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Breast Cancer Surgery

What is Breast Cancer Surgery?

A breast cancer diagnosis can feel overwhelming. Fortunately, understanding your options for surgery for breast cancer treatment is a powerful first step in reclaiming control. Breast cancer surgery refers to procedures that remove cancerous tissue from the breast and surrounding areas, and it’s often one of the first treatments recommended. 

The most common types of breast cancer surgery include lumpectomy—which removes only the tumor and a margin of healthy tissue—and mastectomy, which involves removing part or all of the breast. Depending on the extent of the cancer and your personal preferences, mastectomy options can include nipple-sparing, skin-sparing, or total mastectomy.

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Understanding Your Options

Every breast cancer diagnosis is unique—and so is every treatment path. Based on the size, location, and stage of your cancer, your PRMA breast surgeon will recommend one or more breast cancer surgical options tailored specifically to your medical needs and personal preferences.

Mastectomy Procedures

Mastectomy involves removing the entire breast and is often recommended when the cancer is more widespread, when there's a genetic predisposition (such as a BRCA mutation), or if radiation is not preferred. PRMA supports all types of mastectomy—including skin-sparing and nipple-sparing options—which can preserve more of your natural appearance and allow for more aesthetic reconstruction outcomes.
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Lumpectomy Reconstruction

A lumpectomy removes only the tumor and a small margin of surrounding tissue, preserving most of the breast. When paired with reconstruction, this approach—often called oncoplastic surgery—can reshape the breast for a natural contour and symmetry. It's typically pursued for early-stage cancers where breast conservation is possible and desired. PRMA works closely with your surgical team to ensure optimal cosmetic and oncologic outcomes.
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Immediate vs. Delayed Reconstruction

After a breast cancer diagnosis, one of the first choices you may face is whether to have breast reconstruction at the same time as your mastectomy (immediate reconstruction) or to wait until after completing additional treatments like chemotherapy or radiation (delayed reconstruction). A PRMA surgeon will help walk you through this option.
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Real Patients. Real Stories

Behind every procedure is a woman with her own story—each one a powerful reflection of resilience and the life-changing impact of advanced reconstruction.
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Direct to Implant Reconstruction
Michelle shares her experience with Direct to Implant Breast Reconstruction at PRMA in San Antonio, Texas
Michelle
San Antonio, TX

Why Choose PRMA

With over 15,000 successful breast reconstructions—including 11,500 natural tissue flap procedures—PRMA isn’t just a global leader in breast reconstruction; we’re the pioneers behind groundbreaking techniques that continue to elevate the standard of post-mastectomy care for patients nationwide.

What Sets PRMA Apart:

  • TruSense® Sensation Restoration: a proprietary technique developed by PRMA to help women regain breast sensation after reconstruction.
  • High Def DIEP®: An advanced microsurgical approach that delivers more natural-looking results with refined contouring.
  • Dual-Surgeon Advantage: Every flap procedure is performed by two microsurgeons, enhancing safety, precision, and outcomes.
  • Implant-to-Flap Expertise: Nationally recognized for successfully converting failed implant reconstructions into natural tissue solutions.
  • Comprehensive Patient Support: From dedicated liaisons to the Breast Advocate® App, patients are guided at every step with compassion and clarity.
  • Advanced Lymphedema Surgery: Offers leading-edge treatments for lymphedema and post-mastectomy pain syndrome.
  • Texas-Based, National Reach: Patients from across the U.S. choose PRMA for its affordability, insurance-friendliness, and seamless travel support.
  • Trusted Experience: With 30+ years of innovation and over 15,000 reconstructions, PRMA is one of the most experienced centers in the world.
  • Empowerment Through Education: PRMA makes complex decisions easier by educating patients on all their options, including rarely-discussed sensation restoration.
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Refer a Patient-Nationwide

When your patients need advanced care, PRMA is the partner you can trust. Our team is a referral destination nationwide for advanced breast reconstruction, sensation restoration, lymphedema surgery, and more—offering seamless coordination, groundbreaking techniques, and outcomes that consistently elevate patient satisfaction.
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Rebuilding Beyond Breast Cancer

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