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Ahorré muchísimo dinero.","userName":"Dmitrii","user_name":"Dmitrii","preview":"https://i.vimeocdn.com/video/1946681311-7931e204080192bf6f0e15c5880d649b39f108250f0e2a3c68b75e38b391dabc-d?mw=500&mh=886&q=70","updated_at":"2025-03-07T08:09:41.145+00:00","clinicName":"Clínica Adem & Havva","clinic":{"name":"Clínica Adem & Havva","alias":"adameve-medical-center"},"clinicUrl":"/clinic/adameve-medical-center/","relations":{"operations":[{"name":"Trasplante de barba","alias":"beard-transplantation"},{"name":"Trasplante de bigote","alias":"moustache-transplantation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-05T22:40:09.238Z","activeCountries":["CO","ES","US","MX","TH"],"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery","name_forms":{"base_form":"Cirugía plástica","form_4":"cirujano plástico","form_6":"cirujanos plásticos","form_11":"cirujanos","form_12":"cirujanos plásticos"}},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":28,"unit":"days","qualifier":"Desk work earlier; physical work later; depends on extent of combined procedures and healing."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 90 days (seroma, infection, wound problems, asymmetry); serious ones under 3%"},"contraindications":["Unstable cardiac or pulmonary disease making anesthesia unsafe","Active infection in the operative area","Uncontrolled medical or psychiatric conditions impairing consent or recovery","Current smoking or nicotine use until cessation is confirmed"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Inpatient stay for monitoring after combined breast and body contouring surgery; drains often placed."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous and lower-body exercise later, depending on fat grafting and implant use."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves gradually; fat graft retention and implant settling determine final contour."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After drain removal and first check, depending on surgeon clearance and thrombosis risk."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":3,"max":7,"unit":"days","qualifier":"First dressing and drain check before leaving the destination."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Drain removal and suture check if non-absorbable sutures used."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Remote or in-person review of contour, scars and symmetry."},"requirement":"routine"}],"indications":["Gender dysphoria about body or chest shape despite hormone therapy","Insufficient breast volume after hormone therapy","Insufficient hip and buttock contour after hormone therapy"],"main_risks":["Bleeding, hematoma, infection and delayed wound healing","Anesthesia-related and thromboembolic complications, especially with long or combined operations","Asymmetry, contour irregularities and need for revision","Capsular contracture or implant displacement when implants are used","Fat necrosis or partial graft loss with fat grafting","Visible scarring and altered sensation","Fat embolism (rare, especially with buttock fat grafting)"],"pain":"Moderate soreness and tightness for the first 1-2 weeks, controlled with oral analgesics. 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Results change with weight and aging.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Secondary surgery for implant, contour or asymmetry issues within 5 years"},"scars":"Scars at breast incisions (inframammary or periareolar) and tiny liposuction or graft entry points. They fade over 6-12 months to fine pale lines.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single combined operation under one anesthesia; revisions occasionally needed."},"stages":[{"code":"combined_surgery","label":"Breast augmentation with body contouring","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in one operation."}}],"qualifier":"Usual protocol is single-stage combined surgery."},"success":{"metric":"Patient satisfaction with feminine body contour","value":90,"unit":"percent satisfied","horizon":"6-12 months","population":"Adult transgender women after breast augmentation with body contouring","evidence_status":"limited"},"techniques":[{"name":"Breast augmentation with implants","suits_whom":"Patients wanting larger breast volume with limited body fat","recovery":"Soreness 1-2 weeks; light activity after 2 weeks."},{"name":"Fat grafting to hips and buttocks","suits_whom":"Patients with sufficient donor fat for liposuction","recovery":"Avoid sitting pressure 2-3 weeks; compression garment 4-6 weeks."},{"name":"Liposuction waist contouring","suits_whom":"Patients seeking a narrower waist and hip-to-waist ratio","recovery":"Compression garment 4-6 weeks; swelling settles over months."},{"name":"Gluteal implants","suits_whom":"Patients with little donor fat wanting buttock projection","recovery":"Longer sitting restriction of 3-4 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Longer with more combined components, such as augmentation, liposuction and fat grafting."},"initial_assessment_documents":["Front, side and back full-body photos","Hormone therapy history and recent hormone levels","Recent blood test results","Previous breast or body surgery records (if available)","Gender-affirming care support letter (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Usually single-stage combined surgery, e.g., breast augmentation and body contouring; stay about 10-14 days for drain removal and follow-up."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/procedure=feminizaciya-tela/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}