Telmar Ritter es una clínica de cirugía plástica y estética en Brasilia, Brasil. Se especializa en procedimientos mamarios, contorno corporal, rejuvenecimiento facial y procedimientos íntimos. La Dra. Telma Ritter dirige el centro. Su enfoque incluye la cirugía estética y la reconstrucción mamaria postmastectomía. La clínica atiende a adultos mediante métodos quirúrgicos y no quirúrgicos.
El centro ofrece tecnologías avanzadas, como la liposucción Vaser y la reducción de grasa con láser. Los pacientes pueden acceder a procedimientos de cambio de imagen para mamás y recuperación postbariátrica. Otros servicios destacados incluyen abdominoplastias, blefaroplastias y rejuvenecimiento vaginal. También hay opciones no invasivas, como Coolsculpting y peelings químicos. El personal brinda asistencia a los pacientes en portugués, inglés y español.
","text_type":"short_description","reviews":[],"clinic":{"id":8848,"alias":"telmar-ritter","name":"Telmar Ritter","short_description":"Telmar Ritter es una clínica de cirugía plástica y estética en Brasilia, Brasil. Se especializa en procedimientos mamarios, contorno corporal, rejuvenecimiento facial y procedimientos íntimos. La Dra. Telma Ritter dirige el centro. Su enfoque incluye la cirugía estética y la reconstrucción mamaria postmastectomía. La clínica atiende a adultos mediante métodos quirúrgicos y no quirúrgicos.
El centro ofrece tecnologías avanzadas, como la liposucción Vaser y la reducción de grasa con láser. Los pacientes pueden acceder a procedimientos de cambio de imagen para mamás y recuperación postbariátrica. Otros servicios destacados incluyen abdominoplastias, blefaroplastias y rejuvenecimiento vaginal. También hay opciones no invasivas, como Coolsculpting y peelings químicos. El personal brinda asistencia a los pacientes en portugués, inglés y español.
","images":[{"base_url":"clinic/6ae4ad1bd5dd4","title":"Fachada moderna de vidrio de la clínica Vitrium con palmeras y estacionamiento"},{"base_url":"clinic/6ae4ad1d7c80d","title":"Recepción y sala de espera en la clínica Telmar Ritter con decoración moderna en Brasil"},{"base_url":"clinic/6ae4ad1f3810d","title":"Sala de tratamiento moderna con sillón médico ajustable en la clínica Telmar Ritter"},{"base_url":"clinic/6ae4ad21080d8","title":"Exterior de la clínica Telmar Ritter con rampa de acceso y personal médico"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Brasília","id":2683,"alias":"brasilia"},"address":"SGAS 614 Sl 210 Lote 99 Ed Vitrium, SHCS, Brasília - DF, 70200-740, Brazil"},"rating":{"rating":5,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"La colocación submuscular de implantes se utiliza en el 98 % de los casos en Arte Cirúrgica, donde también se ofrecen opciones texturizadas y recubiertas de poliuretano. La clínica informa que las tasas de contractura capsular disminuyen del 35 % al 7–10 % con implantes texturizados, o al 3–10 % con implantes recubiertos de poliuretano. Las cirugías medianas y grandes se realizan en el Hospital DF-Star, que cuenta con una UCI y un equipo médico de guardia las 24 horas. La clínica ofrece asistencia en inglés, portugués y español, además de consultas preliminares en línea.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":8971,"alias":"plastic-surgery-dr-gustavo-r-moreno","name":"Plastic surgery (Dr. Gustavo R. Moreno)","short_description":"Arte Cirúrgica es una clínica de cirugía plástica en Brasilia y Río de Janeiro, Brasil. El centro se especializa en procedimientos estéticos y reconstructivos para el rostro y el cuerpo. El cirujano principal, el Dr. Gustavo R. Moreno, se formó en el prestigioso Instituto Ivo Pitanguy. Es miembro de las Sociedades Brasileña y Estadounidense de Cirugía Plástica.
Las cirugías mayores se realizan en hospitales bien equipados, como el Hospital DF-Star. El centro cuenta con una UCI y un equipo médico de guardia las 24 horas. Los servicios reconstructivos abarcan casos complejos, incluidos tumores cutáneos y pérdida de tejido por traumatismos. Entre las opciones estéticas se incluyen los estiramientos faciales videoendoscópicos y el aumento mamario con transferencia de grasa. El equipo acompaña a los pacientes internacionales en cada etapa de la recuperación.
","images":[{"base_url":"clinic/6adf3bfd812e5","title":"Recepción en la clínica de cirugía plástica Dr. Gustavo R. Moreno con asientos modernos"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Brasília","id":2683,"alias":"brasilia"},"address":"SHLN Lote 9 Edifício Biosphere, Sala 208 - Asa Norte, Brasília - DF, 70770-560, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}},{"text":"La Dra. Ivanoska Filgueira dirige una clínica privada de cirugía plástica en Brasilia, Brasil. La clínica se especializa en Lipo HD, cirugía de explantación mamaria, mastopexia y abdominoplastia. La Dra. Filgueira tiene una maestría en Ciencias de la Salud de la Universidad de Brasilia. Seis médicos trabajan en dos consultorios. Uno de sus principales enfoques es la cirugía avanzada de rostro y cuello.
La clínica está acreditada por la SBCP, la ISAPS y la Sociedad Estadounidense de Cirujanos Plásticos. Los especialistas participan en programas internacionales como Worldwide Live Surgery. El apoyo en línea ayuda a coordinar el proceso quirúrgico de los pacientes internacionales. La atención preoperatoria incluye análisis clínicos, ecografía mamaria y electrocardiogramas. La mayoría de los procedimientos para la ginecomastia duran aproximadamente una hora y se realizan con anestesia local.
","text_type":"short_description","reviews":[],"clinic":{"id":9252,"alias":"dr-ivanoska-filgueira","name":"Dr. Ivanoska Filgueira","short_description":"La Dra. Ivanoska Filgueira dirige una clínica privada de cirugía plástica en Brasilia, Brasil. La clínica se especializa en Lipo HD, cirugía de explantación mamaria, mastopexia y abdominoplastia. La Dra. Filgueira tiene una maestría en Ciencias de la Salud de la Universidad de Brasilia. Seis médicos trabajan en dos consultorios. Uno de sus principales enfoques es la cirugía avanzada de rostro y cuello.
La clínica está acreditada por la SBCP, la ISAPS y la Sociedad Estadounidense de Cirujanos Plásticos. Los especialistas participan en programas internacionales como Worldwide Live Surgery. El apoyo en línea ayuda a coordinar el proceso quirúrgico de los pacientes internacionales. La atención preoperatoria incluye análisis clínicos, ecografía mamaria y electrocardiogramas. La mayoría de los procedimientos para la ginecomastia duran aproximadamente una hora y se realizan con anestesia local.
","images":[{"base_url":"clinic/6ae1873aa1149","title":"Recepción y sala de espera moderna en la clínica Dr. Ivanoska Filgueira con decoración elegante"},{"base_url":"clinic/6ae1873c3d862","title":"Mostrador de recepción en la clínica de cirugía plástica Ivanoska con decoración moderna"},{"base_url":"clinic/6ae1873df1fa3","title":"Mostrador de recepción en la Clínica Corpocisão con decoración moderna y suelo de mármol"},{"base_url":"clinic/6ae1873f7818d","title":"Sala de tratamiento con equipo médico moderno en la clínica Dr. Ivanoska Filgueira"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Brasília","id":2683,"alias":"brasilia"},"address":"Centro Clínico Advance, Sala 261. SGAS 915, Lote 69/70, Asa Sul, Brasília (DF), 70390-150, Brazil"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":6},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Sociedad Americana de Cirujanos Plásticos","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Otorgado al médico Certificado de la International Society of Aesthetic Plastic Surgery (ISAPS)","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Acreditación Internacional de Atención Médica TEMOS","country_code":"DE"}]}}],"meta":{"total_count":3,"total_pages":1}},"clinicsMeta":{"total_count":3,"total_pages":1},"clinicsCount":3,"clinicsCountByEntity":{"clinic_count":106},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Brasil","alias":"brazil","iso_code":"BR"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"Egipto","alias":"egypt","iso_code":"EG"},{"name":"Emiratos Árabes 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salinos","alias":"breast-augmentation-with-saline-implants"},{"name":"Liposucción de abdomen","alias":"abdominal-liposuction"},{"name":"Transferencia de grasa facial","alias":"facial-fat-transfer"},{"name":"Liposucción láser","alias":"laser-liposuction"},{"name":"Liposucción de glúteos","alias":"buttocks-liposuction"},{"name":"Liposucción del Monte de Venus","alias":"mons-pubis-liposuction"},{"name":"Deep Plane Facelift","alias":"deep-plane-facelift"},{"name":"Levantamiento de glúteos","alias":"buttock-lift"},{"name":"Liposucción Body-Jet","alias":"body-jet-liposuction"},{"name":"Otoplastia (cirugía de orejas)","alias":"otoplasty-ear-surgery"},{"name":"Liposucción tumescente","alias":"tumescent-liposuction"},{"name":"Lipofilling","alias":"lipofilling"},{"name":"Levantamiento de frente","alias":"lifting-lba"},{"name":"Reducción de senos","alias":"breast-reduction"},{"name":"Aumento de pecho","alias":"breast-augmentation"},{"name":"Plástica de brazos (braquioplastia)","alias":"arms-plastics-brachioplasty"},{"name":"Cirugía reconstructiva","alias":"reconstructive-surgery"},{"name":"Liposucción de muslos","alias":"thighs-liposuction"},{"name":"Mini lifting facial","alias":"mini-facelift"},{"name":"Implantes pectorales","alias":"pectoral-implants"},{"name":"Lipo 360","alias":"360-liposuction"},{"name":"Liposucción facial","alias":"face-liposuction"},{"name":"Tratamiento de la ginecomastia severa","alias":"severe-gynecomastia-surgery"},{"name":"Implantes mamarios con levantamiento de senos","alias":"breast-implants-with-breast-lift"},{"name":"Himenoplastia (restauración del himen)","alias":"hymenoplasty-hymen-restoration"},{"name":"Liposucción para hombres","alias":"liposuction-for-men"},{"name":"Rejuvenecimiento vaginal Votiva","alias":"votiva-vaginal-rejuvenation"},{"name":"Estrechamiento vaginal","alias":"vaginal-tightening"},{"name":"Rejuvenecimiento vaginal MonaLisa 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program","alias":"non-surgical-slimming-program","type":"illness","id":3569}],"operationPrices":{"operation_prices":{"898":{"operation":{"name":"Revisión de implantes mamarios","alias":"breast-implant-revision","use_for_listing":true},"country_price":{"US":{"amount":7000,"max_amount":14000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2400,"max_amount":4500,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5000,"max_amount":8000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":5000,"max_amount":5600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TH":true,"ES":true,"BR":true},"description":"Esta cirugía corrige o reemplaza los implantes mamarios anteriores, mejorando la forma, el tamaño y la posición para mejorar la estética y la sensación.
"},"913":{"operation":{"name":"Extracción de implantes mamarios","alias":"breast-implant-removal","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":9000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1200,"max_amount":2400,"currency":"USD","clinic_count":12,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":3500,"max_amount":4900,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4000,"max_amount":4600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TH":true,"ES":true,"BR":true},"description":"El procedimiento consiste en quitar o reemplazar los implantes mamarios, mejorando la forma natural, lo que puede aumentar la confianza y aliviar la incomodidad.
"},"938":{"operation":{"name":"Capsulectomía mamaria","alias":"breast-capsulectomy","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":5600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4000,"max_amount":6600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":3000,"max_amount":4800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":true},"description":"El procedimiento consiste en la extirpación quirúrgica del tejido cicatricial alrededor de un implante mamario, lo que mejora la comodidad y la apariencia.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"El Dr. Ergin Er es cirujano plástico, reconstructivo y estético con más de 10,000 procedimientos estéticos. Ha sido galardonado en múltiples ocasiones en los Congresos Nacionales Turcos de Cirugía Plástica y realizó estudios avanzados en el Baylor College of Medicine de Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38}]},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk-based work after bilateral or unilateral total capsulectomy with implant exchange or removal; physical work usually longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early complication within 90 days (hematoma, seroma, infection, wound problems); serious ones under 3%."},"contraindications":["Medical conditions making general anesthesia unsafe until optimized","Active smoking or nicotine use (relative; raises wound-healing risk)","Uncontrolled diabetes or coagulopathy (relative)","Active infection at the surgical site (defer elective surgery)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after capsulectomy; an overnight stay is occasional."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light activity earlier; strenuous upper-body exercise typically after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and breast position settles; depends on whether implants are replaced."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After drain removal and wound check; surgeon clearance and any drain or swelling issues move timing."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery; drain removal if drains used"}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"From surgery"}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery"}}],"indications":["Symptomatic capsular contracture (Baker III–IV): pain, firmness, distortion","Implant rupture with capsule involvement or silicone migration","Calcified or thickened capsule at implant exchange","Chronic seroma or infection requiring implant and capsule removal","Suspected or confirmed BIA-ALCL or implant-associated cancer"],"main_risks":["Bleeding or hematoma","Infection","Seroma","Recurrence of capsular contracture","Pain, numbness or altered nipple sensation","Asymmetry or contour irregularity","Skin or nipple-areola compromise","Rarely, pneumothorax or chest wall injury with posterior capsule dissection","Scarring and need for revision","Risks of general anesthesia"],"pain":"Moderate soreness and tightness for the first several days, controlled with oral analgesics; usually settles over 1–2 weeks.","preparation":["Surgical consultation and review of implant history and records","Breast ultrasound or MRI, especially for suspected rupture or fluid","Medical clearance as needed","Stop nicotine products before surgery","Fasting before general anesthesia as instructed","Arrange transport home and help in the first days"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest, dressings or surgical bra, drains if placed.","restrictions":["No driving while on opioid analgesics","Avoid lifting"]},{"phase":"Weeks 1–2","description":"Swelling and bruising settle; return to light daily activity and desk work.","restrictions":["Avoid heavy lifting and arm overhead strain"]},{"phase":"Weeks 2–6","description":"Gradual resumption of activity; supportive bra as advised.","restrictions":["No strenuous upper-body exercise until cleared"]},{"phase":"3–6 months","description":"Swelling resolves and final contour is judged.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program is typical."},"result_longevity":"Capsulectomy results are not permanent; contracture can recur, and implants, if replaced, may need revision or exchange after about 10–15 years. Without implants, the contour change is lasting.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Repeat surgery within 2–3 years, mainly for recurrent contracture, asymmetry or contour irregularity."},"scars":"Usually through the existing breast scar (inframammary, periareolar or other prior incision); a new or revised scar is possible. Scars mature over 6–12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; staged surgery is occasionally used."},"stages":[{"code":"capsulectomy_surgery","label":"Capsulectomy (total or partial) with implant removal or exchange","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage procedure for the usual benign indication."},"success":{"metric":"Freedom from capsular contracture recurrence","value":85,"unit":"percent of patients","horizon":"2 years","population":"Adults with Baker III–IV contracture undergoing total capsulectomy with implant exchange","evidence_status":"limited"},"techniques":[{"name":"Total capsulectomy (removal of the whole capsule, not necessarily intact)","suits_whom":"Usual approach for symptomatic or recurrent capsular contracture, calcification or rupture with implant removal or exchange.","recovery":"Same-day discharge usual; light activity in 1–2 weeks."},{"name":"Partial (anterior) capsulectomy","suits_whom":"Limited capsular thickening or contracture when the posterior capsule is thin or adherent to the chest wall.","recovery":"Similar or slightly quicker than total capsulectomy."},{"name":"Total intact capsulectomy","suits_whom":"Selected cases such as ruptured silicone implants or surgeon-preferred intact removal; technically more demanding.","recovery":"Slightly longer, with more drain and seroma risk."},{"name":"En-bloc oncologic capsulectomy","suits_whom":"Suspected or established implant-associated cancer (e.g. BIA-ALCL); not routine for benign contracture.","recovery":"Longer and managed with oncologic planning."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Bilateral total capsulectomy with implant removal or exchange; unilateral is shorter."},"initial_assessment_documents":["Front, side and oblique breast photos","Original breast implant operation report","Implant ID card with brand, size and type","Breast ultrasound or MRI report","Recent mammogram report","Pathology report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until drain removal and wound check, then follow-up remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon discusses implant removal, implant exchange, and partial or total scar capsule removal","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"If you choose to have your breast implant(s) removed out of concern for BIA-ALCL, you should have a discussion with your surgeon about implant removal, implant exchange, and partial or total scar capsule removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask which capsulectomy risks apply to you, such as bleeding and wound complications","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"The risk of performing a capsulectomy includes, but is not limited to, bleeding and other wound complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"If you are a reconstruction patient, ask about possible change of breast shape or loss of the reconstruction","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"For reconstruction patients, a capsulectomy could result in a change of shape to your breast or loss of the reconstruction.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Confirm the surgeon evaluates your health, pre-existing conditions, and risk factors","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/consultation","host":"plasticsurgery.org","quote":"Evaluate your general health status and any pre-existing health conditions or risk factors","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the surgeon examines your breasts before recommending treatment","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/consultation","host":"plasticsurgery.org","quote":"Evaluate your general health status and any pre-existing health conditions or risk factors; Examine your breasts","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon does not discuss implant removal, implant exchange, or partial or total capsule removal","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"If you choose to have your breast implant(s) removed out of concern for BIA-ALCL, you should have a discussion with your surgeon about implant removal, implant exchange, and partial or total scar capsule removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not mention bleeding or wound complications as capsulectomy risks","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"The risk of performing a capsulectomy includes, but is not limited to, bleeding and other wound complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No questions about your health, desires or lifestyle are asked at the consultation","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/consultation","host":"plasticsurgery.org","quote":"You'll be asked a number of questions about your health, desires and lifestyle.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"The risk of performing a capsulectomy includes, but is not limited to, bleeding and other wound complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Poor healing of incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal//safety","host":"plasticsurgery.org","quote":"Poor healing of incisions","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fluid accumulation (seroma)","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal//safety","host":"plasticsurgery.org","quote":"Anesthesia risks Asymmetry Bleeding Deep vein thrombosis, cardiac and pulmonary complications Fatty tissue found deep in the skin might die (fat necrosis) Fluid accumulation (seroma","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are choosing implant removal out of concern for BIA-ALCL","name":"Breast implant removal","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"If you choose to have your breast implant(s) removed out of concern for BIA-ALCL, you should have a discussion with your surgeon about implant removal, implant exchange, and partial or total scar capsule removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":913},{"id":"A2","text":"You are considering replacing the implant instead","name":"Implant exchange","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"If you choose to have your breast implant(s) removed out of concern for BIA-ALCL, you should have a discussion with your surgeon about implant removal, implant exchange, and partial or total scar capsule removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"total-capsulectomy","name":"Total capsulectomy (removal of the whole capsule, not necessarily intact)","how_it_works":{"text":"The capsule is completely removed, but not necessarily as one piece","source":{"url":"https://www.plasticsurgery.org/news/press-releases/breast-surgery-collaborative-community-issues-consensus-statement-on-breast-implant-capsulectomy-definitions-and-management","host":"plasticsurgery.org","quote":"Complete removal of the breast implant capsule, not necessarily done as a single unit or in one piece.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"partial-capsulectomy","name":"Partial (anterior) capsulectomy","how_it_works":{"text":"Some of the capsule is removed and some is left behind","source":{"url":"https://www.plasticsurgery.org/news/press-releases/breast-surgery-collaborative-community-issues-consensus-statement-on-breast-implant-capsulectomy-definitions-and-management","host":"plasticsurgery.org","quote":"Removal of the breast implant capsule where some capsule is left behind.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"total-intact-capsulectomy","name":"Total intact capsulectomy","how_it_works":{"text":"The whole capsule is removed intact as one unit","source":{"url":"https://www.plasticsurgery.org/news/press-releases/breast-surgery-collaborative-community-issues-consensus-statement-on-breast-implant-capsulectomy-definitions-and-management","host":"plasticsurgery.org","quote":"Complete removal of the breast implant capsule as a single unit.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"en-bloc-oncologic","name":"En-bloc oncologic capsulectomy","how_it_works":{"text":"The capsule is removed with nearby uninvolved tissue for suspected implant-associated cancer","source":{"url":"https://www.plasticsurgery.org/news/press-releases/breast-surgery-collaborative-community-issues-consensus-statement-on-breast-implant-capsulectomy-definitions-and-management","host":"plasticsurgery.org","quote":"Removal of the breast implant capsule with a margin of uninvolved tissue for treatment of suspected or established breast implant-associated cancers after appropriate medical workup.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=brazilia/procedure=kapsulotomia-molocnoj-zelezy/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53915},"manualSeo":[],"updatedAt":"2026-11-15T03:25:09.000Z","activeCountries":["BR","ES","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}