PecFlexFix™
Grafting
Technique
REPAIR. RESTORE. RETURN.
You’ve been carrying this long enough.
If you have been told your pectoral tear cannot be repaired, it is almost certainly because the surgeon who told you that has not performed the chronic pec graft. The technique exists. The outcomes are documented. The window — even for tears that are months or years old — is wider than most patients are told.
No surgeon has performed this procedure more times than Dr. Steve Mora. That is not a marketing claim. It is the reason patients fly here from seven countries.
Dr. Mora will give you an honest assessment of whether you are a candidate. Not every case qualifies. But the answer to that question requires a real workup — not a referral to physical therapy and a handshake.
According to Dr. Mora, for many men, the PecFlexFix™ grafting technique is nothing short of a miracle.
“There is a moment in the recovery room when a patient sees his chest the way it looked before the injury. Some of them cry. They were not crying for the surgery. They were crying for what had been taken from them before they got here.”
“Hope is not a marketing word. It is what is left after you have ruled out everything else, and the answer is still yes.”
What makes this procedure different, and why it works where others have not.
The PecFlexFix™ grafting technique was developed specifically to address this window. It uses a graft — cadaver or autograft, selected for the individual patient’s biology — to bridge the retracted tissue back to the bone, restoring both the structural integrity and the aesthetic contour of the chest. The technique has been refined across hundreds of cases, including revision cases where a prior surgical attempt failed.
The PecFlexFix™ is more than a grafting technique—it’s a comprehensive approach to pectoralis major reconstruction. The goal isn’t simply to reconnect the tendon. It’s to restore strength, contour, and symmetry while protecting the patient and minimizing complications.
Every detail matters: graft selection, fixation, anatomy, incision placement, infection prevention, rehabilitation, and ultimately, the aesthetic appearance of the chest. A successful pec reconstruction should restore function—but it should also look aesthetic and anatomical.That combination of safety, function, symmetry, and aesthetics is what PecFlexFix™ is designed to achieve.
The result is a repair calibrated not just for structural function but for the full restoration the patient came in seeking — the chest they had before the injury, not a compromise version of it.
Infection prevention protocol.
Graft surgery carries infection risk. Managing that risk is not an afterthought at this practice — it is a protocol, applied at every stage, without exception.
The infection-prevention standard at this practice includes: a triple surgical scrub; preoperative Hibiclens bathing; an antibiotic-coated graft; a watertight plastic-surgery-level closure; and a silk-strip waterproof wound covering postoperatively. These are not precautions taken when something looks concerning. They are the standard applied to every case, every time.
The closure technique is not a footnote. A watertight, aesthetically considered closure is part of the outcome — because the patient who went eighteen months not taking his shirt off deserves a scar that does not remind him of the injury every time he looks in the mirror.
Before the OR.
The implant is the easy part. The body has to be ready to accept it.
Before any pec repair is scheduled, Dr. Mora requires metabolic and nutritional preparation. This is not optional, and it is not a wellness add-on. The tissue environment must be in a state that can support the placement of the graft. That means optimizing metabolic health, targeted nutritional preparation through the Accelerated Recovery Nutrition Program, and, in some cases, a deliberate delay of the surgery date to get the conditions right.
Patients who arrive at this practice physically optimized heal faster, experience fewer complications, and achieve better functional outcomes. That is not a theory. It is the standard of care built over hundreds of cases.
PecFlexFix™ Patient Journey
From first inquiry to full recovery, here is what the process looks like, start to finish.
Frequently Asked Questions
Can a chronic pectoral tear actually be repaired?
In many cases, yes — and the window is wider than most patients are told. The PecFlex Grafting Technique was developed specifically to address chronic pec tears where direct repair is no longer viable due to muscle retraction and tissue stiffening. Using a graft to bridge the retracted tissue back to the bone, the technique has been refined across hundreds of cases, including tears that are months or years old and cases where a prior surgical attempt failed.
I was told my pec tear is too old to repair. Is that true?
Not necessarily. Most surgeons who give that answer have not performed the chronic pec graft. The age of the tear is a factor in the surgical calculus — but it is not automatically disqualifying. The honest answer requires a real workup: imaging review, tissue assessment, and a frank conversation about candidacy. That is exactly what the consultation here is designed to provide.
How do I know if I am a candidate for the PecFlexFix™ grafting technique?
Not every case qualifies — and Dr. Mora will tell you directly if yours does not. Candidacy depends on the age of the tear, the degree of muscle retraction, the quality of the remaining tissue, your metabolic health, and the outcome you are trying to achieve. The first step is submitting your imaging for review. A determination can often be made before any travel is planned.
What is the recovery timeline?
Recovery varies by case, but patients typically begin structured rehabilitation within a few weeks of surgery. The standard at this practice was built for patients who need to be back in full function as fast as the biology allows — which means every patient, whether they compete professionally or not, inherits a recovery protocol engineered for the most demanding cases in the practice. Full functional restoration is typically achieved within four to six months, with continued strengthening through the one-year follow-up.
What is the infection prevention protocol?
Graft surgery carries infection risk, and managing it is not situational here — it is standardized. Every case receives a triple surgical scrub, preoperative Hibiclens bathing, an antibiotic-coated graft, a watertight plastic-surgery-level closure, and silk-strip waterproof wound covering postoperatively. These are not precautions taken when something looks concerning. They are the baseline applied to every patient, every time.
Why do I need pre-operative optimization before surgery?
The graft that goes into the body is only as good as the tissue environment that receives it. Metabolic health, nutritional status, and tissue readiness directly affect how well the repair heals and holds. Before any procedure is scheduled, Dr. Mora requires a preparation period — typically four to eight weeks — that includes targeted nutritional support through the Accelerated Recovery Nutrition Program and metabolic optimization. In some cases, the surgery date is deliberately delayed to get the conditions right. This is not a wellness add-on. It is what makes the difference between a repair that holds and one that doesn't.
Does this practice accept insurance?
This practice operates outside insurance constraints by design. The time required to evaluate a chronic pec case correctly, prepare the patient's body for surgery, and deliver a repair built for full restoration cannot be compressed into a system built around three-minute visits and coverage defaults. The investment is out of pocket. What that buys is a clinical decision — not a coverage decision — at every stage of the process.
I live outside of California. Can I still be a patient?
Yes. This practice has coordinated care for patients from the Netherlands, Denmark, Canada, Belgium, the United Kingdom, Texas, Colorado, New York, and across the United States. Remote consultation — including imaging review and case assessment — is available before any travel is planned. Orange County is served by John Wayne Airport (SNA) and Los Angeles International (LAX). Recommended accommodations and recovery logistics are provided to every patient who travels for this procedure.
What happens if I've already had a failed pec repair?
Revision cases are treated here regularly. A prior surgical attempt — even a failed one — does not disqualify a patient from consideration. What it does require is a thorough review of what was done, what failed, and what the remaining tissue will support. Submit your imaging and surgical history and Dr. Mora's team will assess the case.
How do I get started?
Submit the consultation form with a brief description of your injury and any imaging you have available. A member of Dr. Mora's team will follow up personally — typically within one business day — to discuss your case and determine the right next step. You do not need to fly to Orange County to have an initial conversation. The workup begins here.
For patients traveling to Orange County.
The white-glove standard does not begin at the OR door. It begins at the first inquiry and it does not end until the one-year follow-up is complete.
Orange County, California is served by John Wayne Airport (SNA) and Los Angeles International (LAX). Both are within practical distance of the practice. For international patients, LAX is the primary arrival point.
This practice has coordinated care for patients from the Netherlands, Denmark, Canada, Belgium, the United Kingdom, Texas, Colorado, and New York. The logistical framework is not new. Recommended accommodations, local resources, and recovery-specific practical information are provided to every patient who travels for this procedure.