Las opciones de reconstrucción incluyen colgajos TRAM, DIEP y SGAP, o implantes de silicona con un expansor tisular. Las estancias hospitalarias suelen durar entre 1 y 3 días, con un seguimiento estrecho mediante el modelo TC Private Recovery de la clínica. La reconstrucción con implantes puede requerir expansión tisular durante un máximo de seis meses. Los cuidados postoperatorios incluyen dos prendas de compresión quirúrgica. La clínica está acreditada por SBCP, ISAPS y TEMOS, y cuenta con una valoración de 5,0/5 basada en 181 reseñas.
","text_type":"mt_wow_description","best_texts":{"techniques":"Colgajo TRAM, colgajo DIEP, colgajo SGAP, implantes de silicona con expansor tisular.","why_its_ranked":"Ofrece colgajos TRAM, DIEP y SGAP con tejido propio para reducir el riesgo de rechazo. El cirujano es especialista de la SBCP, miembro de ISAPS y cuenta con formación en Breast Science Experience. Acreditado por TEMOS, con una puntuación de 5,0/5 según 181 reseñas."},"reviews":[],"clinic":{"id":9030,"alias":"dr-thiago-costa-plastic-surgery","name":"Dr. Thiago Costa – plastic surgery","short_description":"Dr. Thiago Costa – Cirugía Plástica es una clínica especializada en Porto Alegre, Brasil. La clínica se centra en la cirugía estética corporal y facial. Entre los procedimientos principales se incluyen Lipo HD, abdominoplastia y aumento de senos con Fast Track Recovery. Esta técnica mamaria utiliza un embudo Keller para limitar el contacto del implante con el entorno. Los pacientes retoman sus rutinas diarias más rápido que con los métodos tradicionales.
El Dr. Thiago Costa es miembro titular de la Sociedad Brasileña de Cirugía Plástica. En 2008 recibió el premio Dr. Geraldo Peixoto al mejor médico residente. El equipo médico está formado por cuatro médicos que operan en instalaciones hospitalarias completas. Un elemento diferenciador clave es el modelo TC Private Recovery, que ofrece un seguimiento cercano desde el primer día después de la cirugía hasta el alta. La clínica cuenta con acreditaciones de SBCP, TEMOS e ISAPS.
","images":[{"base_url":"clinic/6ae45341810ec","title":"Fachada moderna de la clínica Dr. Thiago Costa – cirugía plástica en 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":"Avenida Independência, 925 - 503, Porto Alegre, RS, Brazil, 90035-073"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4},"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":"La Clínica Riccardi de Porto Alegre indica que cuenta con la acreditación TEMOS y está afiliada a ASPS, SBCP y SBD. La reconstrucción puede planificarse junto con la mastectomía o posponerse hasta después de la recuperación. Las opciones de tejido donante incluyen la espalda, el abdomen o los glúteos, y dejan cicatrices en la zona donante y en la mama reconstruida. También se puede recomendar una reducción, elevación o aumento de la mama opuesta para mejorar la simetría.
","text_type":"mt_wow_description","best_texts":{"techniques":"Reconstrucción inmediata frente a diferida","why_its_ranked":"Utiliza tejido de zonas donantes de la espalda, el abdomen o los glúteos para adaptarse a la anatomía. Ofrece reconstrucción inmediata o diferida con procedimientos de simetrización. Cuenta con la acreditación de TEMOS y membresías en ASPS/SBCP."},"reviews":[],"clinic":{"id":9052,"alias":"clinic-riccardi","name":"clinic Riccardi","short_description":"Clinic Riccardi es un centro de cirugía plástica y dermatología en Porto Alegre, Brasil. El equipo se especializa en remodelación corporal, cirugía mamaria y medicina estética. El cirujano plástico Dr. Denis Riccardi fundó la clínica en 2014. Los médicos ofrecen tanto rejuvenecimiento quirúrgico como rejuvenecimiento cutáneo no invasivo. Las opciones quirúrgicas incluyen rinoplastia, estiramientos faciales y corrección de la ginecomastia.
El Dr. José Carlos Riccardi aporta más de 45 años de experiencia a la clínica. Cuenta con certificación de la Sociedad Brasileña de Dermatología. Según informa la clínica, los estiramientos faciales ofrecen un efecto rejuvenecedor de 10 a 15 años. Entre las acreditaciones se incluyen la Sociedad Estadounidense de Cirujanos Plásticos y TEMOS. Las herramientas avanzadas incluyen la tecnología Morpheus y láseres de CO2 ultrapulsados para estimular el colágeno.
","images":[{"base_url":"clinic/6adffc5e70b3e","title":"Acogedora sala de espera en la clínica Riccardi con sillones e iluminación suave"},{"base_url":"clinic/6adffc603b07d","title":"Sala de consulta y sillón de examen moderno en la clínica Riccardi"},{"base_url":"clinic/6adffc61d96e6","title":"Sala de consulta moderna en la clínica Riccardi con camilla y lavabo médico"},{"base_url":"clinic/6adffc63abb0b","title":"Servicio de té en el mostrador de recepción de la clínica Riccardi, área acogedora"}],"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. Padre Chagas, 415/404, Moinhos de Vento, Porto Alegre – RS, CEP 90570-080, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2014},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Sociedad Americana de Cirujanos Plásticos","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":"Dr. F. Felipe Laitano es una clínica de cirugía plástica en Porto Alegre, Brasil. La clínica se especializa en reconstrucción mamaria y cirugía estética de mamas. Entre los procedimientos principales se incluyen la cirugía de explantación de implantes, la mastopexia y el injerto de grasa. El equipo también realiza abdominoplastias, blefaroplastias y reducción de la ginecomastia. Un flujo de atención específico brinda apoyo a pacientes internacionales mediante teleconsultas y planificación quirúrgica.
La clínica utiliza la tecnología One STEP para la lipoaspiración y la reconstrucción. El Dr. Laitano completó su residencia en cirugía plástica en el Hospital São Lucas de PUCRS. Es preceptor y forma a médicos residentes en cirugía mamaria. Los especialistas son miembros de la Sociedade Brasileira de Cirurgia Plástica. La clínica cuenta con acreditaciones de TEMOS, ISAPS y ASPS.
Muchos procedimientos son cirugías ambulatorias. Los pacientes suelen regresar a casa unas horas después de la anestesia. En los casos de reconstrucción diferida, los pacientes suelen recibir el alta en un plazo de cinco horas. La reconstrucción realizada junto con una mastectomía requiere una estancia de dos días. La clínica utiliza protocolos estructurados, como el marcaje preoperatorio, para mejorar la precisión.
","text_type":"short_description","reviews":[],"clinic":{"id":9181,"alias":"dr-f-felipe-laitano","name":"Dr. F. Felipe Laitano","short_description":"Dr. F. Felipe Laitano es una clínica de cirugía plástica en Porto Alegre, Brasil. La clínica se especializa en reconstrucción mamaria y cirugía estética de mamas. Entre los procedimientos principales se incluyen la cirugía de explantación de implantes, la mastopexia y el injerto de grasa. El equipo también realiza abdominoplastias, blefaroplastias y reducción de la ginecomastia. Un flujo de atención específico brinda apoyo a pacientes internacionales mediante teleconsultas y planificación quirúrgica.
La clínica utiliza la tecnología One STEP para la lipoaspiración y la reconstrucción. El Dr. Laitano completó su residencia en cirugía plástica en el Hospital São Lucas de PUCRS. Es preceptor y forma a médicos residentes en cirugía mamaria. Los especialistas son miembros de la Sociedade Brasileira de Cirurgia Plástica. La clínica cuenta con acreditaciones de TEMOS, ISAPS y ASPS.
Muchos procedimientos son cirugías ambulatorias. Los pacientes suelen regresar a casa unas horas después de la anestesia. En los casos de reconstrucción diferida, los pacientes suelen recibir el alta en un plazo de cinco horas. La reconstrucción realizada junto con una mastectomía requiere una estancia de dos días. La clínica utiliza protocolos estructurados, como el marcaje preoperatorio, para mejorar la precisión.
","images":[{"base_url":"clinic/6ae141dedde60","title":"Fachada moderna de la clínica Hospital Sao Lucas da PUCRS en Brasil"},{"base_url":"clinic/6ae141e0a3bf3","title":"Exterior de Blanc Hospital con edificio moderno Medplex y entrada"},{"base_url":"clinic/6ae141e219a7d","title":"Fachada de la clínica Dr. F. Felipe Laitano en Porto Alegre, centro médico moderno"},{"base_url":"clinic/6ae141e3952d0","title":"Recepción de la clínica Dr. F. Felipe Laitano con asientos y decoración 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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Avenida Ipiranga 6690, Conj. 520, Centro Clínico da PUCRS, Porto Alegre, RS, Brazil, 26599-000"},"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"},{"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":"El Dr. Denis Valente aporta un doctorado y más de 20 años de experiencia en cirugía plástica a la reconstrucción mamaria en su clínica de Porto Alegre. Es profesor de cirugía plástica en la Universidad Federal de Ciencias de la Salud de Porto Alegre y miembro de la Sociedad Brasileña de Cirugía Plástica y de la Sociedad Americana de Cirujanos Plásticos. Los procedimientos mamarios y abdominales pueden combinarse, con un tiempo total de cirugía inferior a cinco horas. El seguimiento incluye comunicación directa con el Dr. Valente y orientación sobre la recuperación durante el primer año.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Reconstrucción mamaria con implantes de silicona o injerto de grasa autóloga, que puede combinarse con contorno abdominal en una sola sesión. El cirujano tiene un doctorado, es profesor de la UFCSPA y miembro de la SBCP y la ASPS."},"reviews":[],"clinic":{"id":9230,"alias":"clinic-de-plastic-surgery-and-procedures-esteticos","name":"clinic de plastic surgery and procedures Estéticos","short_description":"El Dr. Denis Valente dirige una clínica de cirugía plástica en Porto Alegre, Brasil. El centro se especializa en contorno corporal, liposucción de alta definición y estética mamaria. Una de sus principales diferencias es el protocolo Lipo One STEP HD. Esta técnica preserva los vasos sanguíneos y los nervios para acelerar la recuperación. Es un procedimiento de refinamiento, no un tratamiento para bajar de peso.
El Dr. Valente es cirujano con doctorado y más de 20 años de experiencia. Es profesor de la UFCSPA y miembro de la Sociedad Estadounidense de Cirujanos Plásticos. La clínica utiliza plataformas avanzadas como Argoplasma, Bodytite y Renuvion para tensar la piel. Las cirugías combinadas duran menos de cinco horas para mejorar la seguridad de los pacientes. Muchos pacientes internacionales viajan desde Perú para recibir tratamiento.
","images":[{"base_url":"clinic/6ae172f332346","title":"Cirujano plástico en clínica con cánula de liposucción, interior moderno"},{"base_url":"clinic/6ae172f4d830e","title":"Consultorio médico en clinic de plastic surgery and procedures Estéticos con grandes ventanas"},{"base_url":"clinic/6ae172f638f05","title":"Cirujano plástico en clínica moderna con iluminación interior brillante"},{"base_url":"clinic/6ae172f7a9675","title":"Cirujano plástico con bata en clínica con vista a las montañas"}],"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":"Jardim Europa, Porto Alegre, Rio Grande do Sul, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"Centro de Cirurgia Reconstrutiva es una clínica especializada en Porto Alegre, Brasil. Se centra en la cirugía plástica y la mastología. La clínica trata el cáncer de mama y las deformidades congénitas, y realiza procedimientos de contorno corporal. La Dra. Sirlei Costa dirige el centro y cuenta con 36 años de experiencia. Está especializada en cirugía plástica y mastología. La clínica abrió sus puertas en 1996.
Uno de sus principales elementos diferenciadores es la técnica Preservé para la cirugía mamaria. Utiliza un dispositivo especial para insertar implantes a través de incisiones más pequeñas. El método reduce el traumatismo y acelera la recuperación. La Dra. Costa fue la primera mujer del sur de Brasil en recibir el premio Honra ao Mérito. El equipo cuenta con acreditaciones de ISAPS y de la Sociedad Brasileña de Cirugía Plástica. Los coordinadores brindan apoyo a los pacientes internacionales en inglés, español y portugués.
","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":"Centro de Cirurgia Reconstrutiva es una clínica especializada en Porto Alegre, Brasil. Se centra en la cirugía plástica y la mastología. La clínica trata el cáncer de mama y las deformidades congénitas, y realiza procedimientos de contorno corporal. La Dra. Sirlei Costa dirige el centro y cuenta con 36 años de experiencia. Está especializada en cirugía plástica y mastología. La clínica abrió sus puertas en 1996.
Uno de sus principales elementos diferenciadores es la técnica Preservé para la cirugía mamaria. Utiliza un dispositivo especial para insertar implantes a través de incisiones más pequeñas. El método reduce el traumatismo y acelera la recuperación. La Dra. Costa fue la primera mujer del sur de Brasil en recibir el premio Honra ao Mérito. El equipo cuenta con acreditaciones de ISAPS y de la Sociedad Brasileña de Cirugía Plástica. Los coordinadores brindan apoyo a los pacientes internacionales en inglés, español y portugués.
","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"}]}},{"text":"Dr. Carolina Kurdyk es una consulta de cirugía plástica en Porto Alegre, Brasil. La clínica se especializa en medicina estética, cirugía plástica y otorrinolaringología. La Dra. Kurdyk forma parte del equipo del Hospital Santa Casa de Misericórdia desde 2015. Cuenta con certificación en cirugía plástica (RQE 38715). Entre los procedimientos quirúrgicos se incluyen la abdominoplastia, la otoplastia y la gluteoplastia con implantes de silicona o injerto de grasa.
La consulta utiliza láseres Fotona que combinan longitudes de onda Erbium YAG y Nd YAG. Para el contorno corporal se utiliza Morpheus 8, con microagujas recubiertas de oro. Entre las opciones en consultorio se incluyen la rinomodelación y MD Codes® con rellenos de ácido hialurónico. La clínica también ofrece inyectables Profhilo para hidratar y reafirmar la piel. La otoplastia está disponible para niños a partir de los seis años.
","text_type":"short_description","reviews":[],"clinic":{"id":9256,"alias":"dr-carolina-kurdyk","name":"Dr. Carolina Kurdyk","short_description":"Dr. Carolina Kurdyk es una consulta de cirugía plástica en Porto Alegre, Brasil. La clínica se especializa en medicina estética, cirugía plástica y otorrinolaringología. La Dra. Kurdyk forma parte del equipo del Hospital Santa Casa de Misericórdia desde 2015. Cuenta con certificación en cirugía plástica (RQE 38715). Entre los procedimientos quirúrgicos se incluyen la abdominoplastia, la otoplastia y la gluteoplastia con implantes de silicona o injerto de grasa.
La consulta utiliza láseres Fotona que combinan longitudes de onda Erbium YAG y Nd YAG. Para el contorno corporal se utiliza Morpheus 8, con microagujas recubiertas de oro. Entre las opciones en consultorio se incluyen la rinomodelación y MD Codes® con rellenos de ácido hialurónico. La clínica también ofrece inyectables Profhilo para hidratar y reafirmar la piel. La otoplastia está disponible para niños a partir de los seis años.
","images":[{"base_url":"clinic/6ae18cceef775","title":"Doctora en la clínica Dr. Carolina Kurdyk sostiene un implante mamario en consulta"}],"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. 24 de Outubro, 1440 - Sl 509 - Auxiliadora, Porto Alegre - RS, 90510-001, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":6,"total_pages":1}},"clinicsMeta":{"total_count":6,"total_pages":1},"clinicsCount":6,"clinicsCountByEntity":{"clinic_count":294},"doctors":{"doctors":[{"doctor":{"id":22002,"alias":"felipe-laitano","name":"Felipe Laitano","clinic_id":9181,"first_year_working":0,"created_at":"2026-10-28T00:36:25.298+00:00","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9181,"alias":"dr-f-felipe-laitano","name":"Dr. F. Felipe Laitano","short_description":"Dr. F. Felipe Laitano es una clínica de cirugía plástica en Porto Alegre, Brasil. La clínica se especializa en reconstrucción mamaria y cirugía estética de mamas. Entre los procedimientos principales se incluyen la cirugía de explantación de implantes, la mastopexia y el injerto de grasa. El equipo también realiza abdominoplastias, blefaroplastias y reducción de la ginecomastia. Un flujo de atención específico brinda apoyo a pacientes internacionales mediante teleconsultas y planificación quirúrgica.
La clínica utiliza la tecnología One STEP para la lipoaspiración y la reconstrucción. El Dr. Laitano completó su residencia en cirugía plástica en el Hospital São Lucas de PUCRS. Es preceptor y forma a médicos residentes en cirugía mamaria. Los especialistas son miembros de la Sociedade Brasileira de Cirurgia Plástica. La clínica cuenta con acreditaciones de TEMOS, ISAPS y ASPS.
Muchos procedimientos son cirugías ambulatorias. Los pacientes suelen regresar a casa unas horas después de la anestesia. En los casos de reconstrucción diferida, los pacientes suelen recibir el alta en un plazo de cinco horas. La reconstrucción realizada junto con una mastectomía requiere una estancia de dos días. La clínica utiliza protocolos estructurados, como el marcaje preoperatorio, para mejorar la precisión.
","images":[{"base_url":"clinic/6ae141dedde60","title":"Fachada moderna de la clínica Hospital Sao Lucas da PUCRS en Brasil"},{"base_url":"clinic/6ae141e0a3bf3","title":"Exterior de Blanc Hospital con edificio moderno Medplex y entrada"},{"base_url":"clinic/6ae141e219a7d","title":"Fachada de la clínica Dr. F. Felipe Laitano en Porto Alegre, centro médico moderno"},{"base_url":"clinic/6ae141e3952d0","title":"Recepción de la clínica Dr. F. Felipe Laitano con asientos y decoración 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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Avenida Ipiranga 6690, Conj. 520, Centro Clínico da PUCRS, Porto Alegre, RS, Brazil, 26599-000"},"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"},{"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"}]}},{"doctor":{"id":22149,"alias":"sirlei-costa","name":"Sirlei Costa","clinic_id":9242,"photo":"doctor/6ae183deb7eb1","first_year_working":1990,"created_at":"2026-10-28T04:48:47.261+00:00","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38},{"id":"pls.003","name":"Cirujano reconstructivo","illness_kind_id":38},{"id":"onc.006","name":"Oncólogo/mamólogo","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9242,"alias":"centro-de-surgery-reconstrutiva-dr-sirlei-costa","name":"Centro de surgery Reconstrutiva (Dr. Sirlei Costa)","short_description":"Centro de Cirurgia Reconstrutiva es una clínica especializada en Porto Alegre, Brasil. Se centra en la cirugía plástica y la mastología. La clínica trata el cáncer de mama y las deformidades congénitas, y realiza procedimientos de contorno corporal. La Dra. Sirlei Costa dirige el centro y cuenta con 36 años de experiencia. Está especializada en cirugía plástica y mastología. La clínica abrió sus puertas en 1996.
Uno de sus principales elementos diferenciadores es la técnica Preservé para la cirugía mamaria. Utiliza un dispositivo especial para insertar implantes a través de incisiones más pequeñas. El método reduce el traumatismo y acelera la recuperación. La Dra. Costa fue la primera mujer del sur de Brasil en recibir el premio Honra ao Mérito. El equipo cuenta con acreditaciones de ISAPS y de la Sociedad Brasileña de Cirugía Plástica. Los coordinadores brindan apoyo a los pacientes internacionales en inglés, español y portugués.
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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. 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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. 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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. 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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 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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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