Rio Plastic Surgery is a specialized center in Rio de Janeiro, Brazil. The practice focuses on aesthetic and reconstructive plastic surgery. Dr. Márcio Bistene leads the clinic as a titled SBCP specialist. He performs every Brazilian Butt Lift with intraoperative ultrasound guidance. This real-time check keeps fat in the safe subcutaneous layer.
The clinic is a member of SBCP and ISAPS. Dr. Bistene uses InMode tools like BodyTite and Morpheus8 for body sculpting. High-definition liposuction is another core specialty. International patients start with online video consultations. Support includes private airport transfers and luxury stays in Barra da Tijuca. The team offers bilingual help and structured remote follow-up.
","text_type":"short_description","reviews":[],"clinic":{"id":8989,"alias":"rio-plastic-surgery","name":"Rio Plastic Surgery","short_description":"Rio Plastic Surgery is a specialized center in Rio de Janeiro, Brazil. The practice focuses on aesthetic and reconstructive plastic surgery. Dr. Márcio Bistene leads the clinic as a titled SBCP specialist. He performs every Brazilian Butt Lift with intraoperative ultrasound guidance. This real-time check keeps fat in the safe subcutaneous layer.
The clinic is a member of SBCP and ISAPS. Dr. Bistene uses InMode tools like BodyTite and Morpheus8 for body sculpting. High-definition liposuction is another core specialty. International patients start with online video consultations. Support includes private airport transfers and luxury stays in Barra da Tijuca. The team offers bilingual help and structured remote follow-up.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":{"value":["general"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"back_to_work_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Desk work and ordinary daily function after standalone mastopexy without implants, depending on pain and healing. Heavy physical work, lifting and upper-body strain require a longer recovery and assessment."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"complication_rate_pct":{"value":{"min":2,"max":6,"unit":"percent","qualifier":"Limited model estimate: clinically significant treated complications (hematoma, infection needing treatment, wound breakdown needing intervention, nipple-areola compromise, unplanned admission) within 90 days, per healthy adult undergoing primary standalone vertical/inverted-T pedicled mastopexy. Expected swelling, bruising, tightness and temporary sensation change are excluded."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:19.928721+00:00"},"contraindications":{"value":["Pregnancy or breastfeeding","Planned future pregnancies or major weight loss (relative; may compromise result durability)","Active smoking or nicotine use (relative; raises wound-healing and nipple necrosis risk)","Uncontrolled medical conditions such as diabetes, hypertension or cardiac disease","Bleeding or clotting disorders","Active breast infection or untreated breast cancer/suspicious findings","Unrealistic expectations or active untreated psychiatric conditions such as body dysmorphic disorder","Unfitness for general anesthesia"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"days_in_clinic":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Planned day case under general anesthesia with same-day discharge; no planned hospital nights."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:19.928721+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"exercise_resume_weeks":{"value":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous upper-body and chest exercise after surgeon clearance."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"final_result_months":{"value":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle; scars continue maturing up to about 12 months or longer."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"fly_home_after_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Counted from surgery, for short flights only after the first postoperative assessment shows stable healing, controlled pain and comfortable walking. If a drain, wound check or suture removal is still needed after departure, it must already be booked with a suitable clinician at the destination; otherwise stay for the treating clinic check. Long-haul travel needs individualized VTE planning beyond this range; clearance is not guaranteed."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:19.928721+00:00"},"follow_up_visits":{"value":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressings reviewed."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures are used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of shape, scars and settling."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"indications":{"value":["Breast ptosis (sagging) after pregnancy, breastfeeding or weight loss","Loss of breast firmness and volume distribution in the upper pole","Nipple positioned below the inframammary fold","Stretched or enlarged areolae","Desire to reshape and elevate breasts without changing volume significantly"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"main_risks":{"value":["Visible or widened scars, hypertrophic scarring or keloid","Bleeding or hematoma","Infection","Delayed wound healing, particularly at the T-junction","Changes in nipple or breast sensation","Nipple or areolar necrosis (rare)","Asymmetry","Recurrence of sagging over time","Fat necrosis or seroma","Need for revision surgery","Anesthesia-related risks and venous thromboembolism"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"pain":{"value":"Moderate soreness, tightness and tenderness for the first few days, generally controlled with oral analgesics; improves markedly within 1-2 weeks.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"preparation":{"value":["Medical evaluation and surgical consultation with discussion of technique and expected scars","Preoperative mammography or breast imaging when age or risk indicates","Stop smoking and nicotine products for several weeks before and after surgery per surgeon advice","Review of medications and supplements with the surgeon","Stable weight and completed family planning ideally","Fasting before general anesthesia as instructed","Arrange transport home and help during first days","Preoperative photographs and marking"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"recovery_timeline":{"value":[{"phase":"Day 0 (day-case hospital phase)","description":"Operation takes about 2-4 hours under general anesthesia, followed by recovery-room monitoring and same-day discharge with an adult escort. Dressings and a surgical bra are in place; a drain is uncommon.","restrictions":["No driving or important decisions for 24 hours after anesthesia","Adult stays with you the first night","Sleep on the back with the head elevated"]},{"phase":"Days 1-3 after surgery","description":"Swelling, bruising and tightness peak. Gentle short walks at home every few hours support circulation and mobilization.","restrictions":["No driving while on strong analgesics","Avoid lifting objects and raising arms overhead","Keep dressings dry and wear the support bra"]},{"phase":"Days 5-14 after surgery","description":"Pain and swelling ease. First planned wound check at 5-10 days; non-absorbable sutures, if used, are removed at 10-14 days. Return to desk work and ordinary daily function around 7-14 days if comfortable.","restrictions":["No heavy lifting or upper-body strain","Keep wearing the support bra","Avoid physically demanding work until cleared"]},{"phase":"Weeks 4-6 after surgery","description":"Planned healing review at 4-6 weeks. If healing is uncomplicated, gradual return to exercise is cleared; strenuous upper-body and chest exercise resumes around 4-6 weeks.","restrictions":["No strenuous exercise until cleared","Avoid chest pressure and underwire bras if advised"]},{"phase":"Months 3-12 after surgery","description":"Planned shape and scar review at 3-6 months. 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Planned stages are not counted."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:19.928721+00:00"},"scars":{"value":"Permanent scars, typically around the areola, vertically down to the breast crease and sometimes along the crease (anchor); they fade over 12-18 months but remain visible to some degree. Scar pattern depends on technique.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"sessions_or_stages":{"value":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for standalone mastopexy."},"stages":[{"code":"mastopexy_surgery","label":"Breast lift surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"One surgical session; follow-up checks are not counted as treatment stages."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"success":{"value":{"metric":"Patients satisfied with breast shape and position (binary satisfied response)","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Healthy adult women after primary standalone vertical/inverted-T pedicled mastopexy without implants","evidence_status":"limited"},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:19.928721+00:00"},"techniques":{"value":[{"name":"Primary protocol: pedicled vertical (lollipop) mastopexy, extending to a short inverted-T if needed, bilateral, no implants, general anesthesia, day case","suits_whom":"Moderate ptosis or excess skin in a healthy adult wanting a lift without a volume change. All numerical ranges in this profile refer to this protocol.","recovery":"Desk work and ordinary function around 7-14 days; exercise around 4-6 weeks; the T-junction may heal more slowly."},{"name":"Periareolar (donut) mastopexy (outside numerical profile)","suits_whom":"Mild ptosis needing limited lift or areolar reduction.","recovery":"Often similar early recovery; the scar is around the areola only, but shape and scar-widening outcomes differ."},{"name":"Crescent or Benelli variants (outside numerical profile)","suits_whom":"Very mild ptosis.","recovery":"Often quicker with minimal scarring, but the lift is limited."},{"name":"Mastopexy combined with implants (outside numerical profile)","suits_whom":"Ptosis with volume loss when added volume is desired.","recovery":"A different combined procedure with longer recovery and its own risk and revision profile; not covered by the numerical ranges."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:19.928721+00:00"},"treatment_conditions":{"value":["day_case"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"treatment_duration_hours":{"value":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for standalone bilateral breast lift without implants."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:51:49.571282+00:00"},"initial_assessment_documents":null,"travel_trips":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=barra-da-tijuca/procedure=mastopeksia-podtazka-grudi-konturnaa-plastika/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":2518,"name":"Rio de Janeiro","alias":"rio-de-janeiro","country_iso_code":"BR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":17},"manualSeo":[],"updatedAt":"2026-10-29T21:06:31.000Z","activeCountries":["BR","ES","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}