El Dr. Hilário Santos do Carmo dirige una consulta de cirugía plástica en Curitiba, Brasil. La clínica se especializa en medicina estética y procedimientos reconstructivos. Sus principales especialidades incluyen el contorno corporal, la rinoplastia y la cirugía mamaria. El equipo también ofrece tratamientos no quirúrgicos, como Botox y rellenos. El Dr. Santos do Carmo obtuvo su título de Medicina en la PUC Paraná en 1997.
La consulta trabaja en tres centros médicos de la región de Paraná. Todas las cirugías se realizan en hospitales con unidades de cuidados intensivos y cobertura completa de anestesiología. La clínica cuenta con acreditaciones de TEMOS y de la Sociedad Brasileña de Cirugía Plástica. Se ofrece asistencia en portugués, inglés y español.
","text_type":"short_description","reviews":[],"clinic":{"id":9017,"alias":"dr-hilario-santos-do-carmo","name":"Dr. Hilário Santos do Carmo","short_description":"El Dr. Hilário Santos do Carmo dirige una consulta de cirugía plástica en Curitiba, Brasil. La clínica se especializa en medicina estética y procedimientos reconstructivos. Sus principales especialidades incluyen el contorno corporal, la rinoplastia y la cirugía mamaria. El equipo también ofrece tratamientos no quirúrgicos, como Botox y rellenos. El Dr. Santos do Carmo obtuvo su título de Medicina en la PUC Paraná en 1997.
La consulta trabaja en tres centros médicos de la región de Paraná. Todas las cirugías se realizan en hospitales con unidades de cuidados intensivos y cobertura completa de anestesiología. La clínica cuenta con acreditaciones de TEMOS y de la Sociedad Brasileña de Cirugía Plástica. Se ofrece asistencia en portugués, inglés y español.
","images":[{"base_url":"clinic/6adfeb7942e9d","title":"Fachada moderna de la clínica Dr. Hilário Santos do Carmo en Brasil"},{"base_url":"clinic/6adfeb7ad4b9d","title":"Consultorio médico en la clínica Dr. Hilário Santos do Carmo con certificados en la pared"},{"base_url":"clinic/6adfeb7c66a16","title":"Área de recepción en la clínica Dr. Hilário Santos do Carmo con personal y logotipo"},{"base_url":"clinic/6adfeb7db86f0","title":"Área de recepción con personal en la clínica de cirugía plástica Dr. Hilário Santos do Carmo"}],"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":"Curitiba","id":2581,"alias":"curitiba"},"address":"Av. João Gualberto, 1342, Sala 712 – Juvevê, Curitiba/PR, Brazil (clinic – Curitiba – Urban Office). Also: Rua Professor Alfredo Parodi, 437 – Araucária, PR; and consults in São José dos Pinhais, PR, Brazil."},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"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 consulta privada de cirugía plástica del Dr. Daniele Pace se encuentra en Curitiba, Brasil. La clínica atiende a adultos y niños. Los pacientes jóvenes pueden someterse aquí a una corrección de orejas. El procedimiento estrella es el lifting facial Deep Plane. Esta técnica busca ofrecer entre 10 y 15 años de rejuvenecimiento facial. El Dr. Pace también enseña el método a otros cirujanos. Dos cirujanos con más de 20 años de experiencia fundaron la clínica en 2025.
El equipo médico cuenta con títulos académicos avanzados en principios quirúrgicos y cirugía plástica. El Dr. Pace es miembro titular de la Sociedad Brasileña de Cirugía Plástica. La clínica también cuenta con certificaciones de TEMOS e ISAPS. Entre sus herramientas avanzadas se incluyen láseres de CO2 y tratamientos regenerativos como Nanofat y PRP. Cada paciente cuenta con un anestesiólogo asignado y protocolos de recuperación estructurados. Estos incluyen botas neumáticas y mascarillas LED para favorecer la recuperación.
","text_type":"short_description","reviews":[],"clinic":{"id":9021,"alias":"dr-daniele-pace","name":"Dr. Daniele Pace","short_description":"La consulta privada de cirugía plástica del Dr. Daniele Pace se encuentra en Curitiba, Brasil. La clínica atiende a adultos y niños. Los pacientes jóvenes pueden someterse aquí a una corrección de orejas. El procedimiento estrella es el lifting facial Deep Plane. Esta técnica busca ofrecer entre 10 y 15 años de rejuvenecimiento facial. El Dr. Pace también enseña el método a otros cirujanos. Dos cirujanos con más de 20 años de experiencia fundaron la clínica en 2025.
El equipo médico cuenta con títulos académicos avanzados en principios quirúrgicos y cirugía plástica. El Dr. Pace es miembro titular de la Sociedad Brasileña de Cirugía Plástica. La clínica también cuenta con certificaciones de TEMOS e ISAPS. Entre sus herramientas avanzadas se incluyen láseres de CO2 y tratamientos regenerativos como Nanofat y PRP. Cada paciente cuenta con un anestesiólogo asignado y protocolos de recuperación estructurados. Estos incluyen botas neumáticas y mascarillas LED para favorecer la recuperación.
","images":[{"base_url":"clinic/6adfefc5a090f","title":"Equipo médico en la clínica Dr. Daniele Pace en sala de consulta moderna"}],"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":"Curitiba","id":2581,"alias":"curitiba"},"address":"Rua Albino Silva, 80 — Bom Retiro, Curitiba/PR, Brazil"},"rating":{"rating":0,"google":5,"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"},{"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"}]}},{"text":"Leila Righi Plastic Surgery es un centro de múltiples especialidades en Curitiba, Brasil. La clínica se especializa en cirugía plástica, medicina estética y fisioterapia. La Dra. Leila Righi dirige el equipo médico como miembro titular de la SBCP. El centro utiliza Argo Plasma y Renuvion para la retracción avanzada de la piel. Para la cirugía mamaria, ofrecen la técnica de implantes de recuperación rápida de John Tebbetts.
Cuatro departamentos gestionan todo el proceso de atención al paciente. Los servicios abarcan desde las consultas preliminares en línea hasta la rehabilitación posoperatoria. Los cirujanos realizan contorno corporal con liposucción asistida por vibración y aumento mamario híbrido. Las cirugías íntimas y las correcciones de ginecomastia también son áreas de especialización. La clínica cuenta con acreditaciones de la SBCP y la ISAPS.
","text_type":"short_description","reviews":[],"clinic":{"id":9194,"alias":"clinic-de-plastic-surgery-leila-righi","name":"clinic de plastic surgery Leila Righi","short_description":"Leila Righi Plastic Surgery es un centro de múltiples especialidades en Curitiba, Brasil. La clínica se especializa en cirugía plástica, medicina estética y fisioterapia. La Dra. Leila Righi dirige el equipo médico como miembro titular de la SBCP. El centro utiliza Argo Plasma y Renuvion para la retracción avanzada de la piel. Para la cirugía mamaria, ofrecen la técnica de implantes de recuperación rápida de John Tebbetts.
Cuatro departamentos gestionan todo el proceso de atención al paciente. Los servicios abarcan desde las consultas preliminares en línea hasta la rehabilitación posoperatoria. Los cirujanos realizan contorno corporal con liposucción asistida por vibración y aumento mamario híbrido. Las cirugías íntimas y las correcciones de ginecomastia también son áreas de especialización. La clínica cuenta con acreditaciones de la SBCP y la ISAPS.
","images":[{"base_url":"clinic/6ae1523d14890","title":"Sala de espera en la clínica de cirugía plástica Leila Righi con asientos modernos y arte"},{"base_url":"clinic/6ae1523ee0777","title":"Área de recepción en la Clínica de Cirugía Plástica Leila Righi con mobiliario moderno"},{"base_url":"clinic/6ae15240d4387","title":"Sala de tratamiento en la clínica de cirugía plástica Leila Righi con sillón médico moderno"},{"base_url":"clinic/6ae15242aa616","title":"Sala de consulta en Clinic de Cirugía Plástica Leila Righi con mobiliario moderno"}],"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":"Curitiba","id":2581,"alias":"curitiba"},"address":"Rua da Paz, 195, cj 115 – Centro, Curitiba-PR, Brazil"},"rating":{"rating":0,"google":4.5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"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"}]}},{"text":"El colgajo TRAM, el colgajo DIEP y las técnicas EARLI están disponibles en Your Plastic Surgery, en Curitiba. La clínica funciona desde 1991 y cuenta con acreditaciones de la SBCP, la ISAPS y TEMOS. Las opciones incluyen utilizar tejido de la propia paciente o implantes de silicona. Se requiere hospitalización, y la recuperación después de la reconstrucción realizada con mastectomía es de aproximadamente seis semanas.
","text_type":"mt_wow_description","best_texts":{"techniques":"Colgajo TRAM, colgajo DIEP, EARLI, implantes de silicona, reconstrucción inmediata con mastectomía.","why_its_ranked":"Utiliza el colgajo DIEP y las técnicas EARLI con tejido propio para lograr resultados naturales. A menudo combina la reconstrucción con la mastectomía. El cirujano principal ha realizado más de 15.000 procedimientos y cuenta con acreditaciones de SBCP e ISAPS."},"reviews":[],"clinic":{"id":9210,"alias":"your-plastic-surgery","name":"Your Plastic Surgery","short_description":"Sua Plástica es una clínica de cirugía plástica en Curitiba, Brasil. Está especializada en contorno corporal, cirugía mamaria y rejuvenecimiento facial. El Dr. Paulo Bettes fundó la clínica en 1991 y cuenta con más de 30 años de experiencia quirúrgica. Entre los procedimientos principales se encuentran las abdominoplastias, la liposucción y el aumento de senos. El centro también ofrece rejuvenecimiento facial y rinoplastia.
La clínica cuenta con acreditaciones de la SBCP, ISAPS y TEMOS. El Dr. Bettes es miembro de pleno derecho de ISAPS. El equipo trabaja con tecnologías como VASER, Renuvion y Morpheus8. Los cuidados postoperatorios incluyen drenaje linfático y terapia manual. Para los pacientes internacionales, la clínica coordina la revisión remota de exámenes y la planificación quirúrgica.
","images":[{"base_url":"clinic/6ae456a9671ba","title":"Exterior de la clínica Your Plastic Surgery con letrero y entrada ajardinada"},{"base_url":"clinic/6ae456aaf3b3c","title":"Área de recepción en la clínica Dr. Paulo Bettes con mobiliario moderno"},{"base_url":"clinic/6ae456ac7d9da","title":"Sala de espera en la clínica Your Plastic Surgery con asientos y decoración moderna"},{"base_url":"clinic/6ae456ae1fa2f","title":"Sala de espera en la clínica Your Plastic Surgery con asientos modernos y arte"}],"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":"Curitiba","id":2581,"alias":"curitiba"},"address":"R. Francisco Rocha, 1312 - Bigorrilho, Curitiba - PR, 80730-390"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":1991},"accreditations":[{"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"}]}},{"text":"El Dr. Guataçara Schenfelder Salles Junior dirige una clínica de cirugía plástica en Curitiba, Brasil. La consulta se centra en el contorno corporal y los procedimientos mamarios. Entre los servicios principales se incluyen la abdominoplastia, la liposucción y la reconstrucción mamaria. El cirujano ha realizado miles de procedimientos. Obtuvo un doctorado en Cirugía por la Universidad de São Paulo en 2012. También es miembro titular de la Sociedad Brasileña de Cirugía Plástica.
Antes de cada incisión, se completa una lista de verificación detallada, con evaluaciones de cardiología y anestesia. Los pacientes internacionales reciben información clara sobre riesgos como las complicaciones relacionadas con los implantes. El equipo utiliza tecnologías como el rejuvenecimiento cutáneo con láser y la radiofrecuencia. Los procedimientos se realizan en centros quirúrgicos autorizados con apoyo hospitalario integral. El personal habla portugués, inglés y español.
","text_type":"short_description","reviews":[],"clinic":{"id":9237,"alias":"dr-guatacara-schenfelder-salles-junior","name":"Dr. Guataçara Schenfelder Salles Junior","short_description":"El Dr. Guataçara Schenfelder Salles Junior dirige una clínica de cirugía plástica en Curitiba, Brasil. La consulta se centra en el contorno corporal y los procedimientos mamarios. Entre los servicios principales se incluyen la abdominoplastia, la liposucción y la reconstrucción mamaria. El cirujano ha realizado miles de procedimientos. Obtuvo un doctorado en Cirugía por la Universidad de São Paulo en 2012. También es miembro titular de la Sociedad Brasileña de Cirugía Plástica.
Antes de cada incisión, se completa una lista de verificación detallada, con evaluaciones de cardiología y anestesia. Los pacientes internacionales reciben información clara sobre riesgos como las complicaciones relacionadas con los implantes. El equipo utiliza tecnologías como el rejuvenecimiento cutáneo con láser y la radiofrecuencia. Los procedimientos se realizan en centros quirúrgicos autorizados con apoyo hospitalario integral. El personal habla portugués, inglés y español.
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La consulta trabaja en tres centros médicos de la región de Paraná. Todas las cirugías se realizan en hospitales con unidades de cuidados intensivos y cobertura completa de anestesiología. La clínica cuenta con acreditaciones de TEMOS y de la Sociedad Brasileña de Cirugía Plástica. Se ofrece asistencia en portugués, inglés y español.
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grasa","alias":"breast-augmentation-with-fat-transfer"},{"name":"Liposucción 5 zonas corporales","alias":"liposuction-5-body-areas"},{"name":"Liposucción para hombres","alias":"liposuction-for-men"},{"name":"Aumento de senos con implantes de silicona","alias":"breast-augmentation-with-silicone-implants"},{"name":"Liposucción para ginecomastia","alias":"liposuction-for-gynecomastia"},{"name":"Clitoroplastía","alias":"clitoroplasty"},{"name":"Reducción del capuchón del clítoris","alias":"clitoral-hood-reduction"},{"name":"Labioplastia","alias":"labiaplasty"},{"name":"Reducción de labios","alias":"labia-reduction"},{"name":"Liposucción Vaser","alias":"vaser-liposuction"},{"name":"Lipectomía de cinturón","alias":"belt-lipectomy"},{"name":"Osteotomía para rinoplastia","alias":"osteotomy-rhinoplasty"},{"name":"Liposucción de la parte superior del brazo","alias":"upper-arm-liposuction"},{"name":"Estrechamiento vaginal","alias":"vaginal-tightening"},{"name":"Curso de tratamiento con células madre propias","alias":"course-of-treatment-with-own-stem-cells"},{"name":"Corrección de pezones","alias":"nipple-correction"},{"name":"Liposucción de muslos","alias":"thighs-liposuction"},{"name":"Implantes pectorales","alias":"pectoral-implants"},{"name":"Deep Plane Facelift","alias":"deep-plane-facelift"},{"name":"Liposucción en espalda","alias":"back-liposuction"},{"name":"Rinoplastia para hombres","alias":"male-rhinoplasty"},{"name":"Septoplastia","alias":"septoplasty"},{"name":"Septoplastia endoscópica","alias":"endoscopic-septoplasty"},{"name":"Liposucción de papada","alias":"double-chin-liposuction"},{"name":"Liposucción láser","alias":"laser-liposuction"},{"name":"Cirugía de levantamiento de orejas","alias":"ear-lift-surgery"},{"name":"Blefaroplastia superior","alias":"upper-eyelid-surgery"},{"name":"Blefaroplastia inferior","alias":"lower-eyelid-surgery"},{"name":"Cirugía de Párpados Superiores e Inferiores","alias":"upper-and-lower-eyelid-surgery"},{"name":"Implantes mamarios con levantamiento de senos","alias":"breast-implants-with-breast-lift"},{"name":"Cirugia de párpados dobles","alias":"double-eyelid-creation"}],"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"},{"name":"Non-surgical slimming program","alias":"non-surgical-slimming-program"}],"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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