Dos cirujanos plásticos operan juntos en cada reconstrucción en Cplástica Brasília, lo que añade un segundo par de ojos durante la cirugía. Las opciones incluyen implantes de silicona, expansores temporales, colgajos de dorsal ancho o TRAM e injertos de grasa. La planificación se adapta al tejido extirpado y a la calidad de la piel, con aportes de los equipos de oncología y mastología. La clínica de Brasília cuenta con las acreditaciones de la SBCP y TEMOS, y ofrece un programa en inglés con apoyo desde la consulta hasta la recuperación.
","text_type":"mt_wow_description","best_texts":{"techniques":"Implante de silicona, reconstrucción mamaria en dos etapas, colgajo del músculo dorsal ancho, colgajo TRAM, injerto de grasa, reconstrucción inmediata o diferida.","why_its_ranked":"Dos cirujanos plásticos (SBCP) supervisan cada reconstrucción mamaria. Ofrece cuatro métodos, incluida la técnica del sujetador interno. Acreditado por TEMOS."},"reviews":[],"clinic":{"id":9029,"alias":"cplastica-brasilia","name":"Cplástica Brasília","short_description":"Cplástica Brasília es una clínica de cirugía plástica en Brasilia, Brasil. El centro se especializa en cirugía mamaria y contorno corporal para hombres y mujeres. El Dr. Cristian Haesbaert y la Dra. Raquel Camelo dirigen el equipo médico. Ambos cirujanos se formaron en el Hospital Federal dos Servidores do Estado, en Río de Janeiro. Siguen un modelo de dos cirujanos para priorizar la seguridad y la precisión en la atención de los pacientes.
La clínica utiliza la plataforma 3D VISBODY para la planificación quirúrgica y las mediciones corporales con IA. Entre las demás herramientas se incluyen Renuvion para reafirmar la piel y Vaser para eliminar grasa. Para el aumento mamario, el equipo utiliza el protocolo acelerado R24R. Este método busca una recuperación en 24 horas. El centro cuenta con acreditaciones de la SBCP y TEMOS. Los pacientes internacionales pueden participar en un programa de cirugía específico en inglés.
","images":[{"base_url":"clinic/6adff28ecafec","title":"Fachada de la clínica Daher Hospital Lago Sul con palmeras en Brasilia, Brasil"},{"base_url":"clinic/6adff290445bd","title":"Exterior moderno de la clínica Cplástica Brasília en Brasil con fachada de vidrio"},{"base_url":"clinic/6adff291a51c3","title":"Fachada moderna de la clínica Cplástica Brasília en Brasil con estacionamiento accesible"},{"base_url":"clinic/6adff2931dbc8","title":"Área de recepción en Cplástica Brasília con decoración moderna y sala de espera cómoda"}],"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":"VITRIUM Centro doctor, SGAS 614 Bl B Sala 305 - Asa Sul, Brasília - DF, 70200-740, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Acreditación Internacional de Atención Médica TEMOS","country_code":"DE"}]}},{"text":"La cirugía mamaria de recuperación rápida R24R es una característica clave de esta clínica de Brasilia. El enfoque incluye la colocación de implantes en plano dual y la tecnología Grip Plane para estabilizar los implantes. La atención de la clínica también incluye un protocolo de seguridad contra infecciones de 14 puntos. El plan de recuperación indicado permite conducir, trabajar y levantar hasta 15 kg el día después de la cirugía, y comenzar a hacer ejercicios con los brazos dos horas después de la operación.
","text_type":"mt_wow_description","best_texts":{"techniques":"implantes de silicona","why_its_ranked":"El cirujano completó una pasantía de cirugía plástica reconstructiva en NYU y es miembro de la SBCP, con la reconstrucción mamaria como especialidad indicada."},"reviews":[],"clinic":{"id":9221,"alias":"dr-rodrigo-bastos","name":"Dr. Rodrigo Bastos","short_description":"Dr. Rodrigo Bastos es una clínica de cirugía plástica en Brasilia, Brasil. Se especializa en rejuvenecimiento facial y contorno corporal. Entre los principales tratamientos se encuentran el lifting facial Deep Plane y la cirugía Deep Neck. Para el aumento de senos, la clínica utiliza la técnica R24R. Este método está diseñado para una recuperación rápida de 24 horas, por lo que los pacientes a menudo pueden retomar sus actividades habituales al día siguiente.
Dr. Bastos completó su residencia en cirugía plástica en el Hospital Federal de Ipanema. También realizó una especialización en lifting facial en la Universidad de Nueva York. Cuenta con una especialización en rinoplastia con el Dr. Nazim Cerkes en Estambul. Dr. Bastos dirige el curso FAST FELLOW para médicos cualificados, centrado en técnicas de preservación facial.
La clínica utiliza tecnología ultrasónica PIEZO para realizar rinoplastias de alta precisión. La planificación quirúrgica incluye modelado 3D y simulaciones por computadora. Los procedimientos mamarios siguen un protocolo de seguridad contra infecciones de 14 puntos y utilizan la tecnología Grip Plane para prevenir la migración de los implantes.
","images":[{"base_url":"clinic/6ae16a9576a13","title":"Exterior moderno de la clínica Linea Vitta con entrada accesible y palmeras"},{"base_url":"clinic/6ae16a9741b77","title":"Área de recepción en la clínica Versona con decoración moderna y mostrador"},{"base_url":"clinic/6ae16a9905225","title":"Sala de tratamiento moderna en la clínica Dr. Rodrigo Bastos con sillón médico y lavabo"},{"base_url":"clinic/6ae16a9ac9850","title":"Exterior moderno de la clínica Dr. Rodrigo Bastos con balcones de vidrio y patio ajardinado"}],"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 II St. de Grandes Áreas Sul 616 Centro Clínico Linea Vitta SGA/SE Qd. 616 Sala 219 Bloco A - Cobertura - Asa Sul, Brasília - DF, 70200-760, Brazil"},"rating":{"rating":0,"google":3.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4},"accreditations":[]}},{"text":"Clinic Costa Daher es un centro multidisciplinario en Brasilia, Brasil. Se especializa en cirugía plástica, medicina estética y dermatología. La clínica se centra en el rejuvenecimiento facial mediante sus procedimientos distintivos Deep Plane Facelift y Deep Neck Lift. También ofrece contorno corporal, cirugía mamaria e implantes de mentón. Un equipo de cinco médicos dirige el centro. Este equipo incluye especialistas en nutrición, ginecología y fisioterapia para apoyar la recuperación.
El equipo quirúrgico informa una tasa de éxito superior al 90 % en cicatrices quirúrgicas. La clínica cuenta con acreditaciones de TEMOS, ISAPS, ASPS y la Sociedad Brasileña de Cirugía Plástica. Entre sus equipos avanzados se encuentran Ultraformer MPT y la plataforma Etherea MX. Los tratamientos con láser utilizan sistemas Discovery Pico y CO2 para el rejuvenecimiento de la piel y la eliminación de tatuajes. Los pacientes internacionales pueden recibir asistencia en inglés, español y portugués.
","text_type":"short_description","reviews":[],"clinic":{"id":9235,"alias":"clinic-costa-daher","name":"clinic Costa Daher","short_description":"Clinic Costa Daher es un centro multidisciplinario en Brasilia, Brasil. Se especializa en cirugía plástica, medicina estética y dermatología. La clínica se centra en el rejuvenecimiento facial mediante sus procedimientos distintivos Deep Plane Facelift y Deep Neck Lift. También ofrece contorno corporal, cirugía mamaria e implantes de mentón. Un equipo de cinco médicos dirige el centro. Este equipo incluye especialistas en nutrición, ginecología y fisioterapia para apoyar la recuperación.
El equipo quirúrgico informa una tasa de éxito superior al 90 % en cicatrices quirúrgicas. La clínica cuenta con acreditaciones de TEMOS, ISAPS, ASPS y la Sociedad Brasileña de Cirugía Plástica. Entre sus equipos avanzados se encuentran Ultraformer MPT y la plataforma Etherea MX. Los tratamientos con láser utilizan sistemas Discovery Pico y CO2 para el rejuvenecimiento de la piel y la eliminación de tatuajes. Los pacientes internacionales pueden recibir asistencia en inglés, español y portugués.
","images":[{"base_url":"clinic/6ae1791b07f44","title":"Pasillo moderno de la clínica Costa Daher con puertas de vidrio y consultorios"},{"base_url":"clinic/6ae1791d3bc77","title":"Sala de tratamiento moderna con equipo médico en Costa Daher Clinic"},{"base_url":"clinic/6ae1791f44414","title":"Área de recepción en la Clínica Costa Daher con personal, decoración moderna y arte"},{"base_url":"clinic/6ae179216ec03","title":"Personal médico en la recepción de la clínica Costa Daher en México"}],"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 II SGAS 610 611 BL.02, Centro doctor Lúcio Costa Sl 132 a 134 - Asa Sul, Brasília - DF, 70200-700, Brazil"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Acreditación Internacional de Atención Médica TEMOS","country_code":"DE"},{"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/5d88bd61a3cbb.jpeg","name":"Sociedad Americana de Cirujanos Plásticos","country_code":"US"}]}},{"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.
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Cplástica Brasília es una clínica de cirugía plástica en Brasilia, Brasil. El centro se especializa en cirugía mamaria y contorno corporal para hombres y mujeres. El Dr. Cristian Haesbaert y la Dra. Raquel Camelo dirigen el equipo médico. Ambos cirujanos se formaron en el Hospital Federal dos Servidores do Estado, en Río de Janeiro. Siguen un modelo de dos cirujanos para priorizar la seguridad y la precisión en la atención de los pacientes.
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Su trabajo incluye cirugía con implantes de silicona, mastopexia y reducción mamaria. También realiza cirugía reconstructiva mamaria. La Dra. Camelo utiliza la tecnología Ignite RF para tratar la calidad de la piel y favorecer la recuperación después de la cirugía. Elabora un plan quirúrgico específico para cada paciente.
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cuello","alias":"neck-lift"},{"name":"Vaginoplastia","alias":"vaginoplasty"},{"name":"Liposucción de glúteos","alias":"buttocks-liposuction"},{"name":"Mini lifting facial","alias":"mini-facelift"},{"name":"Aumento de labios","alias":"lip-lift"},{"name":"Lipo 360","alias":"360-liposuction"},{"name":"Liposucción facial","alias":"face-liposuction"},{"name":"Rinoplastia asiática","alias":"asian-rhinoplasty"},{"name":"Rinoplastia étnica","alias":"ethnic-rhinoplasty"},{"name":"Reconstrucción mamaria con colgajo DIEP","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery"},{"name":"Liposucción 3 zonas corporales","alias":"liposuction-2-3-body-areas"},{"name":"Plástica de brazos (braquioplastia)","alias":"arms-plastics-brachioplasty"},{"name":"Grabado abdominal (Six Pack Abs)","alias":"abdominal-etching"},{"name":"Implantes mamarios con levantamiento de senos","alias":"breast-implants-with-breast-lift"},{"name":"Aumento de senos con transferencia de grasa","alias":"breast-augmentation-with-fat-transfer"},{"name":"Aumento de senos con implantes en forma de gota","alias":"breast-augmentation-with-tear-drop-implants"},{"name":"Liposucción para hombres","alias":"liposuction-for-men"}],"diagnostics":[{"name":"Consulta de Cirugía Plástica","alias":"plastic-surgery-consultation"},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan"}],"illnesses":[{"name":"Ginecomastia","alias":"gynaecomastia"}],"illnessKinds":[{"name":"Cirugía plástica","alias":"plastic-surgery"}],"illness_kinds":[{"name":"Cirugía plástica","alias":"plastic-surgery"}]},"popularSearches":[{"name":"Rinoplastia","alias":"rhinoplasty-nose-job","type":"operation","id":22},{"name":"Agrandamiento del pene","alias":"penis-enlargement","type":"operation","id":850},{"name":"Lifting facial","alias":"tightening-of-facial-skin-facelift","type":"operation","id":21},{"name":"Liposucción","alias":"liposuction","type":"operation","id":23},{"name":"Aumento de pecho","alias":"breast-augmentation","type":"operation","id":650},{"name":"Consulta de Cirugía Plástica","alias":"plastic-surgery-consultation","type":"diagnostic","id":340},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Hemograma completo","alias":"total-blood","type":"diagnostic","id":83},{"name":"Mamografía","alias":"mammography","type":"diagnostic","id":20},{"name":"Consulta con un cirujano maxilofacial","alias":"consultation-of-a-maxillofacial-surgeon","type":"diagnostic","id":431},{"name":"Ginecomastia","alias":"gynaecomastia","type":"illness","id":204},{"name":"Non-surgical slimming program","alias":"non-surgical-slimming-program","type":"illness","id":3569}],"operationPrices":{"operation_prices":{"108":{"operation":{"name":"Cirugía de reconstrucción 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Aumenta la imagen corporal y la confianza.
"},"591":{"operation":{"name":"Reconstrucción de articulaciones de pies y dedos de los pies.","alias":"reconstruction-of-foot-joints-and-toes","use_for_listing":true},"country_price":{"US":{"amount":14000,"max_amount":27000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":4200,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":16600,"max_amount":22200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4800,"max_amount":8200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TH":false,"ES":true,"BR":false},"description":"Este procedimiento corrige las deformidades de las articulaciones de los pies y los dedos de los pies mejorando la movilidad, reduciendo el dolor y mejorando la salud general del pie.
"},"770":{"operation":{"name":"Cirugía reconstructiva","alias":"reconstructive-surgery","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":20000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5800,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":28000,"max_amount":39300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":3800,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TH":true,"ES":true,"BR":false},"description":"Esta terapia recupera la función corporal, mejora la apariencia a través de la reparación quirúrgica y se beneficia enormemente de las técnicas de injerto.
"},"1287":{"operation":{"name":"Reconstrucción mamaria prepectoral","alias":"prepectoral-breast-reconstruction","use_for_listing":true},"country_price":{"US":{"amount":18000,"max_amount":36000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5800,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":7800,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":7500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TH":false,"ES":false,"BR":false},"description":"Esta cirugía rehace los senos después de la mastectomía, colocando implantes sobre los músculos del pecho para una apariencia más natural y acelerando la recuperación.
"},"1506":{"operation":{"name":"Reconstrucción mamaria con colgajo DIEP","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","use_for_listing":true},"country_price":{"US":{"amount":45000,"max_amount":75000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":20500,"max_amount":42700,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":11500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TH":true,"ES":true,"BR":false},"description":"**Reconstrucción con colgajo DIEP (cirugía con colgajo perforante epigástrico inferior profundo):** Esta cirugía reconstruye la mama utilizando piel y grasa de la parte inferior del abdomen, preservando el músculo para conseguir un aspecto natural y una recuperación más suave."}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":5},"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":28,"max":56,"unit":"days","qualifier":"Desk or light work after surgeon clearance following uncomplicated unilateral DIEP; physical or heavy-lifting jobs take longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Significant early flap or donor-site complications within about 3 months after unilateral DIEP; varies with risk factors."},"contraindications":["Unfit for prolonged general anesthesia (severe uncontrolled disease)","Active infection at chest, abdominal donor site, or systemic","Current smoking or nicotine use (usually relative)","Insufficient abdominal tissue or damaged epigastric vessels (relative)","Very high BMI or poorly controlled diabetes (relative)","Prior thrombosis or clotting disorder without hematology planning (relative)","Pregnancy","Advanced or inflammatory cancer; reconstruction may be deferred (relative)"],"days_in_clinic":{"min":3,"max":6,"unit":"nights","qualifier":"Uncomplicated unilateral DIEP with flap monitoring, drains and early mobilization. Complications or return to theater lengthen the stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous exercise, core loading and heavy lifting after surgeon clearance and stable healing; walking starts within days."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the breast softens; scars mature longer. Optional refinements extend this."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Once discharged, mobile, drains removed or managed, no flap concerns and team clears travel; take VTE precautions."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"After Hospital discharge: First outpatient wound and flap check; drains reviewed if still in place."}},{"purpose":"other","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"After DIEP flap surgery: Drain removal review once output criteria are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After DIEP flap surgery: Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"After DIEP flap surgery: Result review and discussion of optional refinement."}}],"indications":["Breast absence after mastectomy for breast cancer, immediate or delayed","Breast deformity after lumpectomy or radiotherapy","Risk-reducing mastectomy in high-risk patients (e.g., BRCA mutation)","Prior or planned radiotherapy, where implants are less suitable","Inadequate skin envelope for implants, with adequate abdominal tissue"],"main_risks":["Flap thrombosis or vascular compromise; flap loss uncommon (about 1–3%)","Fat necrosis or partial flap necrosis","Hematoma, seroma, infection, or delayed healing","Abdominal wall weakness, bulge, hernia, or numbness","Mastectomy skin necrosis and altered breast sensation","Asymmetry or contour irregularity needing revision","Venous thromboembolism and anesthesia complications","Long surgery, blood loss, and transfusion"],"pain":"Moderate to significant pain in the first days, mainly at the abdominal donor site, controlled with multimodal analgesia. Discomfort and tightness usually ease over several weeks. Numbness or altered sensation may persist.","preparation":["Oncologic and plastic surgery planning, including timing","Medical assessment, blood tests, and anesthesia review","CT or MR angiography to map abdominal perforators","Stop smoking and nicotine for weeks before and after","Review medications and supplements, including blood thinners","Fasting before general anesthesia","Pre-operative marking and photographs","Arrange home help and nearby lodging after discharge"],"recovery_timeline":[{"phase":"Hospital stay (about 3-6 nights)","description":"Flap monitoring, drain care, pain control, VTE prevention, and early mobilization with sitting and short walks.","restrictions":["No driving","Avoid pressure or tension on flap and abdomen","Nicotine avoidance continues"]},{"phase":"Weeks 1-6","description":"Home recovery with drains managed until removal, gradual walking, and a flexed-hip posture easing as the abdomen heals.","restrictions":["No heavy lifting","No strenuous or core exercise","Wear supportive garments"]},{"phase":"Weeks 6-12","description":"Ordinary function and desk work fully resume; physical work and exercise return stepwise after clearance.","restrictions":["Heavy lifting and high-impact sport only after surgeon clearance"]},{"phase":"Months 6-12","description":"Swelling resolves, the breast softens, and scars mature; optional refinement can be planned.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for flap color change or coolness, sudden swelling, fever, wound discharge, chest pain, breathlessness, calf swelling, or severe abdominal pain.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary daily function returns after uncomplicated unilateral DIEP; slower with complications or adjuvant therapy."},"result_longevity":"The reconstructed breast is made of the patient's own tissue and is generally long-lasting, changing with weight and aging. Fat necrosis or contour changes may occasionally need revision.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Later contour, fat grafting, or nipple-related revisions within 1-2 years after unilateral DIEP; many are elective."},"scars":"Breast scar (mastectomy scar or new incision if delayed), a long low horizontal abdominal scar, and a scar around the navel. Small drain marks; scars mature over 12 months or longer.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One primary DIEP free-flap operation with a single hospital admission."},"stages":[{"code":"planning_imaging","label":"Surgical planning and perforator imaging","after":{"min":0,"max":30,"unit":"days","qualifier":"After First consultation: Planning and imaging are scheduled before surgery, counted from the first consultation; timing depends on cancer treatment."}},{"code":"inpatient_monitoring","label":"Inpatient flap monitoring, drain care, and mobilization","after":{"min":0,"max":6,"unit":"days","qualifier":"After DIEP flap surgery: Uncomplicated stay; flap checks continue until discharge."}},{"code":"optional_refinement","label":"Optional contour or nipple-areola refinement","after":{"min":90,"max":180,"unit":"days","qualifier":"After DIEP flap surgery: Conditional, not mandatory; timing depends on healing, swelling, and any adjuvant therapy."}}],"qualifier":"Primary numbers cover only the single DIEP operation. Later refinements are optional, and implant-based reconstruction is outside this profile."},"success":{"metric":"Early flap survival without total flap loss","value":97,"unit":"percent","horizon":"During the initial hospital stay and first weeks","population":"Adults after unilateral DIEP free-flap breast reconstruction in specialist microsurgical centers","evidence_status":"limited"},"techniques":[{"name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","suits_whom":"Patients with enough lower abdominal tissue and suitable perforator vessels who want autologous reconstruction after mastectomy.","recovery":"Several inpatient nights with flap monitoring; ordinary functional recovery takes several weeks."},{"name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","suits_whom":"Patients with adequate skin envelope who prefer a shorter operation or no donor site.","recovery":"Shorter initial stay; may need expansion visits and later implant exchange."},{"name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","suits_whom":"Patients unsuitable for DIEP because of insufficient abdominal tissue or vessel anatomy.","recovery":"Varies by flap and donor site."},{"name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","suits_whom":"Patients who have healed after breast mound reconstruction and want nipple restoration or symmetry adjustment.","recovery":"Usually short procedures, often day-case; recovery is shorter than for the primary operation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operating time for uncomplicated unilateral DIEP with microvascular anastomosis; longer if combined with mastectomy or complicated by vessel problems."},"initial_assessment_documents":["Front, side and back photos of torso","Mastectomy operative and pathology reports","Oncology treatment summary with radiotherapy dates","Abdominal CT or MR angiography (if available)","Previous abdominal surgery history and scars"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single DIEP operation; about 2-3 weeks total for stay, drains and travel clearance. Follow-ups can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many reconstructive breast surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many reconstructive breast surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has before and after photos of breast reconstruction procedures you can see","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"Do you have before and after photos of breast reconstruction procedures that I can see?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have two consultations with the treating surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you agree to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cut-price campaigns or cheap offers for surgery are a warning sign","scope":"treatment_type","source":{"url":"https://bapras.org.uk/media-government/news-and-views/view/cut-it-out-surgery-societies-and-britain's-largest-surgical-royal-college-slam-summer-discounts","host":"bapras.org.uk","quote":"Surgery should never be subject to cut price campaigns or cheap offers, it is too important.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A consultation only with sales staff, not the surgeon, is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A surgeon who cannot show before and after pictures of their work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor information about your treatment and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","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":"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}},{"id":"T5","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have reconstruction surgery after mastectomy","name":"Breast prosthesis","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"Instead, they wear a breast form (prosthesis) inside a special 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