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Practice Philosophy

The physicians and staff of PRMA of South Texas are dedicated to providing an environment of compassion, concern and support for each and patient who walks through our door, regardless of social or economic status, and regardless of type of insurance or lack thereof. Honesty and integrity, compassion and caring make up the foundation of PRMA of South Texas and at no point shall these principles be compromised.

The focus of the practice is breast reconstruction, primarily with the use of autologous tissue.  The physicians of the practice have performed over 2000 DIEP flap reconstructions.  We also perform SIEP, TUG, SGAP, and Latissimus flap breast reconstruction procedures.

The physicians of PRMA have extensive experience with secondary procedures for breast implant-related problems.

Each physician of the practice has a special area of interest in cosmetic surgery.  Dr. Steven Pisano has an interest in and extensive experience with, rhinoplasty and secondary rhinoplasty.

In addition, Dr. Pisano has expertise in free tissue transfer head and neck reconstruction and facial reanimation.

Our reconstructive surgery philosophy is to use autologous tissue wherever possible to restore form and function to the body. 


Breast Reconstruction - All methods of autologous tissue reconstruction, including DIEP, SIEP, TUG, SGAP, and Latissimus Flap techniques; expander-implant-Alloderm reconstruction.

Microsurgery - Head and Neck reconstruction; facial reanimation procedures.

Cosmetic Surgery - Breast augmentation; mastopexy; rhinoplasty and secondary rhinoplasty.


The Physicians of PRMA of South Texas have interest and expertise in the following areas of plastic and reconstructive surgery: breast reconstruction for cancer, emphasizing autologous tissue methods; breast augmentation; correction of congenital deformities of the breast; facial reanimation procedures; microsurgical reconstruction of the head and neck;aesthetic surgery of the head and neck region including blepharoplasty, forehead lifts (both open and endoscopic), lip augmentation, otoplasty, rhinoplasty, and rhytidectomy (facelift procedure); aesthetic procedures of the body and extremities including abdominoplasty, total body lifts, thigh lifts and liposuction.

We bring to our practice excellent training from the top plastic surgery programs in the United States, including: The University of Texas Health Science Center at Houston; The M.D. Anderson Cancer Center; The University of Pittsburgh; and University of Wisconsin.

Our goal is to provide the best possible patient care using state of the art techniques. We approach patient care with an attitude of compassion, honesty and dedication.

The doctors of PRMA of South Texas look forward to serving you as our patient.


Methodist Healthcare Systems, San Antonio, TX
Baptist Healthcare Systems, San Antonio, TX

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Location & Office Hours

9635 Huebner Road

San Antonio, TX 78240
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Monday through Friday, 8:30am - 5:00pm

Payment Options

Medicaid, Medicare, American Express, Discover, Visa, MasterCard, Cash, Personal Checks

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  • Visa
  • Discover
  • American Express