PRMA

What PRMA does

PRMA (Plastic, Reconstructive & Microsurgical Associates) is a San Antonio, Texas-based private medical practice founded in 1994 that operates as a high-volume subspecialty center for advanced breast reconstruction, lymphedema treatment, and sensation restoration surgery. The practice is staffed by 11 fellowship-trained reconstructive microsurgeons led by CEO Dr. Minas Chrysopoulo and co-founder Dr. Peter Ledoux, supported by clinical and administrative personnel (headcount band 11–50). PRMA has completed more than 16,000 microsurgical breast reconstruction procedures since inception, currently performs 700+ DIEP flap procedures annually, and reports a 99%+ flap success rate. The practice serves a national and international patient base, with patients traveling to San Antonio from across the U.S. and abroad for procedures not available in their local markets.

The practice's core technology is microsurgical tissue transfer, most notably the DIEP (Deep Inferior Epigastric Perforator) flap, supplemented by a portfolio of tissue-based, implant-based, and hybrid reconstruction techniques. PRMA has developed two proprietary trademarked methods: TruSense®, a sensory nerve reconnection technique that restores breast sensation after mastectomy, and High Def DIEP®, an aesthetic contouring refinement of the standard DIEP flap. Its clinical model is differentiated by a dual-surgeon staffing approach on every procedure, an Enhanced Recovery After Surgery (ERAS) protocol that enables 2–3 day hospital stays, and a peer-reviewed second vein technique shown to reduce flap loss. The practice also offers lymphedema surgery (LVA, VLNT, VOLT), post-mastectomy pain syndrome treatment, revision surgery for failed reconstructions, and elective cosmetic procedures.

PRMA generates revenue primarily from professional fees for surgical procedures, with the dominant book of business covered by major U.S. health insurers (Aetna, BCBS, Cigna, Medicare, United Healthcare) under the federal Women's Health and Cancer Rights Act mandate for post-mastectomy reconstruction. A smaller revenue stream comes from elective cosmetic procedures, typically self-pay. Patient acquisition is driven by physician referrals from oncologists and breast surgeons, content marketing via the practice website and blog, patient testimonials, earned media, and a national draw supported by virtual consultations and travel/lodging partnerships. The practice maintains hospital affiliations with Methodist Healthcare System and Baptist Healthcare System in San Antonio and is a member of the Advanced Reconstructive Surgery Alliance (ARSA). No external funding, private equity investment, or parent company ownership has been disclosed.

Name

PRMA

Legal name

Plastic, Reconstructive, and Microsurgical Associates (PRMA)

Website

https://prma-enhance.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

11–50 employees

Short description

PRMA is a San Antonio-based private microsurgical practice specializing in advanced breast reconstruction (DIEP flap, implant, hybrid), lymphedema treatment, and sensation restoration, serving patients nationally and internationally with 11 fellowship-trained surgeons and proprietary techniques including TruSense® and High Def DIEP®.

Ownership category

akta.pro rank

Product category

Breast Reconstruction Surgery

akta.pro primary industry

Medical Spas (Medi-Spas) (HSALAFAB)

Keywords

• Breast reconstruction surgery
• Microsurgical flap procedures
• DIEP flap reconstruction
• Plastic surgery services
• Cosmetic surgery practice

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Surgical Reconstruction Procedures: Primary revenue from performing breast reconstruction surgeries including DIEP flap, implant-based, and revision procedures. Covered by most insurance plans under the Women's Health and Cancer Rights Act (WHCRA) which mandates coverage for breast reconstruction after mastectomy.
2. Cosmetic Surgery Procedures: Revenue from elective cosmetic procedures including breast lifts, body contouring, and scar revisions, typically self-pay or cosmetic insurance riders.
3. Lymphedema Surgery: Surgical treatments for upper extremity lymphedema including Lymphatic vascular anastomosis (LVA) and Vascularized Lymph Node Transfer.
4. Sensation Restoration Procedures: TruSense® sensation restoration procedures performed alongside reconstruction surgery, typically bundled with primary reconstruction.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

PRMA is a specialized breast reconstruction center offering microsurgical tissue-based breast reconstruction (primarily DIEP flap), implant-based reconstruction, lymphedema treatment, sensation restoration, and cosmetic surgery. The practice uses proprietary techniques including TruSense® for nerve reconnection and High Def DIEP® for aesthetic contouring, supported by a dual-surgeon approach for every DIEP flap procedure.

Product overview

PRMA (Plastic, Reconstructive & Microsurgical Associates) is a specialized breast reconstruction center offering a comprehensive portfolio of surgical procedures. The core offerings center on DIEP Flap Breast Reconstruction, including their proprietary High Def DIEP® technique for enhanced aesthetic outcomes and TruSense® for sensation restoration. Their tissue-based reconstruction portfolio includes multiple flap procedures (abdominal-based, thigh-based, and other donor site options), while implant-based and hybrid reconstruction provide alternative approaches. Beyond primary reconstruction, PRMA offers breast cancer surgery, lymphedema treatment, sensation restoration, revision surgery, and cosmetic procedures. The practice emphasizes a dual-surgeon approach and advanced microsurgical techniques.

Differentiator

Problem solved

Functional benefit

Brands

• TruSense: Proprietary sensation restoration technique that reconnects sensory nerves during breast reconstruction surgery to restore breast feeling.
• High Def DIEP

Products and services

• DIEP Flap Breast Reconstruction Primary breast reconstruction procedure using the patient's own abdominal tissue (skin and fat) to create natural-looking breasts without implants. For women undergoing mastectomy or seeking revision of previous reconstructions.
• High Def DIEP® Enhanced DIEP flap technique with refined contouring, natural breast shape, and improved aesthetic outcomes through advanced donor site closure, liposuction, and body sculpting. For patients seeking optimal cosmetic results from autologous reconstruction.
• TruSense® Sensation Restoration Proprietary technique that reconnects sensory nerves during breast reconstruction surgery to restore breast sensation after mastectomy. For women seeking to regain feeling following mastectomy and reconstruction.
• Tissue-Based Reconstruction Natural tissue reconstruction using the patient's own living tissue, including multiple flap options (abdominal-based, thigh-based, Latissimus Dorsi, GAP) for patients with varying anatomy. For women not suitable for DIEP or seeking alternative tissue donor sites.
• Implant-Based Reconstruction Breast reconstruction using synthetic implants, including tissue expander to implant and direct to implant options. For patients who prefer or require implant-based reconstruction.
• Hybrid Reconstruction Combined approach using both natural tissue and implants for breast reconstruction. For patients who benefit from a hybrid of tissue and implant techniques.
• Revision & Corrective Surgery Specialized procedures to correct or improve results from previous breast reconstruction, including treatment of implant failure, capsular contracture, and flap revision. For patients with prior unsuccessful reconstructions.
• Breast Cancer Surgery Expert surgical care for breast cancer including mastectomy procedures (traditional, nipple-sparing, skin-sparing, completion) and lumpectomy reconstruction with oncoplastic surgery. For breast cancer patients and those seeking prophylactic mastectomy.
• Lymphedema Treatment Advanced microsurgical techniques for lymphedema including Lymphovenous Anastomosis/Bypass and Vascularized Lymph Node Transfer to relieve swelling and restore lymphatic function. For breast cancer survivors experiencing arm swelling from lymph node surgery or radiation.
• Sensation Restoration Surgical nerve reconstruction procedures to restore breast sensation following mastectomy and reconstruction. For women seeking to regain breast feeling after mastectomy.
• Cosmetic Surgery Aesthetic procedures including breast augmentation, breast lifts, body contouring, arm lifts, body makeovers, facelifts, and rhinoplasty. For patients seeking elective cosmetic enhancements.
• Post-Mastectomy Pain Syndrome Treatment Treatment services for chronic pain conditions following mastectomy procedures. For breast cancer survivors experiencing persistent post-mastectomy pain.
• Virtual Consultation Remote consultation services allowing patients to meet with surgeons and discuss medical history and goals without traveling to the facility. For out-of-state and national patients seeking initial evaluation.

Quantifiable outcome

• Over 16,000 successful breast reconstruction procedures performed since 1994
• +4 more outcomes

Named customers12 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Advanced Reconstructive Surgery Alliance (ARSA)coreStrategic or Co-development Partner · 1 October 2024PRMA is a proud member of the Advanced Reconstructive Surgery Alliance (ARSA), a network of leading reconstructive surgery practices. This alliance enables knowledge sharing, best practices development, and collective advancement of reconstructive surgery techniques.
• Methodist Healthcare SystemcoreStrategic or Co-development PartnerPRMA surgeons perform procedures at Methodist Healthcare System hospitals in San Antonio. The hospital has been named a Center for HIDDEN SCAR Breast Cancer Surgery, supporting PRMA's advanced reconstruction capabilities.
• Baptist Healthcare SystemcoreStrategic or Co-development PartnerPRMA surgeons are affiliated with Baptist Healthcare System hospitals for surgical procedures, providing access to comprehensive hospital facilities for microsurgical breast reconstruction.
• American Cancer SocietyminorGTM or Marketing PartnerThe American Cancer Society offers housing assistance programs to help cancer patients find free or discounted accommodations during treatment away from home, which supports PRMA's out-of-state patients.
• Angel FlightminorGTM or Marketing PartnerFlight assistance program available to help cancer patients with the cost of flights for medical treatment, supporting patients who travel to PRMA from distant locations.
• Local Hotels (Discounted Accommodations)minorChannel Partner/ Reseller/ DistributorPRMA has partnerships with local hotels that offer reduced rates for out-of-state patients traveling to San Antonio for surgery, making extended stays more affordable during recovery.

Scale indicators8 records

Recent moves11 records

Expansion highlights6 records

Broad incumbents

• Cleveland Clinic Cosmetic & Plastic Surgery: Major academic health system with a comprehensive plastic surgery program including breast reconstruction. Comparable in clinical breadth but operates as part of a much larger hospital system.
• Cosmetic Surgery Affiliates: Multi-location private cosmetic and reconstructive surgery practice offering breast procedures among broader aesthetic services. Comparable in private group structure but with heavier cosmetic emphasis.
• Northwestern Medicine Plastic Surgery: Academic medical center with established reconstructive and cosmetic plastic surgery services. Comparable offering breadth but with academic medical center economics rather than private practice focus.
• Memorial Sloan Kettering - Plastic & Reconstructive Surgery: Leading academic cancer center with a dedicated reconstructive surgery service for breast and other oncologic reconstruction. Comparable in clinical capability but operates within a larger hospital research infrastructure.
• MD Anderson Cancer Center - Plastic Surgery: Academic cancer center offering comprehensive breast reconstruction within a multidisciplinary oncology setting. Competes for complex reconstruction cases but within a much broader institutional footprint.

Direct peers

• Care Plastic Surgery: Private multi-surgeon plastic surgery practice with breast reconstruction as a core service line. Comparable in business model (private group, insurance participation) and service mix including cosmetic procedures.
• Long Island Plastic Surgical Group: One of the largest private plastic surgery groups in the U.S., offering comprehensive reconstructive and cosmetic services including breast reconstruction. Comparable in scale, multi-surgeon structure, and breadth of reconstructive offerings.
• The Center for Restorative Breast Surgery: New Orleans-based microsurgical breast reconstruction center specializing in DIEP flap and other autologous procedures. Most direct comparable to PRMA in scale, surgical specialization, and national patient draw.
• NYBRA Plastic Surgery: New York-area practice focused on microsurgical breast reconstruction with a team-based surgeon model. Comparable to PRMA in clinical specialty, proprietary protocols, and out-of-region patient acquisition.

Others

• Advanced Reconstructive Surgery Alliance (ARSA): Network of leading reconstructive surgery practices of which PRMA is a member. Comparable as an ecosystem partner and potential platform for multi-site expansion, not a direct competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/diepflapbreast
• Facebookfacebook.com/PRMAPlasticSurgery
• LinkedInlinkedin.com/company/prma-plastic-surgery
• Instagraminstagram.com/prmaplasticsurgery

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PRMA