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usually mild by weeks 2-3.","preparation":["Stop smoking and nicotine for several weeks before surgery","Pause blood-thinning medications and supplements as the surgeon directs","Pre-operative blood tests and medical clearance","Fast from midnight before surgery","Arrange home help and nearby lodging for first days","Obtain any letters or documents the clinic requires"],"recovery_timeline":[{"phase":"Days 0-3","description":"Compression garment worn, drains in place if used, swelling and bruising peak.","restrictions":["No lifting","Rest with head elevated"]},{"phase":"Days 4-14","description":"Drain removal, first wound check, and fewer painkillers needed.","restrictions":["No arm raising above shoulder","No lifting over 2-3 kg","No driving while on opioids"]},{"phase":"Weeks 2-6","description":"Return to desk work from about week 2-4 and gradual daily activity; garment continues.","restrictions":["No chest or upper-body strength training","No heavy lifting"]},{"phase":"Months 2-12","description":"Swelling subsides, scars flatten and fade, sensation partly returns.","restrictions":["Protect scars from sun","Scar care as advised"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Time to ordinary daily function; no formal physiotherapy usually needed."},"result_longevity":"Chest contour is long-lasting. Weight change or aging may alter shape; scars mature permanently.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Patients having scar, contour, dog-ear or nipple graft revision surgery; often after 6-12 months."},"scars":"Two horizontal scars along the lower chest, curving up toward the armpits in a fishmouth shape, with nipple-areola graft scars. Fade over 6-12 months but remain permanent.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Fishmouth top surgery with nipple grafts","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Single-stage surgery; revisions are optional and separate."},"success":{"metric":"Patient satisfaction with chest appearance and dysphoria relief","value":90,"unit":"percent satisfied","horizon":"1 year after surgery","population":"Transmasculine adults with moderate to large chests undergoing fishmouth top surgery","evidence_status":"limited"},"techniques":[{"name":"Fishmouth incision with free nipple graft","suits_whom":"Moderate to large chests with lax skin needing excess skin and tissue removed.","recovery":"Recovery of 2-4 weeks to desk work, with 4-6 weeks before exercise."},{"name":"Double incision","suits_whom":"Moderate to large chests needing skin and tissue removal.","recovery":"Similar recovery to the fishmouth technique."},{"name":"Periareolar or keyhole","suits_whom":"Small chests with good elasticity.","recovery":"Often quicker, with 1-2 weeks to desk work."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for both sides."},"initial_assessment_documents":["Front, side and back chest photos","List of blood thinners","Gender dysphoria or support letter","Previous chest surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until drain removal and first wound check."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/procedure=mastektomiya-s-razrezom-tipa-fishmouth/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}