Bucheli Concept ofrece dos enfoques quirúrgicos: remodelación del cartílago con suturas o una técnica que utiliza únicamente suturas, elegida según la anatomía de la oreja. La incisión se realiza detrás de la oreja, en su pliegue natural, lo que ayuda a que la cicatriz sea discreta. Con sede en Río de Janeiro, la clínica ofrece consultas en línea y asistencia en inglés, español y portugués. Los análisis preoperatorios pueden realizarse en la ciudad de residencia del paciente, y se programa una visita presencial un día antes de la cirugía.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":8952,"alias":"bucheli-concept","name":"Bucheli Concept","short_description":"Bucheli Concept es una clínica de medicina estética en Río de Janeiro, Brasil. El centro se especializa en cirugía plástica facial, dermatología y fisioterapia estética. Fue fundada por el Dr. Carlos Bucheli. El equipo cuenta con más de 20 años de experiencia en estética facial. Entre los procedimientos más destacados se encuentran los lifting faciales de plano profundo, la rinoplastia, la cirugía Fox Eyes y la blefaroplastia.
La clínica también ofrece mentoplastia, otoplastia y armonización facial con rellenos de ácido hialurónico. Los pacientes internacionales pueden iniciar su atención mediante una consulta a distancia. Esto les permite organizar pruebas de laboratorio preoperatorias en su ciudad de residencia. Antes de la cirugía, se realiza una última visita presencial en Río. El equipo médico cuenta con tres especialistas y está dirigido por el Dr. Bucheli.
","images":[{"base_url":"clinic/6adf246cdb9ce","title":"Sala de espera moderna en la clínica Bucheli Concept con asientos cómodos"},{"base_url":"clinic/6adf246e8e8fd","title":"Mostrador de recepción en la clínica Bucheli Concept con personal amable"}],"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":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Le Monde Office - Av. das Américas, 3500 - Sl 101 Bloco 04 - Barra da Tijuca, Rio de Janeiro - RJ, 22640-102, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}},{"text":"El Dr. Paulo Henrique Laia ha realizado más de 5.000 procedimientos. El Dr. Laia es miembro titular de la Sociedad Brasileña de Cirugía Plástica. Su otoplastia utiliza remodelación del cartílago con suturas, con una incisión detrás de la oreja. El Dr. Laia fue preceptor en la residencia de Cirugía Plástica de la UFMG de 2013 a 2015. Los procedimientos se realizan en Premier Hospital Dia, un centro de cirugía ambulatoria. La clínica indica que cuenta con las acreditaciones de ISAPS y TEMOS y está afiliada a DOME Núcleo Avançado.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9046,"alias":"dr-paulo-henrique-laia","name":"Dr. Paulo Henrique Laia","short_description":"El Dr. Paulo Henrique Laia dirige una consulta de cirugía plástica en Belo Horizonte, Brasil. La clínica se especializa en rejuvenecimiento facial, cirugía mamaria y contorno corporal. El Dr. Laia es Miembro Titular de la Sociedad Brasileña de Cirugía Plástica. También es miembro de ISAPS y TEMOS. Completó su residencia en cirugía plástica en el Hospital Universitario de la UFMG. Posteriormente, se desempeñó allí como preceptor de residencia.
La consulta utiliza tecnologías avanzadas basadas en energía en sus cirugías. Entre ellas se incluyen la liposucción asistida por ultrasonido Vaser y el tratamiento térmico de tejidos Argoplasma. La radiofrecuencia BodyTite y las microagujas Morpheus ayudan a mejorar la firmeza de la piel. Para el aumento mamario, la clínica ofrece el enfoque Técnica Preservé, desarrollado por Motiva. Todas las cirugías se realizan en Premier Hospital Dia. Se ofrecen consultas en línea para pacientes que viven fuera de Belo Horizonte.
","images":[{"base_url":"clinic/6adffa08930c3","title":"Recepción en la clínica Dr. Paulo Henrique Laia con decoración moderna y asientos"},{"base_url":"clinic/6adffa0a199ae","title":"Dispositivo médico ACCUtite moderno en la clínica Dr. Paulo Henrique Laia, 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":"Belo Horizonte","id":2682,"alias":"belo-horizonte"},"address":"R. Cláudio Manoel, 48 - 15° andar - Funcionários, Belo Horizonte - MG, 30140-100, Brazil"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"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"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Acreditación Internacional de Atención Médica TEMOS","country_code":"DE"}]}},{"text":"La otoplastia cerrada sin incisiones externas está disponible en la consulta de Juliana Metzker, en Belo Horizonte. La clínica también ofrece un abordaje convencional con pequeñas incisiones detrás de la oreja. Los procedimientos se realizan con anestesia local y sedación, y el alta se da el mismo día. Por lo general, se puede retomar la actividad normal en unos pocos días. Los cuidados posteriores incluyen el uso de una banda protectora durante las primeras semanas y dormir con la cabeza elevada durante al menos una semana.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9050,"alias":"juliana-metzker-plastic-surgeon","name":"Juliana Metzker — Plastic Surgeon","short_description":"Juliana Metzker — Cirujana plástica es una clínica en Belo Horizonte, Brasil. Se especializa en cirugía plástica, contorno corporal y procedimientos de reafirmación de la piel. La Dra. Juliana Metzker es miembro titular de la Sociedad Brasileña de Cirugía Plástica. Dirige un equipo de dos médicos especialistas en el Hospital Dia ProPlástica.
La Dra. Metzker se formó en la Universidad Federal de Minas Gerais. La clínica utiliza tecnologías avanzadas de radiofrecuencia, como BodyTite, Morpheus y Retraction. Estas ayudan a reducir la grasa localizada y mejorar la firmeza de la piel. Entre los procedimientos habituales se incluyen la liposucción, la abdominoplastia, la cirugía mamaria y el tratamiento de la ginecomastia. Los pacientes internacionales reciben consultas en línea, orientación para prepararse para la cirugía y un kit de prendas de compresión para la recuperación.
","images":[{"base_url":"clinic/6adffb5da7f8c","title":"Unidad electroquirúrgica moderna con piezas de mano en Juliana Metzker Plastic Surgeon"}],"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":"Belo Horizonte","id":2682,"alias":"belo-horizonte"},"address":"Av. do Contorno, 4747 / 2nd floor, Funcionários, Belo Horizonte – MG, ZIP code 30110-921 (LifeCenter Building)"},"rating":{"rating":0,"google":5,"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"}]}},{"text":"La simulación 3D de Crisalix permite a los pacientes previsualizar la forma esperada de las orejas antes de la cirugía. La clínica del Dr. Rogério Araújo en Belo Horizonte ofrece anestesia local con sedación o anestesia general. Las incisiones se realizan detrás de la oreja para que las cicatrices sean lo menos visibles posible. La mayoría de los pacientes retoma sus actividades normales en unos pocos días. El centro cuenta con las acreditaciones de TEMOS e ISAPS.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9077,"alias":"clinic-dr-rogerio-araujo","name":"clinic Dr. Rogério Araújo","short_description":"La Clínica Dr. Rogério Araújo es un centro especializado en cirugía facial en Belo Horizonte, Brasil. Se centra en otorrinolaringología, cirugía craneomaxilofacial y estética facial. El Dr. Rogério Araújo fundó la clínica en 2024. Cuenta con más de 30 años de experiencia médica y realizó programas de formación especializada en Francia y España.
La clínica fue pionera en cirugía robótica de cabeza y cuello en Minas Gerais. El Dr. Araújo realiza cirugía tiroidea transoral robótica para evitar cicatrices en el cuello. Durante la planificación, los pacientes utilizan la simulación 3D de Crisalix para visualizar los resultados. El centro cuenta con acreditaciones de TEMOS e ISAPS. Entre las opciones regenerativas se incluyen la fibrina rica en plaquetas y el injerto de grasa autóloga.
","images":[{"base_url":"clinic/6ae0cc76d024e","title":"Edificio moderno de la clínica Dr. Rogério Araújo en Brasil"},{"base_url":"clinic/6ae0cc786ae3e","title":"Mostrador de recepción en la clínica Otorrinolife con decoración moderna y planta"},{"base_url":"clinic/6ae0cc7a2a51f","title":"Sala de consulta y tratamiento dental en la Clínica Dr. Rogério Araújo, diseño moderno"},{"base_url":"clinic/6ae0cc7ba618b","title":"Sala de tratamiento moderna en la clínica Dr. Rogério Araújo con sillón e iluminación médica"}],"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":"Belo Horizonte","id":2682,"alias":"belo-horizonte"},"address":"Rua dos Otoni, 909, Sala 703, Belo Horizonte, MG, Brazil, 30150-274"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2024},"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":"Rinoplastia y Cirugía Plástica Facial es una clínica especializada en Río de Janeiro, Brasil. Se centra en rinoplastia, cirugía nasal funcional, blefaroplastia y otoplastia. La clínica ofrece cirugía estética y reconstructiva de las orejas para niños a partir de los 6 años. La Dra. Monica Baptista dirige el centro y cuenta con alrededor de 12 años de experiencia. Completó su residencia y formación de especialidad en la Universidad Federal de Río de Janeiro.
La clínica se especializa en rinoplastia estructurada con cartílago septal o costal del propio paciente. Los cirujanos suelen combinar el remodelado estético de la nariz con una septoplastia funcional para mejorar la respiración. Los casos complejos incluyen rinoplastias de revisión, secundarias y terciarias. Por lo general, los procedimientos se realizan con anestesia general y requieren una estancia hospitalaria de 12 horas. Los pacientes viajan hasta aquí desde Francia, Australia, Sudáfrica y Ecuador.
","text_type":"short_description","reviews":[],"clinic":{"id":8942,"alias":"rhinoplasty-and-facial-plastic-surgery","name":"Rhinoplasty and Facial Plastic Surgery","short_description":"Rinoplastia y Cirugía Plástica Facial es una clínica especializada en Río de Janeiro, Brasil. Se centra en rinoplastia, cirugía nasal funcional, blefaroplastia y otoplastia. La clínica ofrece cirugía estética y reconstructiva de las orejas para niños a partir de los 6 años. La Dra. Monica Baptista dirige el centro y cuenta con alrededor de 12 años de experiencia. Completó su residencia y formación de especialidad en la Universidad Federal de Río de Janeiro.
La clínica se especializa en rinoplastia estructurada con cartílago septal o costal del propio paciente. Los cirujanos suelen combinar el remodelado estético de la nariz con una septoplastia funcional para mejorar la respiración. Los casos complejos incluyen rinoplastias de revisión, secundarias y terciarias. Por lo general, los procedimientos se realizan con anestesia general y requieren una estancia hospitalaria de 12 horas. Los pacientes viajan hasta aquí desde Francia, Australia, Sudáfrica y Ecuador.
","images":[{"base_url":"clinic/6ae4510886c2a","title":"Sala de consultas en la clínica de rinoplastia y cirugía plástica facial con personal médico"}],"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":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Visconde de Pirajá Street 177, 5th floor, Ipanema - Rio de Janeiro / RJ, 22410-001, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":5,"total_pages":1}},"clinicsMeta":{"total_count":5,"total_pages":1},"clinicsCount":5,"clinicsCountByEntity":{"clinic_count":100},"doctors":{"doctors":[{"doctor":{"id":21600,"alias":"andre-maschio","name":"André Maschio","photo":"doctor/6adff1a73fa8b","first_year_working":0,"created_at":"2026-10-27T00:06:26.152+00:00","short_description":"El Dr. André Maschio es cirujano plástico en Curitiba y se especializa en contorno corporal de alta definición y rejuvenecimiento facial. Utiliza la tecnología Renuvion para tensar la piel durante los procedimientos de liposucción. Este sistema combina radiofrecuencia con energía de chorro de plasma para tratar la flacidez de los tejidos mediante microincisiones. El Dr. Maschio cuenta con formación en cirugía plástica y cirugía general.
Dr. André Maschio es una clínica de cirugía plástica en Curitiba, Brasil. La clínica se especializa en rejuvenecimiento facial, contorno corporal y cirugía mamaria. El equipo también corrige las orejas prominentes en niños a partir de los seis años. Entre los procedimientos avanzados se incluyen los estiramientos faciales de plano profundo y el lifting endoscópico.
El Dr. Maschio es el cirujano jefe y fundador. Completó seis años de residencia en cirugía general y plástica. Gran parte de su formación tuvo lugar en Santa Casa de Misericórdia de Curitiba. Actualmente imparte cursos centrados en técnicas para otros cirujanos en Portugal y Brasil.
La clínica está acreditada por ISAPS y la Sociedad Brasileña de Cirugía Plástica. Los protocolos de seguridad incluyen exámenes preoperatorios exhaustivos y un límite de seis horas para las cirugías combinadas. El equipo utiliza Renuvion, Vaser e Ignite para la liposucción de alta definición. Los pacientes internacionales son bienvenidos en Curitiba.
","images":[{"base_url":"clinic/6adfe9237d04d","title":"Dispositivo médico Renuvion para procedimientos de tensado cutáneo mínimamente invasivos"}],"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":"Curitiba","id":2581,"alias":"curitiba"},"address":"Rua Padre Anchieta, 2194 - sala 406, Curitiba, PR, Brazil, 80730300"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"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"}]}},{"doctor":{"id":21528,"alias":"isabelle-dolavale","name":"Isabelle Dolavale","photo":"doctor/6ae07848775d6","first_year_working":0,"created_at":"2026-10-26T12:22:48.318+00:00","short_description":"Isabelle Dolavale is a specialist at the clinic in Leblon with 15+ years focused on reconstructive and reparative Plastic Surgery. She has completed 2,000+ reconstructive operations and regularly works in burn-treatment centers in Rio de Janeiro, which shapes her scar- and contracture-focused approach. Her practice is supported by CRM-RJ 52.81712-0, RQE 31651, and membership as a Full Member of SBCP.","specialities":[{"id":"pls.003","name":"Cirujano reconstructivo","illness_kind_id":38},{"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":8979,"alias":"dr-isabelle-dolavale","name":"Dr. Isabelle Dolavale","short_description":"La clínica de cirugía plástica reconstructiva de la Dra. Isabelle Dolavale está en Río de Janeiro. Su práctica se centra en la cirugía reparadora, los procedimientos estéticos y el cuidado de heridas. También atiende a niños y ofrece otoplastias a partir de los 6 años. La Dra. Dolavale fundó la clínica en 2010 y cuenta con más de 15 años de experiencia en casos complejos de reconstrucción.
Desde su apertura, la clínica ha realizado más de 2.000 cirugías reparadoras. Entre los procedimientos principales se encuentran el contorno corporal después de una cirugía bariátrica, la reconstrucción mamaria y el tratamiento de secuelas de quemaduras. La Dra. Dolavale es miembro titular de la Sociedad Brasileña de Cirugía Plástica. También trabaja en centros de referencia para quemados en Río de Janeiro. La clínica ayuda a los pacientes internacionales con la documentación para las evaluaciones de los seguros de salud.
","images":[{"base_url":"clinic/6ae0779c674c0","title":"Retrato de una mujer con suéter blanco en la clínica Dra. Isabelle Dolavale"}],"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":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Rua Almirante Guilhem, 366, 8º andar, Leblon, Rio de Janeiro – RJ, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2010},"accreditations":[]}},{"doctor":{"id":21944,"alias":"daniel-borges","name":"Daniel Borges","photo":"doctor/6ae12db76c5ee","first_year_working":0,"created_at":"2026-10-27T22:35:09.901+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":9157,"alias":"dr-daniel-borges","name":"Dr. Daniel Borges","short_description":"Dr. Daniel Borges es una clínica de cirugía plástica en Belo Horizonte, Brasil. La clínica se especializa en procedimientos estéticos y reconstructivos del cuerpo y el rostro. Entre sus servicios principales se encuentran la cirugía mamaria, la rinoplastia y el contorno corporal. Los niños con deformidades en la curvatura de las orejas también pueden someterse aquí a una otoplastia. Los procedimientos de gluteoplastia han aumentado un 60 % en cinco años. El Dr. Borges es miembro de la Sociedad Brasileña de Cirugía Plástica (SBCP).
También imparte clases en el programa de residencia de Cirugía Plástica del Hospital das Clinicas - UFMG. La clínica cuenta con la acreditación internacional TEMOS, que certifica el cumplimiento de estándares de turismo médico. El equipo prioriza la seguridad de los pacientes mediante el uso de quirófanos debidamente equipados. Los pacientes reciben plazos claros de recuperación para la liposucción y la cirugía íntima. Durante las consultas, se explican abiertamente las opciones de anestesia.
","images":[{"base_url":"clinic/6ae1269a0173d","title":"Máquina de anestesia y monitor en la clínica Dr. Daniel Borges"}],"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":"Belo Horizonte","id":2682,"alias":"belo-horizonte"},"address":"Belo Horizonte, MG, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"Acreditación Internacional de Atención Médica TEMOS","country_code":"DE"}]}}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"Ear reconstruction in Brazil typically costs from _op_928_price_from_ to _op_928_price_to_. Prices vary based on the surgical technique, anesthesia type, and the complexity of the reconstruction. Patients save approximately _price_percent_discount_% compared to the United States, where the average cost is _price_compare_US_average_. Standard inclusions often cover the surgical procedure, medical team fees, and initial follow-up visits in major medical hubs.
\n\nBookimed Expert Insight: Brazil offers a unique value for patients seeking specialized facial plastic surgery. Specialists like Dr. André Maschio in Curitiba hold RQE certification, ensuring board-verified expertise. Clinics such as Bucheli Concept in Rio de Janeiro streamline the process for international travelers. They offer remote consultations and pre-operative lab work coordination in the patient's home city. This logistical support provides high value for those managing complex, multi-stage reconstructive plans abroad.
"}},"texts":{"guide_mc":{"text":"Día 1: Llegada
Día 2: Preoperatorio
Día 3: Reconstrucción de orejas
Día 4: Postoperatorio
Semana 1-2: Rehabilitación Fase 1
Semana 3-4: Rehabilitación Fase 2
Semana 5-6: Rehabilitación Fase 3
Mes 3: Resultado Final
Tenga en cuenta que esta es una guía general y que la experiencia real puede variar según la condición de cada paciente, el consejo del cirujano y otros factores.
"},"overview":{"text":"La reconstrucción de oído es un procedimiento quirúrgico para restaurar la forma y función de un oído dañado o ausente.
\nLa operación corrige la forma o posición de las orejas, mejorando la simetría facial. Es seguro, ofrece resultados permanentes y aumenta la autoestima.
"},"928":{"operation":{"name":"Reconstrucción de orejas","alias":"ear-reconstruction","use_for_listing":true},"country_price":{"US":{"amount":9000,"max_amount":19000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":3200,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1200,"max_amount":4800,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":3800,"max_amount":6800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":3800,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"MX":false,"TH":true,"ES":false,"BR":false},"description":"Este procedimiento reconstruye las orejas dañadas, utilizando injertos o prótesis. Mejora la apariencia y la audición, ofreciendo un impulso de confianza.
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Walking is encouraged early."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles, graft color matures and scalp incision heals. Any revision extends the timeline."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After discharge and first wound and graft checks, with surgeon clearance. Flap or graft concerns delay travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Check dressing, flap, graft and framework cover; may occur before discharge if stay is longer."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"Removal of scalp and graft-site sutures or dressings according to healing."}},{"purpose":"assessment","requirement":"conditional","after":{"min":4,"max":8,"unit":"days","qualifier":"Days after surgery, once discharged: skin cover, ear position and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of shape, skin cover, scalp hair and any revision discussion."}}],"indications":["Acquired total or near-total ear loss, e.g. trauma or burns","Total ear defect after tumor resection with healthy local tissue"],"main_risks":["Implant exposure through the fascia or skin","Implant or flap infection, possibly requiring implant removal","Temporoparietal fascia flap compromise or skin graft loss","Hematoma or bleeding","Scalp hair loss or scarring at the flap donor site","Facial nerve frontal branch injury (rare)","Altered sensation","Asymmetric or unsatisfactory aesthetic result","Need for revision surgery","Anesthesia-related risks"],"pain":"Moderate pain in the first days, usually controlled with prescribed oral analgesics. Scalp and skin graft donor-site soreness is common and improves over weeks.","preparation":["Surgical consultation assessing the defect, skin quality and scalp","Vascular assessment of superficial temporal vessels, often with Doppler","Photographs and planning with a template from the opposite ear","Preoperative medical assessment and fitness for general anesthesia","Stop smoking and nicotine before and after surgery","Hair clipping at the scalp site as instructed","Discuss expectations, alternatives (rib cartilage, prosthesis) and implant exposure risk","Fasting as instructed by the anesthetic team"],"recovery_timeline":[{"phase":"Hospital monitoring","description":"Usually 1-4 nights of inpatient flap and graft monitoring after general anesthesia, with oral analgesics. Gentle walking starts when allowed.","restrictions":["No pressure on the operated ear","Keep dressings in place and dry","No smoking or nicotine"]},{"phase":"Early home recovery (about weeks 1-2)","description":"Wound and graft checks, then suture removal. Light daily activity and walking are encouraged.","restrictions":["Avoid sleeping on the operated side","No lifting or straining as advised","Avoid hair products or heat near the scalp incision"]},{"phase":"Weeks 2-6","description":"Swelling settles and return to desk or light work is common. Ear protection continues.","restrictions":["Avoid pressure, knocks, tight headwear or glasses on ear","No contact activities","Avoid sun on the graft"]},{"phase":"Weeks 6-12","description":"Non-contact exercise may resume with surgeon clearance. Contact sports usually stay restricted longer.","restrictions":["Protect the ear from trauma","Avoid extreme cold or heat exposure on the ear"]},{"phase":"Months 3-12","description":"Swelling resolves and graft color and scalp hair settle toward the final appearance. Result review is held.","restrictions":["Lifelong protection from trauma, cold and sun injury"]},{"phase":"At any time","description":"Seek prompt assessment for exposed implant, dusky, blue or pale ear, worsening swelling or pain, discharge, fever, spreading redness or bleeding.","restrictions":["Do not wait for a scheduled visit","Do not manipulate or press on the ear"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to routine daily activities after uncomplicated surgery, without formal physiotherapy; depends on healing and ear protection."},"result_longevity":"The porous polyethylene framework is permanent and usually keeps its shape if covered by healthy tissue. Late exposure after trauma or infection may need revision or removal.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned revision, graft repair or implant removal within 2 years; varies with cause, radiotherapy and smoking."},"scars":"Expected scars are a temporoparietal scalp incision, usually hidden within the hair, and a skin graft donor-site mark, with no rib-harvest scar in this protocol. Scalp hair thinning along the incision can occur.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session for the primary single-stage protocol."},"stages":[{"code":"operation","label":"Framework placement, fascia flap coverage and skin graft","after":{"min":0,"max":0,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Performed on the day of surgery."}},{"code":"inpatient_monitoring","label":"Inpatient flap and graft monitoring until discharge","after":{"min":1,"max":4,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Uncomplicated course; discharge when flap and graft look viable and pain is controlled."}}],"qualifier":"Primary single-stage protocol; revision surgery or other techniques are outside this range."},"success":{"metric":"Framework retained with stable skin cover and acceptable ear shape, without implant removal","value":80,"unit":"percent","horizon":"12 months after surgery","population":"Selected adults with acquired total ear loss and healthy temporoparietal fascia; ear shape only.","evidence_status":"limited"},"techniques":[{"name":"Single-stage porous polyethylene framework with temporoparietal fascia flap and skin graft (primary protocol)","suits_whom":"Selected adults with acquired total ear loss and healthy temporoparietal fascia who prefer one stage and no rib harvest","recovery":"Short inpatient monitoring, then several weeks of protecting the ear from pressure and trauma; exposure risk needs ongoing review"},{"name":"Autologous rib cartilage multistage reconstruction","suits_whom":"Patients without suitable fascia or who prefer an autologous framework","recovery":"Multiple stages with chest donor-site discomfort and activity restrictions after each stage"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for the primary single-stage porous polyethylene, fascia flap and skin graft procedure; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Front and both side photos of the ears","Close-up photos of the ear defect","Scalp photos showing temple and hairline","Operative or injury report","Previous ear surgery records (if available)","Head and neck CT scan (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; about 10-14 days abroad until first checks clear travel; later reviews at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/procedure=rekonstrukcia-usnoj-rakoviny/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}