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Cada paciente debe dejar de fumar <strong>una semana</strong> antes de la cirugía.</p></div><p> <strong><img alt=\"Ubicación_de_implantes_subpectoral_subglandular\" src=\"/ckfiles/images/Screen-Shot-2013-10-18-at-11_24_15-PM.png\" style=\"width:407px;height:271px;margin:0px 10px;float:right;\" /></strong></p></div><h2> Aumento de senos (mamoplastia de aumento)</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> El aumento de <strong>senos</strong> se realiza para corregir la asimetría, mejorar la apariencia y la forma de los senos. El aumento se realiza con la ayuda de endoprótesis (implantes). Los cirujanos plásticos modernos utilizan estos tipos de implantes:</p><ul><li> <strong>solución salina</strong> con solución salina normal;</li><li> <strong>cohesivo-gelificado.</strong></li></ul><p style=\"text-align:justify;\"><a></a> La inserción del implante se realiza con una pequeña incisión (hasta 4 cm), que se puede realizar alrededor de la línea de la areola, en la región inframamaria, en la axila o en la parte media (a través del ombligo). El tamaño del implante, su textura y el tipo de incisión se determinan individualmente, según la anatomía del seno y los deseos de la paciente.</p></div><h2> Reducción de senos (mamoplastia de reducción) </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> La reducción de senos se aplica para reducir el tamaño de los senos demasiado grandes, cuyo peso causa dolor de espalda y otras sensaciones de incomodidad.<br /> La mamoplastia de reducción suele ir acompañada de una <strong>mastopexia</strong> , es decir, de un levantamiento de mamas.<a></a></p><p style=\"text-align:justify;\"> Inmediatamente antes de la cirugía, el cirujano marca la línea de incisión (el paciente está en posición vertical). Durante el procedimiento se elimina el exceso de piel, grasa y tejido glandular; la areola y el pezón se mueven a una posición más alta. Por lo tanto, se elabora una nueva forma del seno.</p></div><h2> reconstrucción mamaria </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"><img alt=\"reconstrucción_mama\" src=\"/ckfiles/images/rekonstrukciya-grudi-posle-mastektomii.jpg\" style=\"width:377px;height:200px;float:right;margin:5px 10px;\" /> La reconstrucción mamaria se realiza después de una mastectomía sin objeto cosmético. Su propósito es recrear una apariencia natural del seno.</p><p style=\"text-align:justify;\"> <strong>La restitución</strong> puede ser:</p><ul><li> <strong>de un solo paso</strong> — llevado a cabo después de la extirpación de tumores malignos en una sola operación;</li><li> <strong>tardío</strong> — realizado después de un tratamiento complejo.</li></ul><p style=\"text-align:justify;\"> La reconstrucción mamaria se puede realizar con una variedad de métodos, que difieren en los tipos de tejido utilizados para la restauración.</p><p style=\"text-align:justify;\"> Métodos de tejido propio:</p><ul><li> restauración del volumen mamario a través de <strong>la redistribución de la grasa</strong> (con la condición de que haya suficiente grasa después de la mammectomía);</li><li> <strong>reconstrucción con tejidos locales;</strong></li><li> <strong>reconstrucción con colgajos a distancia</strong> (reubicados desde la espalda o el abdomen).</li></ul><p style=\"text-align:justify;\"> Si los cirujanos han eliminado toda la piel y el tejido adiposo de la glándula mamaria durante la extirpación del tumor, la restauración mamaria con los propios tejidos de la persona es difícil de realizar.<a></a> En estos casos, la reconstrucción con prótesis de silicona es el procedimiento de elección. Para dejar suficiente espacio para el implante en el lugar de la glándula extirpada, el médico coloca el expansor, es decir, un recipiente de silicona con un puerto especial para llenar el implante con solución salina. El siguiente estiramiento gradual de la piel hace posible la instalación de un implante de silicona permanente.</p></div><h2> ¿Cómo se realiza la mamoplastia? </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> La cirugía plástica mamaria se realiza en horas de la mañana en ayunas. Debido al uso de anestesia general, el paciente debe permanecer bajo supervisión médica durante al menos 24 horas después de la cirugía. La duración de la mamoplastia depende del tipo y la complejidad y suele durar de 1 a <strong>3 horas.</strong></p></div>"},"guide_mc":{"text":"<p>Día 1</p><ul><li> Llegada al país.</li><li> Traslado VIP a la clínica.</li><li> Consulta inicial con el cirujano plástico.</li><li> Exámenes médicos para valoración preoperatoria.</li></ul><p> Dia 2</p><ul><li> Consulta con un anestesiólogo.</li><li> Exámenes médicos adicionales si es necesario.</li><li> Preparación para la Mamoplastia.</li></ul><p> Día 3</p><ul><li> Se lleva a cabo el procedimiento de mamoplastia.</li><li> La duración del procedimiento varía de 1 a 3 horas.</li><li> Se utiliza anestesia general durante la cirugía.</li></ul><p> Día 4</p><ul><li> Valoración postoperatoria inicial por el cirujano.</li><li> Inicio de cuidados postoperatorios en la clínica.</li></ul><p> Día 5-6</p><ul><li> Continuación de los cuidados postoperatorios en la clínica.</li><li> Evaluación del progreso de la recuperación.</li></ul><p> Día 7</p><ul><li> Consulta final con el cirujano.</li><li> Alta de la clínica.</li></ul><p> Semana 1-2</p><ul><li> Recuperación en casa con cuidados postoperatorios prescritos.</li><li> Seguimientos regulares con el cirujano.</li></ul><p> Semana 3-4</p><ul><li> Regreso gradual al trabajo no extenuante.</li><li> Seguimientos continuos con el cirujano.</li></ul><p> Semana 4-6</p><ul><li> Regreso gradual a más actividades físicas.</li><li> Los resultados finales comienzan a hacerse visibles.</li></ul><p> <i>Tenga en cuenta que el cronograma de recuperación de cada paciente puede ser diferente y puede variar según las condiciones de salud individuales y la complejidad del procedimiento.</i></p>"}}},"articles":[{"id":"es:a-fresh-start-in-istanbul","name":"El cambio de imagen de Beckie: Un nuevo comienzo en 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It is often greater after submuscular implant placement.","preparation":["Surgical consultation with medical history and breast examination","Preoperative photographs and measurements","Mammography or breast imaging when age or risk indicates","Routine preoperative blood tests and anesthesia assessment","Stop smoking and nicotine before and after surgery","Review medications and supplements, especially those affecting bleeding, with clinicians","Fasting before general anesthesia as instructed","Arrange an adult escort and help at home after surgery"],"recovery_timeline":[{"phase":"First days","description":"Swelling, bruising and tightness; surgical bra or dressings in place.","restrictions":["Avoid lifting arms overhead or heavy objects","No driving while taking strong analgesics"]},{"phase":"Weeks 1-2","description":"Pain and swelling settle; return to light daily activity; sutures removed or dissolve.","restrictions":["Wear supportive bra as directed","Avoid strenuous activity and sleeping on the stomach"]},{"phase":"Weeks 3-6","description":"Gradual return to normal activity as tissues heal and implants settle.","restrictions":["Avoid heavy lifting and vigorous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Swelling resolves, implants settle and scars mature.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Light daily activities resume after about 1–2 weeks; heavy lifting stays restricted."},"result_longevity":"Breast implants are not lifetime devices; many patients need replacement or revision after about 10–20 years. 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It starts red, usually fades over 12 months or longer; hypertrophic scarring is possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia; follow-up checks are not counted as sessions."},"stages":[{"code":"surgery","label":"Mammoplasty operation under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"early_check","label":"Early wound and dressing check","after":{"min":1,"max":3,"unit":"days","qualifier":"Includes drain removal when used."}},{"code":"suture_check","label":"Suture and wound review before travel","after":{"min":7,"max":10,"unit":"days","qualifier":"Timing depends on suture type and healing."}},{"code":"final_review","label":"Final result review","after":{"min":90,"max":180,"unit":"days","qualifier":"Once swelling resolves and breast shape settles."}}],"qualifier":"Single-stage surgery; revision, if needed, is a separate later operation."},"success":{"metric":"BREAST-Q satisfaction with breasts score (0–100), mean postoperative score","value":78,"unit":"points (0–100 scale)","horizon":"1–2 years after surgery","population":"Women after cosmetic breast augmentation with implants","evidence_status":"limited"},"techniques":[{"name":"Silicone implant, dual-plane or submuscular placement","suits_whom":"Patients with thin tissue cover wanting natural upper-pole slope","recovery":"Desk work after 5–7 days; more discomfort early; exercise at 4–6 weeks."},{"name":"Silicone implant, subglandular placement","suits_whom":"Patients with adequate tissue cover and no need for muscle coverage","recovery":"Often less pain; desk work after 3–5 days; exercise at 4–6 weeks."},{"name":"Saline implant augmentation","suits_whom":"Patients preferring a fillable implant and smaller incision","recovery":"Similar to silicone implants; desk work after about 5–7 days."},{"name":"Fat transfer augmentation","suits_whom":"Patients wanting modest volume increase using own fat","recovery":"Liposuction site bruising for 1–2 weeks; compression garment; desk work after 5–7 days."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time under general anesthesia for implant augmentation; fat transfer takes longer."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Recent mammogram or breast ultrasound report","List of current medications including blood thinners","Previous breast surgery or implant records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until wound and suture checks."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon has years of breast augmentation experience, not just general plastic surgery 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setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Asked to pay to see a surgeon you have never met","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Do not pay to see a surgeon you have not met.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Cosmetic surgery offered bundled as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgeon cannot show before and after pictures of their 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letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must 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