{"meta":{"humanUrl":"https://es.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/","canonicalUrl":"https://es.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/","jsonUrl":"https://es.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/data.json","title":"Reconstrucción mamaria con colgajo DIEP en Porto Alegre 2026: precios y las mejores clínicas","description":"Reconstrucción mamaria con colgajo DIEP en Porto Alegre: compare 1 clínica con opiniones verificadas y consulta gratuita.","heading":"Reconstrucción mamaria con colgajo DIEP en Porto Alegre: clínica verificada y sus precios","locale":"es","schemaVersion":"ClinicListingPageDataV1","snapshotId":"6da1618f-b6b49cb1","contentVersion":"6da1618f","generatedAt":"2026-10-31T16:04:16.984Z"},"filters":{"country":"brazil","city":"porto-alegre","procedure":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Brasil","url":"/clinics/country=brazil/"},{"name":"Porto Alegre","url":"/clinics/country=brazil/city=porto-alegre/"},{"name":"Reconstrucción mamaria con colgajo DIEP","url":"/clinics/country=brazil/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/"}],"entities":[{"name":"Brasil","alias":"brazil","type":"country","id":31},{"name":"Porto Alegre","alias":"porto-alegre","type":"city","id":2582},{"name":"Reconstrucción mamaria con colgajo DIEP","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","type":"procedure","id":1506}],"clinics":{"clinics":[{"text":"<p>Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.</p><p>A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9242,"alias":"centro-de-surgery-reconstrutiva-dr-sirlei-costa","name":"Centro de surgery Reconstrutiva (Dr. Sirlei Costa)","short_description":"<p>Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.</p><p>A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.</p>","images":[{"base_url":"clinic/6ae17e6500c1c","title":"Área de recepción en Centro de Surgery Reconstrutiva, interior moderno en Brasil"},{"base_url":"clinic/6ae17e6670905","title":"Fachada moderna de la clínica Centro de Surgery Reconstrutiva, Brasil"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"R. Ramiro Barcelos, 630/1111 - Moinhos de Vento, Porto Alegre - RS, 90560-032, Brazil"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1996},"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"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":19},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"<p><strong>Dr. Michel Salameh – Plastic and Aesthetic Surgery</strong> es un centro médico privado multidisciplinario ubicado en Río de Janeiro, Brasil, especializado en cirugía plástica, medicina estética y cosmetología. La clínica informa tasas de éxito del 99,9% en lifting facial, liposucción, aumento de pecho, deep plane facelift, mommy makeover, liposucción 360 y liposucción/liposcultura. Atiende únicamente a pacientes adultos, incluidos personajes públicos y personas políticamente expuestas. Cada año, alrededor de 300 pacientes eligen la clínica para recibir atención médica, siendo la mayoría provenientes de América Latina, países de la Liga Árabe, así como de Estados Unidos, Canadá y Australia.</p>\n","text_type":"short_description","additional_data":{"advertising_id":"7658:illness_kind:38"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":7658,"alias":"dr-michel-salameh-plastic-and-aesthetic-surgery","name":"Clínica de cirugía plástica Dr Michel Salameh","short_description":"<p><strong>Dr. Michel Salameh – Plastic and Aesthetic Surgery</strong> es un centro médico privado multidisciplinario ubicado en Río de Janeiro, Brasil, especializado en cirugía plástica, medicina estética y cosmetología. La clínica informa tasas de éxito del 99,9% en lifting facial, liposucción, aumento de pecho, deep plane facelift, mommy makeover, liposucción 360 y liposucción/liposcultura. Atiende únicamente a pacientes adultos, incluidos personajes públicos y personas políticamente expuestas. Cada año, alrededor de 300 pacientes eligen la clínica para recibir atención médica, siendo la mayoría provenientes de América Latina, países de la Liga Árabe, así como de Estados Unidos, Canadá y Australia.</p>\n","images":[{"base_url":"clinic/6acd391e7833c","title":"Cirujano plástico en la clínica Dr. Michel Salameh con bata quirúrgica, Beirut, Líbano"},{"base_url":"clinic/6acd396d6832b","title":"Área de espera moderna en la clínica de cirugía plástica Dr. Michel Salameh"},{"base_url":"clinic/6acd39a2bf503","title":"Personal médico con batas verdes en pasillo de la clínica Dr. Michel Salameh Cirugía Plástica"},{"base_url":"clinic/6acd39e33daf3","title":"Cirujano plástico operando en la clínica Dr. Michel Salameh, quirófano moderno"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"R. Farme de Amoedo, 75a - Ipanema, Rio de Janeiro - RJ, 22420-020, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5,"year_foundation":2021},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dc00265ea617.jpeg","name":"Surgical Review Corporation","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"listingTexts":{"entity_texts":{},"texts":{}},"relations":{"countries":[{"name":"Brasil","alias":"brazil","iso_code":"BR"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Emiratos Árabes Unidos","alias":"united-arab-emirates","iso_code":"AE"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"Polonia","alias":"poland","iso_code":"PL"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"}],"cities":[{"name":"Porto Alegre","alias":"porto-alegre"},{"name":"Brasília","alias":"brasilia"},{"name":"Rio de Janeiro","alias":"rio-de-janeiro"}],"operations":[{"name":"Cirugía reconstructiva","alias":"reconstructive-surgery"},{"name":"Cirugía de reconstrucción mamaria","alias":"reconstructive-breast-surgery"},{"name":"Mamoplastia","alias":"mammoplasty"},{"name":"Reconstrucción mamaria con colgajo DIEP","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery"},{"name":"Aumento de senos con implantes de silicona","alias":"breast-augmentation-with-silicone-implants"},{"name":"Implantes mamarios con levantamiento de senos","alias":"breast-implants-with-breast-lift"},{"name":"Abdominoplastia","alias":"abdominoplasty"},{"name":"Liposucción de muslos","alias":"thighs-liposuction"},{"name":"Liposucción 3 zonas corporales","alias":"liposuction-2-3-body-areas"},{"name":"Levantamiento de senos","alias":"mastopexy-breast-lift-contour-plastics"},{"name":"Liposucción","alias":"liposuction"},{"name":"Lipofilling","alias":"lipofilling"}],"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"},{"name":"Mamografía","alias":"mammography"}],"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}],"operationPrices":{"operation_prices":{"108":{"operation":{"name":"Cirugía de reconstrucción mamaria","alias":"reconstructive-breast-surgery","use_for_listing":true},"country_price":{"US":{"amount":16000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":4900,"max_amount":6800,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7000,"max_amount":8000,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":6800,"max_amount":10200,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":8000,"max_amount":9500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"MX":true,"TH":true,"ES":true,"BR":true},"description":"<p>La operación restaura la forma del seno después de la mastectomía, utilizando implantes o tejido corporal. Aumenta la imagen corporal y la confianza.</p>"},"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"},"MX":{"amount":4200,"max_amount":5800,"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":8000,"max_amount":16000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","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,"MX":false,"TH":false,"ES":true,"BR":false},"description":"<p>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.</p>"},"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"},"MX":{"amount":3500,"max_amount":6200,"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":3800,"max_amount":7000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","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,"MX":false,"TH":true,"ES":true,"BR":false},"description":"<p>Esta terapia recupera la función corporal, mejora la apariencia a través de la reparación quirúrgica y se beneficia enormemente de las técnicas de injerto.</p>"},"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"},"MX":{"amount":6500,"max_amount":9800,"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,"MX":false,"TH":false,"ES":false,"BR":false},"description":"<p>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.</p>"},"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"},"MX":{"amount":8000,"max_amount":17500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":11500,"max_amount":17500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","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,"MX":true,"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."}}},"cityPrices":{"operation_prices":{"1506":{"operation":{"id":1506,"name":"Reconstrucción mamaria con colgajo DIEP","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery"},"city_price":[{"amount":9500,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":2518,"name":"Rio de Janeiro","alias":"rio-de-janeiro"}}]}}},"videoReviews":[{"id":"ac41621c-4ed9-4dac-b13b-c2887c544996","link":"https://player.vimeo.com/video/1004504880?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"He cumplido mi sueño. ¡Por fin dejaré de llorar por mi cabello!","userName":"Oksana","user_name":"Oksana","preview":"https://i.vimeocdn.com/video/1921052463-9441b899d97f025bdf15ea4444c6bad76896438435507f931f9dbade65aa9fd2-d?mw=800&mh=1418&q=70","updated_at":"2025-03-07T08:05:42.652+00:00","clinicName":"Dr. MED Clinic","clinic":{"name":"Dr. MED Clinic","alias":"doctor-med"},"clinicUrl":"/clinic/doctor-med/","relations":{"operations":[{"name":"Injerto capilar","alias":"hair-transplant"},{"name":"FUE injerto capilar","alias":"fue-hair-transplant"}]}},{"id":"8ef8b334-e1a3-4147-974d-fd5996d54d0b","link":"https://player.vimeo.com/video/1006239156?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"Solo 4 días en Turquía, y ya estoy en casa con mi nuevo cabello.","userName":"Roman","user_name":"Roman","preview":"https://i.vimeocdn.com/video/1946681900-5faead53777958026fa135874e48fd674bf30c103469d0c4a733df42989f1b73-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:07:34.434+00:00","clinicName":"Hair Clinic","clinic":{"name":"Hair Clinic","alias":"hair-clinic"},"clinicUrl":"/clinic/hair-clinic/","relations":{"operations":[{"name":"Injerto capilar","alias":"hair-transplant"},{"name":"Injerto capilar orgánico","alias":"organic-hair-transplantation"}]}},{"id":"53074d0e-9c37-4b1f-86a1-a168d8a910a7","link":"https://player.vimeo.com/video/1004438748?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"Bookimed hizo que este viaje médico fuera muy fácil.","userName":"Jamie","user_name":"Jamie","preview":"https://i.vimeocdn.com/video/1920976253-73e5c27c2f0cb21175de7829a9ba81f50e09c7dac0961f61876317387430849f-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:08:20.298+00:00","clinicName":"Bangkok Plastic Surgery","clinic":{"name":"Bangkok Plastic Surgery","alias":"bangkok-plastic-surgery"},"clinicUrl":"/clinic/bangkok-plastic-surgery/","relations":{"operations":[{"name":"Cirugía de reasignación de sexo","alias":"sex-reassignment-surgery"},{"name":"Operacion transgenero de hombre a mujer (MTF)","alias":"male-to-female-mtf-surgery"}]}},{"id":"0c8fcbc4-4296-4057-aa8f-74e222cdb7c5","link":"https://player.vimeo.com/video/1026539266?badge=0&amp;autopause=0&amp;player_id=0&amp;app_id=58479","description":"Bookimed me conectó con una clínica excelente. Ahorré muchísimo dinero.","userName":"Dmitrii","user_name":"Dmitrii","preview":"https://i.vimeocdn.com/video/1946681311-7931e204080192bf6f0e15c5880d649b39f108250f0e2a3c68b75e38b391dabc-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:09:41.145+00:00","clinicName":"Clínica Adem & Havva","clinic":{"name":"Clínica Adem & Havva","alias":"adameve-medical-center"},"clinicUrl":"/clinic/adameve-medical-center/","relations":{"operations":[{"name":"Trasplante de barba","alias":"beard-transplantation"},{"name":"Trasplante de bigote","alias":"moustache-transplantation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-10-30T15:09:41.000Z","activeCountries":["BR","ES","US","MX","TH"],"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery","name_forms":{"base_form":"Cirugía plástica","form_4":"cirujano plástico","form_6":"cirujanos plásticos","form_11":"cirujanos","form_12":"cirujanos plásticos"}},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":84,"unit":"days","qualifier":"Desk work about 6-8 weeks; physical work 10-12 weeks."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any breast or donor-site complication within 90 days; total flap loss about 1-3%."},"contraindications":["Active smoking or nicotine use","Insufficient abdominal tissue for the needed breast volume","Prior abdominoplasty or abdominal surgery that damaged perforator vessels","Uncontrolled diabetes or severe cardiovascular disease","Clotting disorders or high thrombosis risk","High BMI with elevated surgical risk","Active infection or unfit for prolonged general anesthesia"],"days_in_clinic":{"min":4,"max":7,"unit":"nights","qualifier":"Unilateral 4-6 nights; bilateral 5-7 nights. Inpatient stay with flap monitoring."},"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":"Walking early; core and heavy lifting restricted until surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the flap softens; nipple reconstruction or refinements add time."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After flap check and drain removal; surgeon clearance required, with thrombosis precautions."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":5,"max":7,"unit":"days","qualifier":"Before discharge or at first dressing and flap check."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Drain and suture management; usually before flight home."},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":60,"unit":"days","qualifier":"Healing and flap review, often remote."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Final result and planning of refinements."},"requirement":"conditional"}],"indications":["Breast reconstruction after mastectomy","Delayed reconstruction after breast cancer treatment","Reconstruction after failed implant-based reconstruction"],"main_risks":["Flap vascular compromise requiring return to theatre","Partial or total flap loss","Fat necrosis","Hematoma or seroma","Infection and wound-healing problems","Abdominal bulge or hernia","Venous thromboembolism","Donor-site and breast scarring and asymmetry","Reduced sensation"],"pain":"Moderate to severe for the first days, controlled with multimodal analgesia; abdominal tightness lasts 2-3 weeks.","preparation":["Stop smoking and nicotine at least 4-6 weeks before","CT or MR angiography to map abdominal perforators","Medical clearance and blood tests","Plan timing with oncology and radiotherapy team","Stop blood-thinning supplements as advised by surgeon","Arrange help at home and compression garments","Pre-operative photographs and markings"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Flap perfusion monitored hourly, drains in place, early mobilization from day 1-2.","restrictions":["Bed rest initially","Flexed hip position"]},{"phase":"Weeks 1-2","description":"Recovery at home after discharge; drain removal and gradual walking.","restrictions":["No lifting","Avoid straightening fully","No pressure on breast"]},{"phase":"Weeks 3-6","description":"Pain and swelling decrease, return to light daily activity; desk work from about week 6.","restrictions":["No lifting over 2-5 kg","No strenuous exercise","Wear compression garment"]},{"phase":"Weeks 6-12","description":"Gradual return to normal activity and exercise.","restrictions":["Core exercise only after clearance"]},{"phase":"Months 3-12","description":"Swelling resolves, scars mature, optional refinements.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":60,"unit":"days","qualifier":"Ordinary functional recovery with walking, self-care and light activity."},"result_longevity":"Reconstructed breast is long-lasting and changes with weight like natural tissue; no implant replacement needed.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned return to theatre or secondary revision surgery; excludes planned nipple reconstruction."},"scars":"Hip-to-hip lower abdominal scar, scar around the navel, and breast scars; fade over 12-18 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One main surgery; optional refinements are separate."},"stages":[{"code":"flap_reconstruction","label":"DIEP flap breast reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Main operation."}}],"qualifier":"Single-stage microsurgical reconstruction; nipple reconstruction or revision optional later."},"success":{"metric":"Flap survival (complete flap success)","value":97,"unit":"percent","horizon":"Within 30 days after surgery","population":"Adult women undergoing DIEP breast reconstruction after mastectomy","evidence_status":"proven"},"techniques":[{"name":"Unilateral DIEP flap","suits_whom":"Patients needing reconstruction of one breast with adequate abdominal tissue.","recovery":"Stay 4-6 nights; surgery about 5-7 hours."},{"name":"Bilateral DIEP flap","suits_whom":"Patients needing both breasts reconstructed.","recovery":"Longer surgery and recovery; stay 5-7 nights."},{"name":"Stacked DIEP flap","suits_whom":"Patients needing more volume than one hemi-abdomen provides.","recovery":"Longer, more complex surgery; stay about 5-7 nights."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":5,"max":8,"unit":"hours","qualifier":"Unilateral microsurgical reconstruction; bilateral takes longer."},"initial_assessment_documents":["Chest and abdomen photos","Mastectomy and pathology report","Radiotherapy and chemotherapy history","Abdominal CT or MR angiography (if available)","Prior abdominal surgery operative notes"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until drain removal and flap check."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=rekonstrukciya-grudi-s-pomoshchyu-diep-loskuta/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}