{"meta":{"humanUrl":"https://es.bookimed.com/clinics/country=colombia/procedure=reconstructive-breast-surgery/best/page=2/","canonicalUrl":"https://es.bookimed.com/clinics/country=colombia/procedure=reconstructive-breast-surgery/best/page=2/","jsonUrl":"https://es.bookimed.com/clinics/country=colombia/procedure=reconstructive-breast-surgery/best/page=2/data.json","title":"Best clinics for Cirugía de reconstrucción mamaria in Colombia — Ratings & Reviews | Bookimed","description":"12 top-rated clinics for Cirugía de reconstrucción mamaria in Colombia. 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The practice focuses on facial, breast, and body surgery. It also offers reconstructive procedures and hair restoration. Services run at the El Tesoro Medical Tower. A second consultation site serves patients in Rionegro.</p><p>Dr. Londoño has over 20 years of experience. He has treated more than 1,000 patients. The surgeon personally performs all operations in specialized surgical rooms. He is board-certified by the University of Antioquia. His team uses a structured evaluation to plan each case.</p><p>Dr. Londoño is a member of the American Society of Plastic Surgeons. He also belongs to the Colombian Society of Plastic Surgery. The clinic uses laser lipolysis for minimally invasive body contouring. A dedicated program supports international patients with multilingual care.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9388,"alias":"dr-juan-david-londono","name":"Dr. Juan David Londoño","short_description":"<p>Dr. Juan David Londoño is a plastic surgery clinic in Medellín, Colombia. The practice focuses on facial, breast, and body surgery. It also offers reconstructive procedures and hair restoration. Services run at the El Tesoro Medical Tower. A second consultation site serves patients in Rionegro.</p><p>Dr. Londoño has over 20 years of experience. He has treated more than 1,000 patients. The surgeon personally performs all operations in specialized surgical rooms. He is board-certified by the University of Antioquia. His team uses a structured evaluation to plan each case.</p><p>Dr. Londoño is a member of the American Society of Plastic Surgeons. He also belongs to the Colombian Society of Plastic Surgery. The clinic uses laser lipolysis for minimally invasive body contouring. A dedicated program supports international patients with multilingual care.</p>","images":[{"base_url":"clinic/6ae20ef2303d1","title":"Área de recepción en la clínica del Dr. Juan David Londoño con decoración moderna"},{"base_url":"clinic/6ae20ef3af3d2","title":"Consultorio en la clínica Dr. Juan David Londoño con mobiliario moderno"},{"base_url":"clinic/6ae20ef535a69","title":"Sala de tratamiento con sillón médico en la clínica Dr. Juan David Londoño, Medellín"},{"base_url":"clinic/6ae20ef6acfae","title":"Logotipo y sala de espera en la clínica de cirugía plástica Dr. Juan David Londoño"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Colombia","id":204,"alias":"colombia","iso_code":"CO"},"city":{"name":"Medellín","id":2522,"alias":"medellin"},"address":"Carrera 25A # 1A Sur - 45, Medellín, Colombia"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Sociedad Americana de Cirujanos Plásticos","country_code":"US"}]}},{"text":"<p>Radiance Plastic Surgery is a private center in Medellín, Colombia. It focuses on plastic surgery and aesthetic medicine. The facility includes a dedicated Hair Restoration Institute. A key differentiator is the Radiance Healing Center. This unit supports recovery in a five-star hotel atmosphere. The clinic uses hyperbaric oxygen chambers to speed up skin regeneration.</p><p>The team specializes in facelifts, rhinoplasty, and breast surgery. They also offer body contouring through 360 liposuction and tummy tucks. Advanced skin analysis is done with the VISO Pro-A system. This tool measures hidden spots and collagen levels for personalized planning. For non-surgical rejuvenation, the clinic uses Morpheus 8 and INDIBA technologies. Radiance has more than 250 five-star reviews on Google.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9435,"alias":"radiance-plastic-surgery","name":"Radiance Plastic Surgery","short_description":"<p>Radiance Plastic Surgery is a private center in Medellín, Colombia. 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physical or heavy-lifting jobs take longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Significant early flap or donor-site complications within about 3 months after unilateral DIEP; varies with risk factors."},"contraindications":["Unfit for prolonged general anesthesia (severe uncontrolled disease)","Active infection at chest, abdominal donor site, or systemic","Current smoking or nicotine use (usually relative)","Insufficient abdominal tissue or damaged epigastric vessels (relative)","Very high BMI or poorly controlled diabetes (relative)","Prior thrombosis or clotting disorder without hematology planning (relative)","Pregnancy","Advanced or inflammatory cancer; reconstruction may be deferred (relative)","Inability to tolerate flap monitoring, or unrealistic expectations (relative)"],"days_in_clinic":{"min":3,"max":6,"unit":"nights","qualifier":"Uncomplicated unilateral DIEP with flap monitoring, drains and early mobilization. Complications or return to theater lengthen the stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous exercise, core loading and heavy lifting after surgeon clearance and stable healing; walking starts within days."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the breast softens; scars mature longer. Optional refinements extend this."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Once discharged, mobile, drains removed or managed, no flap concerns and team clears travel; take VTE precautions."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"After Hospital discharge: First outpatient wound and flap check; drains reviewed if still in place."}},{"purpose":"other","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"After DIEP flap surgery: Drain removal review once output criteria are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After DIEP flap surgery: Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"After DIEP flap surgery: Result review and discussion of optional refinement."}}],"indications":["Breast absence after mastectomy for breast cancer, immediate or delayed","Breast deformity after lumpectomy or radiotherapy","Risk-reducing mastectomy in high-risk patients (e.g., BRCA mutation)","Prior or planned radiotherapy, where implants are less suitable","Wish to avoid an implant, with enough abdominal tissue"],"main_risks":["Flap thrombosis or vascular compromise; flap loss uncommon (about 1–3%)","Fat necrosis or partial flap necrosis","Hematoma, seroma, infection, or delayed healing","Abdominal wall weakness, bulge, hernia, or numbness","Mastectomy skin necrosis and altered breast sensation","Asymmetry or contour irregularity needing revision","Venous thromboembolism and anesthesia complications","Long surgery, blood loss, and transfusion"],"pain":"Moderate to significant pain in the first days, mainly at the abdominal donor site, controlled with multimodal analgesia. Discomfort and tightness usually ease over several weeks. Numbness or altered sensation may persist.","preparation":["Oncologic and plastic surgery planning, including timing","Medical assessment, blood tests, and anesthesia review","CT or MR angiography to map abdominal perforators","Stop smoking and nicotine for weeks before and after","Review medications and supplements, including blood thinners","Fasting before general anesthesia","Pre-operative marking and photographs","Arrange home help and nearby lodging after discharge"],"recovery_timeline":[{"phase":"Hospital stay (about 3-6 nights)","description":"Flap monitoring, drain care, pain control, VTE prevention, and early mobilization with sitting and short walks.","restrictions":["No driving","Avoid pressure or tension on flap and abdomen","Nicotine avoidance continues"]},{"phase":"Weeks 1-6","description":"Home recovery with drains managed until removal, gradual walking, and a flexed-hip posture easing as the abdomen heals.","restrictions":["No heavy lifting","No strenuous or core exercise","Wear supportive garments"]},{"phase":"Weeks 6-12","description":"Ordinary function and desk work fully resume; physical work and exercise return stepwise after clearance.","restrictions":["Heavy lifting and high-impact sport only after surgeon clearance"]},{"phase":"Months 6-12","description":"Swelling resolves, the breast softens, and scars mature; optional refinement can be planned.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for flap color change or coolness, sudden swelling, fever, wound discharge, chest pain, breathlessness, calf swelling, or severe abdominal pain.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary daily function returns after uncomplicated unilateral DIEP; slower with complications or adjuvant therapy."},"result_longevity":"The reconstructed breast is made of the patient's own tissue and is generally long-lasting, changing with weight and aging. 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Small drain marks; scars mature over 12 months or longer.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One primary DIEP free-flap operation with a single hospital admission."},"stages":[{"code":"planning_imaging","label":"Surgical planning and perforator imaging","after":{"min":0,"max":30,"unit":"days","qualifier":"After First consultation: Planning and imaging are scheduled before surgery, counted from the first consultation; timing depends on cancer treatment."}},{"code":"inpatient_monitoring","label":"Inpatient flap monitoring, drain care, and mobilization","after":{"min":0,"max":6,"unit":"days","qualifier":"After DIEP flap surgery: Uncomplicated stay; flap checks continue until discharge."}},{"code":"optional_refinement","label":"Optional contour or nipple-areola refinement","after":{"min":90,"max":180,"unit":"days","qualifier":"After DIEP flap surgery: Conditional, not mandatory; timing depends on healing, swelling, and any adjuvant therapy."}}],"qualifier":"Primary numbers cover only the single DIEP operation. Later refinements are optional, and implant-based reconstruction is outside this profile."},"success":{"metric":"Early flap survival without total flap loss","value":97,"unit":"percent","horizon":"During the initial hospital stay and first weeks","population":"Adults after unilateral DIEP free-flap breast reconstruction in specialist microsurgical centers","evidence_status":"limited"},"techniques":[{"name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","suits_whom":"Patients with enough lower abdominal tissue and suitable perforator vessels who want autologous reconstruction after mastectomy.","recovery":"Several inpatient nights with flap monitoring; ordinary functional recovery takes several weeks."},{"name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","suits_whom":"Patients with adequate skin envelope who prefer a shorter operation or no donor site.","recovery":"Shorter initial stay; may need expansion visits and later implant exchange."},{"name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","suits_whom":"Patients unsuitable for DIEP because of insufficient abdominal tissue or vessel anatomy.","recovery":"Varies by flap and donor site."},{"name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","suits_whom":"Patients who have healed after breast mound reconstruction and want nipple restoration or symmetry adjustment.","recovery":"Usually short procedures, often day-case; recovery is shorter than for the primary operation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operating time for uncomplicated unilateral DIEP with microvascular anastomosis; longer if combined with mastectomy or complicated by vessel problems."},"initial_assessment_documents":["Front, side and back photos of torso","Mastectomy operative and pathology reports","Oncology treatment summary with radiotherapy dates","Height, weight and BMI","Abdominal CT or MR angiography (if available)","Previous abdominal surgery history and scars"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single DIEP operation; about 2-3 weeks total for stay, drains and travel clearance. Follow-ups can be done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/procedure=vosstanovitelnaya-hirurgiya-grudi/page=2/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquía","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":2},"manualSeo":[],"updatedAt":"2026-10-29T14:05:13.000Z","activeCountries":["CO","ES","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}