PRMA Plastic Surgery - Center for Advanced Breast Reconstruction

11/17/2025

DIEP Flap Recovery: What to Expect Week by Week ✨⬇️

Recovering from breast reconstruction surgery can feel overwhelming, but knowing what to expect can make all the difference. At PRMA, our Enhanced Recovery After Surgery (ERAS) protocol helps patients heal faster and with less discomfort. 💗

Here’s a snapshot of the journey:

🩺 Week 1: Hospital stay, first walks, and drain care. Travel and normal activities begin with clearance.
💖 Week 2: Follow-up visits, light movement, and transitioning to a wireless bra.
🌿 Week 3: Most drains removed, light socializing, and return to low-impact activities.
📆 Week 4: Planning for stage 2, building stamina, and light exercise if approved.
💪 Week 5: Swelling decreases, occasional discomfort is normal, focus on endurance and confidence.
🏡 Week 6: Most restrictions lifted, resume normal routine at your own pace.

💡 Recovery Tips: Eat protein-rich foods, sleep elevated, stay hydrated, avoid smoking/alcohol, follow up with your care team, and include anti-inflammatory foods.

Every patient’s journey is unique, and our board-certified surgeons are here to guide you every step of the way. Ready to learn more about your reconstruction options? Click the 🔗 in bio to get started!

11/14/2025

Happy Birthday, Natalie! 🎂🎉

Natalie brings so much light and care to PRMA every day. Her warmth, empathy, and thoughtful approach make every patient feel truly seen and supported, and her compassion shines in everything she does, whether caring for patients or supporting her teammates.

Here’s to you on your special day: an incredible nurse, a valued teammate, and someone who makes a difference every single day. 🥂✨

Join us in wishing Natalie the happiest of birthdays below!👇💗

11/13/2025

OR moments with Dr. Acevedo! 🩺✨

If you haven’t heard yet, PRMA recently added a new surgeon to the team! Dr. Acevedo is an experienced reconstructive surgeon specializing in breast reconstruction and microsurgery. With his skill, meticulous approach, and dedication to patient-centered care, he fits seamlessly into the PRMA team — and we couldn’t be more thrilled to have him. 👏

He will be accepting new patients starting in January, and we can’t wait to help even more patients achieve their reconstruction goals with his skilled care. 🩷🌟

11/12/2025

Feeling unhappy with your breast reconstruction? 💕 You’re not alone, and there are steps you can take to feel more confident and supported in your care.

The first step is often the hardest — be honest with your surgeon. Having an open, respectful conversation about your concerns, expectations, and goals is essential in moving toward the results you want.

Sometimes, a second opinion can be incredibly valuable. Consulting with another experienced reconstructive surgeon ensures you know all of your options. At PRMA, we prioritize shared decision-making and often help patients explore corrective or revision procedures to achieve results they feel proud of. ✨

Ultimately, the best choice is the one that works for you. Understanding your options, discussing realistic outcomes, and weighing the pros and cons with an experienced surgeon gives you the confidence to move forward on your own terms.

When it comes to your reconstruction, there’s no substitute for a one-on-one consult. Call 210.429.7845 to schedule with one of our reconstructive surgeons and take the next step toward results that feel right for you. 💕📞

11/11/2025

Don’t miss Dr. Merceron sharing the journey of breast reconstruction — from its early beginnings to the innovative techniques helping patients today!

Dr. Tyler Merceron of shares an insightful history and look into the future of autologous breast reconstruction. This presentation takes...

11/11/2025

Happy Veterans Day!

Today, we proudly honor two of our very own veterans here at PRMA — Dr. Arish*ta and Dr. Fries — whose service and leadership continue to inspire us every day.

Dr. Arish*ta served in the U.S. Air Force for 25 years, pursuing his medical degree at the F. Edward Hébert School of Medicine in Bethesda, Maryland, and ultimately becoming the Chief Plastic Surgeon for the Air Force in 2003. Throughout his distinguished career, he served as a general surgeon, plastic surgeon, and commander—performing the majority of free flap breast reconstructions in the Air Force and training the next generation of Air Force plastic surgeons.

Dr. Fries’ journey began at the prestigious University of Cambridge and led him to serve as a Surgeon Commander in the Royal Navy, where he served with dedication and distinction, bringing that same commitment to his patients today.

On this Veterans Day, we thank Dr. Arish*ta, Dr. Fries, and all veterans for their courage, leadership, and selfless service. Your sacrifice and dedication inspire us every day. 💙

11/10/2025

PRMA will be closed on Tuesday, November 11th, in observance of Veterans Day, and we’ll reopen on Wednesday, November 12th.

If you are an existing patient with an urgent medical need during this time, please call 210-404-7483 and follow the prompts to be connected with our on-call provider.

We are grateful for the service and sacrifice of all veterans — thank you for your dedication and bravery. 🩷

11/10/2025

Double the celebration, double the fun — it’s Melissa’s birthday and 7-year PRMA anniversary! 🎉💗

This month, we get to celebrate not just Melissa’s birthday, but also 7 incredible years she’s been keeping our surgery scheduling department running like clockwork. She navigates the high-stakes puzzle of surgery scheduling with ease and precision, coordinating with doctors, facilities, and patients to make sure everything falls perfectly into place. ✨

Melissa’s tireless work, positive energy, and unwavering dedication make her an indispensable part of the PRMA team. She keeps the wheels turning behind the scenes and always goes above and beyond for our patients and our team. We honestly don’t know what we would do without her! 💕

Please join us in wishing Melissa a very happy birthday and congratulations on 7 amazing years with PRMA! 🎂👏⬇️

11/07/2025

We couldn’t do what we do without our amazing nursing team! ✨👏

From pre-op to recovery and every step in between, our nurses go above and beyond to provide compassionate, expert care to every patient who walks through our doors. Their kindness, attention to detail, and unwavering support make such a difference — not just in the surgical process, but in the healing journey as a whole.

Our nurses are the steady hands and warm hearts that help patients feel safe, cared for, and understood. They’re always here to celebrate milestones, answer every question (big or small), and offer reassurance when it’s needed most. 🫶

We’re so grateful for everything they do each day to care for our patients and support our surgeons. They’re at the center of the compassionate care PRMA is known for. 💕

11/06/2025

Help us welcome Corrine to the PRMA team! 🥳

If you’ve spent any time in our clinic or joined us at BRA Day, you may have already met Corrine and seen her in action. She’s jumped right in with our incredible nursing team — always smiling, lending a hand, and bringing so much warmth and positivity to both patients and staff. ✨

Born and raised right here in San Antonio, Corrine became a nurse out of a lifelong passion for helping and caring for others. She truly loves getting to know each person who walks through our doors and being part of their journey. Whether it’s for enhancement or healing, her goal is to make every experience as positive and personal as possible — ensuring each patient feels comfortable, supported, and cared for every step of the way. Outside of work, she loves spending quality time with family and friends, and she feels so grateful to be part of such an amazing team who is so passionate about what they do. 💗

We’re so lucky to have such a compassionate, dedicated group of nurses here at PRMA, and Corrine fits right in. 💕

We’re so excited to have her here and can’t wait for you to get to know her! Help us welcome Corrine in the comments below. 💗⬇️