Alexis Montoya Fierro is a plastic surgery clinic in Medellín, Colombia. The practice focuses on breast surgery, body contouring, and rhinoplasty. Dr. Montoya Fierro is the lead surgeon. He has over 25 years of experience in aesthetic and reconstructive procedures. He trained at Universidad Pontificia Bolivariana and Universidad de Guadalajara.
For breast augmentations, the clinic uses a periareolar technique to avoid T-shaped scars. Glute augmentations are done through a single, nearly invisible incision. Each patient gets a personal assessment to plan implant type and volume. International patients receive scheduling support by WhatsApp and email. Post-op care includes structured monitoring and recovery dressing protocols.
","text_type":"short_description","reviews":[],"clinic":{"id":9442,"alias":"alexis-montoya-fierro-cirujano-plastico","name":"Alexis Montoya Fierro (Cirujano Plástico)","short_description":"Alexis Montoya Fierro is a plastic surgery clinic in Medellín, Colombia. The practice focuses on breast surgery, body contouring, and rhinoplasty. Dr. Montoya Fierro is the lead surgeon. He has over 25 years of experience in aesthetic and reconstructive procedures. He trained at Universidad Pontificia Bolivariana and Universidad de Guadalajara.
For breast augmentations, the clinic uses a periareolar technique to avoid T-shaped scars. Glute augmentations are done through a single, nearly invisible incision. Each patient gets a personal assessment to plan implant type and volume. International patients receive scheduling support by WhatsApp and email. Post-op care includes structured monitoring and recovery dressing protocols.
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"},"940":{"operation":{"name":"Blefaroplastia inferior","alias":"lower-eyelid-surgery","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":900,"max_amount":1700,"currency":"USD","clinic_count":14,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":2300,"max_amount":2900,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TH":true,"ES":true},"description":"Esta operación corrige las bolsas o el exceso de piel debajo de los ojos al eliminar o reposicionar la grasa, mejorando la apariencia.
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"},"1247":{"operation":{"name":"Levantamiento de párpados para el síndrome del ojo vago","alias":"lazy-eyelid-surgery","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1600,"max_amount":2700,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":2600,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TH":true,"ES":false},"description":"El procedimiento corrige los párpados caídos, lo que mejora la visión y la apariencia mediante un método quirúrgico seguro y rápido.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":5,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"locale":"en","procedure_type":"surgery","fields":{"anesthesia":{"value":["local"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"back_to_work_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Desk work after primary upper-lid surgery alone, depending on bruising, swelling and visual comfort. Visible bruising may persist after return."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"complication_rate_pct":{"value":{"min":0.5,"max":3,"unit":"percent","qualifier":"Limited model estimate, not from a certified study. Share of adults having primary bilateral upper-lid blepharoplasty alone under local anesthesia who have a clinically significant treated complication within about 3 months, such as hematoma needing drainage, infection needing treatment, or symptomatic lid-closure problem. Expected bruising, swelling, dryness and tightness are excluded. Vision-threatening events are rare, well under 0.1%. Lower-lid, combined and laser variants are outside this range."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T09:38:52.083768+00:00"},"contraindications":{"value":["Uncontrolled hypertension or bleeding disorders","Active eye infection or inflammation","Severe dry eye syndrome (relative to absolute depending on severity)","Unstable thyroid eye disease","Uncontrolled systemic disease such as poorly controlled diabetes","Unrealistic expectations or body dysmorphic disorder","Pregnancy","Smoking (relative; increases healing complications)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"days_in_clinic":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Primary bilateral upper-lid surgery under local anesthesia has same-day discharge after observation; zero overnight stays are planned."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"exercise_resume_weeks":{"value":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity such as walking earlier; strenuous exercise and heavy lifting usually after surgeon clearance."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"final_result_months":{"value":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and scars mature; subtle changes may continue longer."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"fly_home_after_days":{"value":{"min":7,"max":10,"unit":"days","qualifier":"Counted from surgery, for short flights only. Requires a postoperative assessment confirming stable healing, controlled pain, no hematoma, infection or vision concern, and comfortable mobility. If suture removal at about 5-7 days is planned, it should be done before departure. If any check falls after departure, it must already be booked with a suitable clinician at the destination; otherwise stay for the treating clinic check. Long-haul travel needs individualized clot-prevention planning beyond this range. Clearance is not guaranteed."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T09:38:52.083768+00:00"},"follow_up_visits":{"value":[{"purpose":"wound_check","requirement":"conditional","after":{"min":1,"max":3,"unit":"days","qualifier":"After surgery; an early planned wound check only when included in the treating clinic protocol."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":7,"unit":"days","qualifier":"After surgery, only if non-absorbable external sutures are used; arrange removal before travel as specified in the flight criteria."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"After surgery; planned review of upper-lid healing and position."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"After surgery; planned review of mature upper-lid appearance."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"indications":{"value":["Excess upper eyelid skin (dermatochalasis) causing a heavy or tired appearance","Upper eyelid skin hanging over the lashes and partly obstructing the upper visual field","Outside the primary upper-lid numerical profile: lower eyelid bags from fat prolapse.","Outside the primary upper-lid numerical profile: lower eyelid skin laxity or wrinkling.","Cosmetic upper-eyelid rejuvenation for excess upper-lid skin or fat; broader periorbital procedures are outside this primary numerical profile."],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"main_risks":{"value":["Bruising, swelling and temporary dryness or irritation of the eyes","Asymmetry or visible scarring","Bleeding or hematoma, including rare retrobulbar hematoma threatening vision","Infection","Lower-lid retraction or ectropion mainly concerns lower-lid variants, outside this primary upper-lid numerical profile.","Incomplete eyelid closure (lagophthalmos)","Dry eye symptoms","Rare vision loss","Need for revision","Temporary blurred or double vision","Temporary or persistent numbness of the eyelid"],"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"pain":{"value":"Mild to moderate discomfort, tightness or pulling for the first few days is usually managed with prescribed simple analgesics and cold compresses. Local anesthesia controls operative pain; pressure or movement may still be felt.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"preparation":{"value":["Preoperative consultation with medical history and eye assessment, including dry eye and visual field check where indicated","Photographs and surgical planning","Review all medications, including blood thinners (aspirin, NSAIDs, anticoagulants) and supplements, with the surgeon and prescriber; do not change prescribed medicines without their instruction","Stop smoking before and after surgery as advised","Arrange transport home and help for the first days","Fasting only if sedation is used, per clinic instructions","Avoid makeup and contact lenses on the day of surgery."],"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"recovery_timeline":{"value":[{"phase":"Day of surgery (0 nights)","description":"Upper-lid surgery under local anesthesia is followed by a short observation, then same-day discharge with an accompanying adult. Gentle walking at home is encouraged from the first day.","restrictions":["Rest with head elevated","Cold compresses as instructed","No driving until cleared","No contact lenses or makeup"]},{"phase":"Days 1-3","description":"Swelling, bruising and tightness peak. Lubricating drops and short gentle walks are used as instructed. An early wound check at about 1-3 days is planned only in some practices.","restrictions":["No bending or heavy lifting","Avoid rubbing the eyes"]},{"phase":"Days 5-7","description":"Non-absorbable skin sutures, if used, are removed at the planned visit. Swelling and bruising begin to subside.","restrictions":["Avoid strenuous activity","Avoid rubbing the eyes"]},{"phase":"Days 7-14","description":"Return to desk work and ordinary daily function is usually possible. Bruising and swelling may linger. Short flights are possible in this window only if the flight criteria are met.","restrictions":["Avoid strenuous exercise","Protect from sun and wind"]},{"phase":"Weeks 2-4","description":"Most bruising fades. Light-to-moderate activity is added gradually. Strenuous exercise and heavy lifting resume after surgeon clearance, within about 2-4 weeks. A healing and lid-position review is planned at about 4-6 weeks.","restrictions":["Avoid heavy exercise and lifting until cleared","Protect scars from sun"]},{"phase":"Months 3-6","description":"Residual swelling resolves and scars mature. A final result review is planned at about 3-6 months.","restrictions":[]},{"phase":"At any time","description":"Seek urgent medical assessment immediately for severe or worsening eye pain, vision loss or change, double vision, a rapidly enlarging or tense swelling, heavy bleeding, fever, spreading redness or pus, chest pain, breathlessness, or calf pain or swelling.","restrictions":["Do not wait for a scheduled visit"]}],"model":"claude-sonnet-5-5","checked_at":"2026-10-29T09:38:52.083768+00:00"},"rehabilitation_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; residual swelling and bruising may persist longer."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"result_longevity":{"value":"Results are long-lasting, often many years, but natural aging continues and duration varies by individual, particularly for upper eyelids versus lower eyelid changes.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"revision_rate_pct":{"value":{"min":1,"max":5,"unit":"percent","qualifier":"Limited model estimate, not from a certified study. Share of adults having primary bilateral upper-lid blepharoplasty alone who need unplanned corrective surgery within about 1-2 years, for example residual excess skin or fat, asymmetry, or scar or lid-position correction. Planned stages are not counted. Other techniques are outside this range."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T09:38:52.083768+00:00"},"scars":{"value":"The primary upper-lid incision lies in the natural eyelid crease and usually fades to a fine line over several months. Outside this primary numerical profile, lower-lid incisions may lie below the lashes or inside the lid; a transconjunctival approach has no external skin scar.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"sessions_or_stages":{"value":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session for standard blepharoplasty."},"stages":[{"code":"surgery","label":"Blepharoplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"One operative session; follow-up checks are listed separately."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"success":{"value":{"metric":"Patients reporting satisfaction with upper-eyelid appearance (binary yes/no response)","value":85,"unit":"percent","horizon":"6-12 months after surgery","population":"All adults undergoing primary bilateral upper-lid blepharoplasty alone under local anesthesia for dermatochalasis; complications do not remove patients from the denominator. Limited model estimate, not a certified study.","evidence_status":"limited"},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T09:38:52.083768+00:00"},"techniques":{"value":[{"name":"PRIMARY PROTOCOL: Bilateral upper-lid blepharoplasty alone (skin ± muscle and fat removal) under local anesthesia, outpatient","suits_whom":"Adults with excess upper-lid skin or fat pads. All numerical ranges in this profile apply to this protocol only.","recovery":"Swelling and bruising for about 1-2 weeks; sutures, if non-absorbable, removed at about 5-7 days."},{"name":"Lower-lid blepharoplasty, transcutaneous (outside the primary numerical profile)","suits_whom":"Patients with lower-lid skin excess and fat bags.","recovery":"Bruising and swelling about 2 weeks; higher risk of lid malposition. Rates and timings differ from the primary profile."},{"name":"Lower-lid blepharoplasty, transconjunctival (outside the primary numerical profile)","suits_whom":"Younger patients with fat bags and good skin tone.","recovery":"No external skin scar; swelling and bruising about 1-2 weeks. Rates and timings differ from the primary profile."},{"name":"Laser or CO2-assisted blepharoplasty or resurfacing (outside the primary numerical profile)","suits_whom":"Selected patients wanting reduced bleeding or concurrent skin resurfacing.","recovery":"Similar to conventional, with possible added redness from resurfacing. Rates and timings differ from the primary profile."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-29T09:38:52.083768+00:00"},"treatment_conditions":{"value":["outpatient"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T05:49:58.817655+00:00"},"treatment_duration_hours":{"value":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Operating time for bilateral upper-lid blepharoplasty alone, excluding preparation and observation. 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