Instituto Médico FCM is a private plastic surgery clinic in Vitória and Vila Velha, Brazil. The center specializes in facial rejuvenation, breast surgery, and body contouring. Dr. Filipe Canal Moura founded the practice and has around 16 years of experience. He completed a fellowship in hair transplant techniques in São Paulo and Israel. The clinic focuses on FUE hair restoration for local and international patients. This method extracts individual follicles to avoid strip scars.
The practice covers reconstructive procedures, including breast reconstruction and scar correction. Post-bariatric patients can also get body shaping and skin removal. Dr. Moura is a member of the Brazilian Society of Plastic Surgery (SBCP). He also belongs to ABCRC, ISAPS, and ASPS. The clinic follows international standards and is accredited by Temos. Treatment plans are tailored to each patient's anatomy.
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The practice covers reconstructive procedures, including breast reconstruction and scar correction. Post-bariatric patients can also get body shaping and skin removal. Dr. Moura is a member of the Brazilian Society of Plastic Surgery (SBCP). He also belongs to ABCRC, ISAPS, and ASPS. The clinic follows international standards and is accredited by Temos. Treatment plans are tailored to each patient's anatomy.
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It is not a consistently reported comparative study endpoint. It may be longer with visible bruising, an open approach, extensive grafting or physically demanding work."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"complication_rate_pct":{"value":{"min":1,"max":3,"unit":"percent","qualifier":"Major or serious complications only (for example hematoma requiring intervention, infection needing treatment, septal perforation, skin or soft-tissue necrosis, significant functional compromise) after primary rhinoplasty in adults. Minor events such as swelling, bruising and transient numbness are not counted. The upper bound is the complication rate of up to about 3% reported by StatPearls. Graft-specific figures (rib cartilage, irradiated cartilage) and revision series were not used."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"contraindications":{"value":["Active nasal or facial skin infection or acute sinus infection","Uncontrolled systemic disease or unfitness for general anesthesia","Pregnancy","Unrealistic expectations or untreated body dysmorphic disorder","Active cocaine use or intranasal drug use (relative)","Bleeding disorders or anticoagulant therapy that cannot be safely managed (relative)","Active smoking or nicotine use (relative; impairs healing)","Skeletal immaturity, as facial growth is not complete (relative)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"days_in_clinic":{"value":{"min":0,"max":1,"unit":"nights","qualifier":"Typical primary rhinoplasty is discharged the same day; one night's observation is sometimes used."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"exercise_resume_weeks":{"value":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and contact sports typically delayed until surgeon clearance, with contact sports and glasses-wearing restrictions often longer."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"final_result_months":{"value":{"min":12,"max":24,"unit":"months","qualifier":"Most swelling settles over several weeks, but thick skin or extensive tip work prolongs it. Incremental refinement continues for up to 1–2 years, and photographic assessment is done at about 12 months."},"model":"claude-sonnet-5-5","checked_at":"2026-10-27T14:29:57.097764+00:00"},"fly_home_after_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Derived from the clinical course, not from a study. Flying is usually cleared after the external splint and any sutures are removed and the first postoperative check is done, typically at about 5–7 days. Surgeon clearance is needed, and travel may need to be delayed after complex septorhinoplasty or if bleeding or marked swelling occurs."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"follow_up_visits":{"value":[{"purpose":"splint_removal","requirement":"routine","after":{"min":7,"max":7,"unit":"days","qualifier":"Cast and suture removal at about 7 days, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":42,"unit":"days","qualifier":"Wound and healing assessment at about 6 weeks."}},{"purpose":"assessment","requirement":"routine","after":{"min":180,"max":180,"unit":"days","qualifier":"Further assessment at about 6 months."}},{"purpose":"result_review","requirement":"routine","after":{"min":365,"max":365,"unit":"days","qualifier":"Photographic documentation and result review at about 12 months."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-27T14:29:57.097764+00:00"},"indications":{"value":["Aesthetic dissatisfaction with nasal size, shape, hump or tip","Nasal asymmetry or deviation","Post-traumatic nasal deformity","Nasal obstruction from structural problems combined with shape correction (functional-aesthetic)","Congenital nasal deformity"],"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"main_risks":{"value":["Bleeding and nosebleeds (epistaxis)","Septal hematoma","Infection","Prolonged swelling and bruising, especially with thick skin","Asymmetry or unsatisfactory aesthetic or functional result, including patient dissatisfaction","Nasal obstruction or breathing difficulty","Numbness of the nasal skin or tip","Septal perforation","Skin or soft tissue contour irregularities","Contour deformities such as inverted-V, polly beak, ski slope, saddle nose, open roof, rocker deformity or graft visibility","Need for revision surgery","Anesthesia-related risks and venous thromboembolism or pulmonary complications (rare)","Scarring (visible columellar scar after open approach)","Rare skin necrosis or loss of smell"],"model":"claude-sonnet-5-5","checked_at":"2026-10-27T14:29:57.097764+00:00"},"pain":{"value":"Usually mild pain, reported by patients for about 3 days after surgery, with pressure and congestion. It is generally controlled with prescribed oral analgesics.","model":"claude-sonnet-5-5","checked_at":"2026-10-27T14:29:57.097764+00:00"},"preparation":{"value":["Surgical consultation with photographs and nasal examination","Pre-operative medical assessment and blood tests as required","Discussion of goals and realistic expectations","Stop smoking and nicotine products before surgery as advised","Review of all medications and supplements with the surgeon, including anticoagulants, antiplatelets, NSAIDs and herbal products that affect bleeding; any changes are made only on the instruction of the surgeon and the prescribing clinician","Fasting before general anesthesia","Arrange transport and help at home after surgery"],"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"recovery_timeline":{"value":[{"phase":"Days 0-7","description":"Nasal cast and tape in place, possibly septal splints. Swelling and bruising are greatest early. Cold compresses are used over the first 24 hours.","restrictions":["Sleep with the head elevated for about 1 week","Avoid nose blowing","Avoid strenuous activity, heavy lifting and bending over"]},{"phase":"Day 7 to week 2","description":"Cast and sutures are removed at about 7 days. Nasal massage exercises and continued taping may be advised. Bruising fades.","restrictions":["Avoid rigorous activity for about 2 weeks"]},{"phase":"Weeks 2-6","description":"Swelling gradually reduces. Wound assessment is done at about 6 weeks.","restrictions":["Avoid pressure on the nasal bridge, for example from glasses, until about 6 weeks"]},{"phase":"Months 6-24","description":"Review at about 6 months and photographic documentation at about 12 months. Incremental refinement continues for up to 1–2 years as residual edema resolves.","restrictions":[]}],"model":"claude-sonnet-5-5","checked_at":"2026-10-27T14:29:57.097764+00:00"},"rehabilitation_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated primary rhinoplasty; no formal physiotherapy needed; consistent with return to desk work."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"result_longevity":{"value":"Structural changes are generally long-lasting, though the nose continues to age naturally and rare late changes can occur.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"revision_rate_pct":{"value":{"min":5,"max":15,"unit":"percent","qualifier":"Share of patients having a revision (secondary) rhinoplasty after a primary rhinoplasty, over the long term (typically assessed 1 year or more after surgery, as the result is judged after about 12 months). The upper bound is the figure of up to 15% given by StatPearls. The lower bound is an established literature value for modern series. Graft-specific pooled revision rates (about 2–4%) are a subgroup and were not used."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"scars":{"value":"Closed approach leaves no visible external scar; open approach leaves a small, usually inconspicuous scar across the columella that typically fades.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"sessions_or_stages":{"value":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; follow-up checks are not counted as treatment sessions."},"stages":[{"code":"surgery","label":"Rhinoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage primary rhinoplasty."},"model":"claude-sonnet-5-5","checked_at":"2026-10-27T14:29:57.097764+00:00"},"success":{"value":{"metric":"Rhinoplasty Outcome Evaluation (ROE) mean score (validated patient-reported aesthetic and functional outcome scale)","value":80.25,"unit":"points on a 0–100 scale (higher is better)","horizon":"12 months","evidence_status":"proven","population":"Adults after rhinoplasty or septorhinoplasty in a meta-analysis of ROE scores. Mean ROE was about 70 at 6 months. Heterogeneity between studies was very high, and the improvement from baseline was significant."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"techniques":{"value":[{"name":"Open (external) rhinoplasty","suits_whom":"Complex deformities, tip work, grafting, and most primary and revision cases needing wide exposure.","recovery":"Slightly more tip swelling and a small columellar scar; similar overall recovery timeline."},{"name":"Closed (endonasal) rhinoplasty","suits_whom":"Limited corrections such as dorsal hump reduction with modest tip changes.","recovery":"Often less swelling, no external scar; similar overall recovery."},{"name":"Ultrasonic (piezo) rhinoplasty","suits_whom":"Patients needing precise bone work, often with less bruising.","recovery":"May reduce bruising; overall timeline comparable."},{"name":"Septorhinoplasty","suits_whom":"Patients with both a deviated septum and aesthetic concerns.","recovery":"Slightly more congestion in early recovery; otherwise similar."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"treatment_conditions":{"value":["day_case"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"treatment_duration_hours":{"value":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for a standard primary rhinoplasty; complex cases with grafting can be longer."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:41:21.217303+00:00"},"initial_assessment_documents":null,"travel_trips":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=vitoria/procedure=rinoplastika-plastika-nosa/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":2519,"name":"São Paulo","alias":"sao-paulo","country_iso_code":"BR"},{"id":2809,"name":"Goiânia","alias":"goiania","country_iso_code":"BR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":58},"manualSeo":[],"updatedAt":"2026-10-29T17:05:55.000Z","activeCountries":["BR","ES","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}