Purnajam es una clínica de cirugía plástica en Barra da Tijuca, Río de Janeiro. Se especializa en contorno corporal, rejuvenecimiento facial y medicina estética. El Dr. Moises De Melo dirige la clínica. Es miembro especialista de la Sociedad Brasileña de Cirugía Plástica. La clínica utiliza herramientas avanzadas como Argoplasma y Vaser para la liposucción de alta definición. Un protocolo de seguridad clave garantiza que las inyecciones de grasa se realicen en el plano subcutáneo.
El Dr. De Melo tiene más de 20 años de experiencia. Ha realizado más de 4.800 procedimientos quirúrgicos. Completó su residencia en cirugía plástica en la Universidad Federal de Río de Janeiro. La clínica cuenta con acreditaciones de SBCP, ASPS e ISAPS. También cuenta con la certificación TEMOS para la atención de pacientes internacionales. Los pacientes pueden acceder a rinoplastia, mastopexia y radiofrecuencia Morpheus 8.
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El Dr. De Melo tiene más de 20 años de experiencia. Ha realizado más de 4.800 procedimientos quirúrgicos. Completó su residencia en cirugía plástica en la Universidad Federal de Río de Janeiro. La clínica cuenta con acreditaciones de SBCP, ASPS e ISAPS. También cuenta con la certificación TEMOS para la atención de pacientes internacionales. Los pacientes pueden acceder a rinoplastia, mastopexia y radiofrecuencia Morpheus 8.
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El Dr. De Melo tiene más de 20 años de experiencia. Ha realizado más de 4.800 procedimientos quirúrgicos. Completó su residencia en cirugía plástica en la Universidad Federal de Río de Janeiro. La clínica cuenta con acreditaciones de SBCP, ASPS e ISAPS. También cuenta con la certificación TEMOS para la atención de pacientes internacionales. Los pacientes pueden acceder a rinoplastia, mastopexia y radiofrecuencia Morpheus 8.
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La Clínica del Dr. Marcelo Moreira es un centro de cirugía plástica en Río de Janeiro, Brasil. Se especializa en procedimientos estéticos y reconstructivos. El Dr. Marcelo Moreira fundó su consulta privada en 2019. Se formó en la Universidad Federal de Río de Janeiro. También realizó una estancia de observación en el Memorial Sloan Kettering de Nueva York.
El equipo de la clínica incluye a dos médicos especializados. Se centran en microcirugía, remodelación corporal y rejuvenecimiento facial. Entre los procedimientos más destacados se encuentran el lifting facial, la rinoplastia y la reconstrucción mamaria. El centro utiliza tecnología de radiofrecuencia Morpheus8 y láser de CO2. El Dr. Moreira es miembro de la Sociedad Estadounidense de Cirujanos Plásticos.
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En el melanoma en estadio 0 y estadio I, la extirpación del tumor primario puede ser el único procedimiento necesario para una recuperación completa.Los principales tipos de operaciones realizadas para el melanoma:
La escisión amplia (excisión) implica la extirpación de la formación junto con algo de tejido sano alrededor de los bordes. El tumor se extirpa con un bisturí bajo anestesia local, haciendo una hendidura de 0,5-2 cm. El tamaño del margen quirúrgico depende del grosor (germinación) del melanoma en la profundidad de la piel.
Tras la eliminación de la formación, se aplica una sutura.
Grosor de la formación | Margen quirúrgico |
0,5 cm | |
menos de 1 mm | 1 cm |
de 2 a 4 mm | 2 cm |
más de 4 mm | 2 cm |
Si se encuentran células malignas en el ganglio centinela, se realiza una disección ganglionar ( linfadenectomía ) - extirpación de los ganglios linfáticos afectados.
La operación de Mohs consiste en la extirpación de la formación por etapas, por capas. Cada capa extirpada durante la operación se examina al microscopio para detectar células cancerosas. La siguiente capa se extirpa siempre que haya células tumorales en ella. Este método es suave y permite extirpar el tumor preservando al máximo la piel sana.
La cirugía de Mohs puede utilizarse para lesiones de la cara, donde una escisión amplia puede dejar un defecto estético no deseado. Muchos médicos recomiendan la cirugía de Mohs sólo para los cánceres de piel no melanoma.En caso de lesiones en las extremidades y germinación profunda del tumor, puede procederse a la amputación. En un esfuerzo por preservar la mayor cantidad de tejido posible, los médicos también ofrecen como alternativas la radioterapia y la quimioterapia local (perfusión aislada de las extremidades).
En los estadios 0 y I, el principal método de tratamiento es una escisión amplia.
En el estadio II, también se extirpa el tumor, pero es obligatorio realizar una biopsia del ganglio linfático centinela y, si está dañado, se practica una linfadenectomía.
En el melanoma en estadio III, se realiza una escisión amplia, se extirpan los ganglios linfáticos en los que se encontraron células malignas y se administra terapia farmacológica.
En el estadio IV (último), se procede a la extirpación del tumor primario siempre que sea posible. Para el tratamiento de las metástasis, la farmacoterapia y/o la radioterapia son obligatorias.
Para acelerar la cicatrización de una herida postoperatoria, es necesario seguir estrictamente las recomendaciones de un especialista:
El linfedema es la hinchazón e inflamación de las extremidades causada por el estancamiento de la linfa durante la extirpación quirúrgica de los ganglios linfáticos.
Los síntomas del linfedema son
El linfedema puede desarrollarse inmediatamente después de la disección de los ganglios linfáticos y después de mucho tiempo. Vigile atentamente el estado de su cuerpo e informe al médico de cualquier cambio.
Día 1 - Llegada
Día 2 - Preoperatorio
Día 3 - Cirugía
Día 4-7 - Postoperatorio
Semana 1-2 - Rehabilitación
Semana 3-6 - Rehabilitación
Tenga en cuenta que estos plazos pueden variar según las tasas de recuperación individuales y la complejidad de la cirugía.
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radiofrecuencia","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-08T17:20:10.342Z","activeCountries":["BR","ES","TR","MX","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncología","alias":"oncology","name_forms":{"base_form":"Oncología","form_4":"oncólogo","form_6":"oncólogos","form_11":"oncólogos"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":7,"unit":"days","qualifier":"Simple-closure excision, desk work. Longer for manual work, reconstruction, or leg, foot, joint sites; nodal surgery excluded."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Wound complications (infection, hematoma, dehiscence, delayed healing) after excision alone; higher on lower limb; serious ones rare."},"contraindications":["Unmanaged bleeding disorder or anticoagulation (relative)","Active infection at surgical site (usually deferred)","Severe comorbidity or frailty making surgery unsafe (relative)","Life expectancy too limited to benefit from excision"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient under local anesthesia. Extensive reconstruction or sentinel node biopsy may need a day-case or overnight stay; not included."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Simple closure; avoid wound-stretching strenuous activity until healing confirmed. Longer on trunk, back, joints, or after reconstruction."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for scar maturation after wide local excision; oncologic outcome is determined by pathology and surveillance, not by this timeframe."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After simple closure once suture removal and wound check are done; later after graft or flap."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Typically 7-14 days; longer over joints or on the lower limb."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of excision margin pathology and discussion of staging and further management."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"First surveillance skin and lymph node examination; subsequent schedule depends on stage."}}],"indications":["Biopsy-proven primary melanoma needing wide excision with Breslow-based margins","Re-excision after diagnostic excisional biopsy with positive or inadequate margins"],"main_risks":["Bleeding or hematoma","Wound infection","Wound dehiscence or delayed healing, especially on the lower limb","Visible, widened or hypertrophic scar","Numbness or sensory nerve injury","Incomplete excision requiring re-excision"],"pain":"Local anesthetic injection causes brief stinging; afterwards mild to moderate soreness for a few days, usually managed with simple analgesics.","preparation":["Review of biopsy pathology and clinical staging as indicated","Marking of the biopsy scar and planned excision margins","Medical history review including bleeding tendency and allergies","Perioperative medication instructions given by the surgical team","Arrange wound care; companion if walking or driving affected"],"recovery_timeline":[{"phase":"Day 0-3","description":"Dressing in place; mild pain and swelling. Rest and elevate the area if on a limb.","restrictions":["Keep dressing dry","Avoid strenuous activity and stretching the wound"]},{"phase":"Days 7-14","description":"Suture removal or wound check; pathology review of margins.","restrictions":["Avoid heavy lifting or strain on the wound until cleared"]},{"phase":"Weeks 2-4","description":"Wound healing; gradual return to normal activity and exercise.","restrictions":["Avoid vigorous activity involving the area until healed"]},{"phase":"Months 3-12","description":"Scar maturation with sun protection and ongoing skin surveillance.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after simple-closure excision; longer after graft, flap or lower-limb surgery. Nodal surgery excluded."},"result_longevity":"The excision scar is permanent once matured. Cure depends on tumor stage, not time; lifelong skin surveillance is advised because of recurrence and new melanoma risk.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for positive margins or later scar revision, or return to theatre for wound complications."},"scars":"Linear scar from elliptical excision, about three times as long as wide; size depends on tumor thickness and margin. Grafts or flaps leave larger scars. Scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; follow-up not counted. Sentinel node biopsy is additional, outside base scope."},"stages":[{"code":"wide_local_excision","label":"Wide local excision of the primary melanoma site with closure","after":{"min":14,"max":56,"unit":"days","qualifier":"Usually 2-8 weeks after diagnostic biopsy."}}],"qualifier":"Excision-only base protocol; reconstruction and nodal surgery are not included."},"success":{"metric":"Local recurrence-free after wide local excision","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary localized cutaneous melanoma (in situ or thin to intermediate thickness)","evidence_status":"limited"},"techniques":[{"name":"Wide local excision with primary closure","suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"name":"Wide local excision with skin graft or local flap reconstruction","suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","recovery":"Longer healing and activity restriction; may require a longer stay."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Primary closure under local anesthesia. Sentinel biopsy, reconstruction and nodal surgery excluded and take longer."},"initial_assessment_documents":["Biopsy histopathology report with Breslow thickness","Dermoscopy or clinical photos of the lesion site","Pathology slides or digital slide scan (if available)","Ultrasound or CT reports (if available)","Previous skin cancer or melanoma treatment records"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single excision; stay 10-14 days covers suture removal and margin pathology review. Second trip only for surveillance or further staging."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=rio-de-zanejro/procedure=hirurgiya-melanomu/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":53,"alias":"melanoma","name":"Melanoma"}],"rendersOffersList":false}