for a consultation expressing my desire to be…read moreconservative due to fears. I have an amazing plan in place to address my concerns. The staff is amazing!

The office experience is 5 star starting with Shelby who coordinates your visits etc, The…read moreconsultation with Dr Ayala and rest of staff was very informative and comfortable for the two procedures I wanted information on, Dr Ayala answered all my questions and then some since I am new to Texas and establishing new doctors, post surgery I have been taken care of and again all my concerns answered and healing process has been coming along just as explained , definitely recommend Dr Ayala

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"!

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. Bindewald did a fantastic job with my breast reduction surgery. The pain in my back and…read moreshoulder were immediately relieved. I am now 7 weeks post-op, and I am finally ready to get back to activities. I am walking regularly, increasing speed and/or distance a little at a time, and I am so excited to hopefully get back to "running" very soon. Of course, an important added benefit is that my clothes fit better, and I present myself more confidently as my posture has also improved! Further, Dr. Bindewald's office staff is awesome! Joanne was so patient with me, especially those first few weeks following surgery. She consulted with Dr. Bindewald, even on his surgery day, and got back to me with answers very quickly. I highly recommend Dr. Mattew Bindewald!

Dr Bindewald did my breast reduction in 2022, yes he is a very nice gentleman but he ruined my…read morebreast reduction leaving me with two different cup sizes, when I went to my follow up appointments he kept telling me that there was still swelling and to give it time. On my six month appointment he finally admitted that was going to be the end result, I told him that I wanted him to correct his mistake, he said he would but I would have to pay for his fee , hospital and anesthesia which I can not afford to pay. So thank you Dr Bindewald I will have to live the rest of my life with one B cup and one C cup. I never write reviews but I hope I can save someone from being botched, Thank you Dr Bindewald

After 3 previous consultations with pastic surgeons, I went to Dr. Levine. He was highly…read morerecommended to me by another doctor. Dr. Levine and his office staff were very kind and made me feel so comfortable. After my first meeting with Dr. Levine, I knew he was the absolute best doctor to perform my procedure. He took his time answering all of my questions and never made me feel rushed or that he needed to get on with his day. When you walk into his office there are newspaper articles and achievement awards lining the walls. His credentials, along with his honors and awards are extremely impressive. He was a bit more expensive than the other plastic surgeons I consulted with, but without a doubt, I knew he was worth every penny. I had no doubts about his ability to perform the surgery, keep me safe, and give me the results I was seeking. During the consultation phase, one of his staff members noticed I had developed a nasty cough. She contacted the doctor and he insisted I see a pulmonary specialist before he would do surgery. He called a specialist and got me an appointment within a few days. I had seen 4 previous doctors for this cough before the specialist diagnosed me with asthma. So, 2 1/2 months of a horrible cough was finally diagnosed and cured within 2 days of seeing the specialist Dr. Levine sent me to. Just another instance of Dr. Levine taking care of his patient. My surgery was very successful and I am very pleased with the results. After the 4th or 5th day, I'd say I was up and moving around quite well (driving, cooking, laundry, etc.). Dr. Levine is very well known and respected in the medical field, and I now have first hand knowledge as to why that is.

This was an extremely cold and disappointing experience. The office staff comes across inauthentic…read moreas if they are above you. The doctor is dismissive and makes you feel ignorant if you ask questions about procedures he doesn't like or do. The office manager is SO UNPROFESSIONAL and outrageously rude. They talked down to myself and my mother. It was beyond unreasonable in that she insisted that if I wanted to speak to the doctor I'd have to drive from Austin( where I live) and she would not tell him I called. They also market that they don't charge for consults but then they ended up saying that they were keeping a deposit that they should have returned bc of the "work they did from the consults."

After several consultations with plastic surgeons in Austin and San Antonio, I chose Dr. Isakson,…read moreand I couldn't be happier with my decision. From my very first consultation, he made me feel completely comfortable and confident about having my breast augmentation done again. His nurses were amazing, and the entire team at the surgical center was professional, caring, and supportive. I felt comfortable every step of the way, from my consultation through surgery and recovery. I'm absolutely loving my results and am so grateful for the care I received. I highly recommend Dr. Isakson to anyone considering breast augmentation or any other cosmetic procedure. Thank you, Dr. Isakson and your wonderful team, for such an amazing experience!

I would give Dr. Decherd and his staff a much higher rating if it was possible. They are all…read morepersonable and transparent. Nursing staff is incredible, thorough and knowledgeable. Big shout out to Heather! Dr. Decherd is amazing. He really listened to me, answered all of my questions and put my mind at ease. A wonderful physician. Numerous friends have trusted him for breast augmentations, mommy makeovers, and breast reductions. They all speak highly of him and his staff.

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.

DO NOT TAKE YOUR CHILDREN HERE. ESPECIALLY IF THEY STRUGGLE WITH SELF CONFIDENCE…read more A doctors office should be a safe place! I am not one to write a review but I had to warn others especially since he's listed as a pediatric surgeon. I'll start by saying time was not the issue. I am a very patient person. Just keep reading through. I was referred to " Dr Peter Wang" from a Dr in Austin and I'm struggling to see what they saw in him to convince me to get a ride all the way to San Antonio to see him. When I first showed up the front desk couldnt find my referral and said I didn't have an appointment even though it was already booked and the appointment was verified both verbally and electronically. They found my referral shortly after I pulled up the original one through my email and on my chart. I was in the waiting room watching everyone who got there after me leave until it was empty for an hour and a half after my appointment time. I wasn't told until I asked that he was in emergency surgery but they said he had just finished and would be right with me. They took my vitals and sent me to another waiting room. Then after another 35 mins I asked if he would be in soon and then I was sent to the patient room and again waiting another 20 min. After he finally got in the room he said "so what's wrong with you" I proceeded to tell him my known diagnosis. I have a "Rathke cleft cyst" it is located on my pituitary gland. This is congenital meaning that's something that I was born with. I am now 24 years old and have been experiencing an array of symptoms since I was 7 years old (Ex: Seizures, migraines, chronic nausea/throwing up, fatigue, small tumors in my breast and abnormal periods.. and so on.). I am trying to get this removed to see if it will alleviate any of this issues or if they will persist. I came in for a consultation on my nose since that's where the surgery will be going through. I was told by a neurosurgeon that the deviation in my septum would need to be fixed up on my right side specifically because I can barely breathe from it and the opening is too narrow. He proceeded to criticize and critique all the imperfections on my face/nose. Told me he could make me look "more aesthetically appealing by shaving down the dorsal hump and fixing areas on my cheeks." Something I didn't even ask about to begin with.. Until I got so uncomfortable that i told him to stop and I left the patient room and went to the front desk to ask about who I send a formal complaint to. I was then given the wrong number twice. I left this building crying and with insecurities Ive never had before. As a grown woman. I can't even imagine what this would do to a child.

I am so upset. Had to post maybe someone will care Brief summary. Son bad accident. Er then…read morechildren's hospital. Dr said he would work my son into his schedule for plastic surgery. I met him for .2 minutes before surgery . Dr. in charge of anasteciology was so wonderful kind before surgery explains everything. compassionate and came to see me right after. Wish I had his name. Nurses also great. Never saw Dr. Wang again. No notes on what he did I asked everyone in hospital no one could tell me. Called his office again nurses said no specifics what he did on my sons face. Made follow up appointment with Dr. Wang drove an hour . called office said I would get there 5 minutes late due to traffic. The lady on phone said no problem you have 15 minute grace period. Got to office . Dr went home. Said I just called!!!! No one admitted talking my call. I redialed phone saw them pick up. Lied said they didn't talk to me. Sooooo I have no clue what type of stitches how many where located. So I can go to another Dr. side note Children's Hospital was OUTSTANDING!