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.
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.
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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.
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A diferencia de la tumorectomía (extirpación del tumor), la mastectomía implica la resección de toda la mama.
Indicaciones para la extirpación total de la mama
Además, durante una mastectomía se extirpan los ganglios linfáticos regionales (axilares).
El linfedema es la hinchazón de las extremidades causada por el estancamiento de la linfa tras la extirpación del ganglio linfático.
El edema puede desarrollarse inmediatamente después de la cirugía, y después de un tiempo bastante largo.
El estancamiento linfático se caracteriza por:
Día 1 - Llegada
Día 2 - Preoperatorio
Día 3 - Mastectomía
Día 4 - Postoperatorio
Semana 1 - 2 - Rehabilitación
Semana 3 - 6 - Rehabilitación
Semana 7 - 12 - Rehabilitación
Cada caso es individual, consulte con su médico para obtener detalles específicos.
"},"overview":{"text":"Es un procedimiento quirúrgico para extirpar una o ambas mamas, parcial o totalmente, para tratar o prevenir el cáncer de mama.
El procedimiento elimina todo o parte de un seno para tratar o prevenir el cáncer de seno, lo que mejora la supervivencia del paciente.
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longer with physical work, axillary surgery or drains."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within 30-90 days, mainly seroma, infection, hematoma, flap necrosis; serious ones under 5%"},"contraindications":["Severe uncontrolled cardiopulmonary disease precluding anesthesia (relative)","Uncorrected bleeding disorder or unmanaged therapeutic anticoagulation","Active uncontrolled infection at the surgical site","Pregnancy (needs specialist planning; relative)","Metastatic disease where surgery offers no clinical benefit"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Simple/total mastectomy without immediate reconstruction; many go home same day or after 1 night, longer if drains or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle shoulder range-of-motion earlier; strenuous upper-body exercise after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Scar maturation and resolution of swelling and altered sensation; without reconstruction."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After drain removal and first wound check; longer with axillary dissection, drains in place or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, often with drain removal."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Pathology results discussion and planning of any further treatment."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"Healing and shoulder function check."}}],"indications":["Breast cancer or DCIS unsuitable for, or declining, conservation","Multicentric or extensive disease, or recurrence after breast-conserving therapy","Risk-reducing surgery in high-risk patients (e.g., BRCA mutation)","Persistent positive margins after lumpectomy","Selected locally advanced disease after systemic therapy"],"main_risks":["Bleeding or hematoma","Seroma","Wound infection","Delayed wound healing or skin flap necrosis","Chronic pain or post-mastectomy pain syndrome","Numbness or altered chest wall sensation","Shoulder stiffness","Lymphedema if axillary surgery is performed","Psychological and body image impact","Anesthesia-related risks and venous thromboembolism"],"pain":"Moderate pain and tightness in the first few days, managed with oral analgesics; 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Scar fades over 6-12 months and remains lifelong; cancer recurrence risk and follow-up depend on disease stage and further treatment.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned return to theatre within 30 days, mostly for hematoma, infection or wound problems"},"scars":"A flat horizontal or oblique scar across the chest wall, usually 15–25 cm, fading over 6–12 months. Nipple-sparing techniques use shorter incisions. A drain site scar may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for mastectomy alone, without staged reconstruction."},"stages":[{"code":"mastectomy_surgery","label":"Mastectomy operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone unilateral mastectomy without reconstruction."},"success":{"metric":"Local control: no chest wall recurrence","value":95,"unit":"percent","horizon":"10 years","population":"Adults with early-stage breast cancer undergoing simple mastectomy without reconstruction","evidence_status":"limited"},"techniques":[{"name":"Total (simple) mastectomy","suits_whom":"Most patients needing removal of all breast tissue, including prophylactic cases.","recovery":"Usually 2–6 weeks to return to routine activity."},{"name":"Skin-sparing or nipple-sparing mastectomy","suits_whom":"Patients planning immediate reconstruction with suitable tumor location.","recovery":"Depends on reconstruction; generally longer than simple mastectomy."},{"name":"Modified radical mastectomy","suits_whom":"Patients with confirmed axillary node involvement needing axillary dissection.","recovery":"Often 4–8 weeks; higher risk of lymphedema and shoulder stiffness."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Unilateral simple mastectomy without reconstruction; longer with axillary dissection or bilateral surgery."},"initial_assessment_documents":["Breast biopsy pathology report","Mammogram and breast ultrasound reports","Breast MRI report (if available)","Imaging discs or files of breast scans","Genetic test results (if available)","Oncology treatment plan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days for drain removal and first review. 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