Dr. Rubem Lang is a plastic surgery practice in Porto Alegre, Brazil. The clinic focuses on aesthetic and functional procedures for the face and body. Its founder developed an original surgical technique, published in an international medical journal. He has treated over 20,000 patients during his career. The clinic holds TEMOS and SBCP accreditations.
Surgeries take place at Blanc Hospital, an elective surgery center in the same complex. This facility has 34 recovery beds, 9 operating rooms, and 2 ICU beds. The surgical team uses Morpheus and Ignite RF technologies for tissue retraction. Dr. Lang is a member of the Brazilian Society of Laser in Medicine. International patients often travel from abroad for treatment here.
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The practice uses Fotona lasers that combine Erbium YAG and Nd YAG wavelengths. Morpheus 8 with gold-coated micro-needles is used for body contouring. Office-based options include rhinomodelation and MD Codes® with hyaluronic acid fillers. The clinic also offers Profhilo injectables for skin hydration and firming. Otoplasty is available for children from age six.
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The practice uses Fotona lasers that combine Erbium YAG and Nd YAG wavelengths. Morpheus 8 with gold-coated micro-needles is used for body contouring. Office-based options include rhinomodelation and MD Codes® with hyaluronic acid fillers. The clinic also offers Profhilo injectables for skin hydration and firming. Otoplasty is available for children from age six.
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Pooled studies are heterogeneous and low quality, so the range is approximate."},"contraindications":["Active infection in the mouth or face","Pregnancy","Uncontrolled systemic disease or bleeding disorder","Already thin or gaunt face, or marked facial volume loss","Advanced age with early facial volume loss or sagging (relative)","Unrealistic expectations or body dysmorphic concerns","Current heavy smoking (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure; patient goes home the same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":3,"unit":"weeks","qualifier":"Return to strenuous exercise as swelling settles and the surgeon permits."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Residual swelling resolves gradually; final facial contour becomes apparent."},"fly_home_after_days":null,"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Check of intraoral incisions and swelling; may include dissolvable suture review."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Assessment of contour once most swelling has resolved."}}],"indications":["Rounded or full lower mid-face with prominent buccal fat pads","Desire for more defined cheek contour","Facial disproportion due to fat pad prominence in adults with adequate facial volume"],"main_risks":["Swelling and bruising","Infection of the intraoral wound","Hematoma","Asymmetry","Over-resection causing hollow or aged look","Injury to facial nerve branches or parotid duct (rare)","Reduced benefit or unsatisfactory contour","Temporary mouth stiffness or numbness"],"pain":"Mild to moderate discomfort and cheek tightness for the first few days, usually controlled with simple oral analgesics.","preparation":["Pre-operative consultation and facial assessment","Review of medical history and current medications with the surgeon","Review all medications and supplements, including blood thinners, with the surgeon and prescriber; do not change prescribed drugs without their direction","Stable weight and realistic expectations","Avoid smoking before and after surgery as advised","Good oral hygiene; antiseptic mouth rinse as instructed","Arrange for someone to accompany the patient home","Informed consent and discussion of risks","Pre-operative photographs"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild pain, cheek tightness; liquid or soft diet.","restrictions":["Soft or liquid diet","Rinse mouth gently after meals","Avoid strenuous activity"]},{"phase":"Days 4-14","description":"Swelling and bruising decrease; return to normal diet and routine; dissolvable sutures resorb.","restrictions":["Avoid strenuous exercise","Avoid trauma to the cheeks"]},{"phase":"Weeks 2-6","description":"Most swelling resolves and normal activities resume.","restrictions":["Gradual return to exercise"]},{"phase":"Months 3-6","description":"Residual swelling resolves and final contour appears.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Derived from the clinical course and recovery guidance: ordinary daily and desk-based activities usually resume after a few days to one week. Residual swelling and cheek tightness can persist for weeks, and final contour takes months."},"result_longevity":"Removed fat cells do not regenerate, so the effect is generally lasting; however, facial appearance changes with ageing and weight changes.","revision_rate_pct":null,"scars":"Small incisions inside the mouth, so no visible external scarring.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single bilateral surgical session."},"stages":[{"code":"buccal_fat_removal","label":"Bilateral buccal fat pad extraction through intraoral incisions","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"One treatment session; routine follow-up checks are not counted."},"success":null,"techniques":[{"name":"Intraoral incision with fat pad extraction (standard)","suits_whom":"Adults with full cheeks and adequate facial volume wanting a slimmer lower face.","recovery":"Swelling for 1-2 weeks; final result over several months."},{"name":"Combined with other facial procedures (e.g. facelift or liposuction)","suits_whom":"Patients undergoing broader facial contouring; separate from standalone protocol.","recovery":"Longer recovery depending on the combined procedure."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Standard bilateral buccal fat pad removal under local anesthesia."},"initial_assessment_documents":["Front photo of the face","Both side profile photos","45-degree angle photos of both cheeks","List of blood thinners","Recent photo showing smiling face"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient surgery; stay 5-10 days until wound check and suture review. Result review can be done remotely."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=udalenie-zirovyh-komkov-bisa/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}