Dr. Alexandrish Karvendrish runs a private aesthetic and reconstructive plastic surgery practice. It is located in Santo Domingo, Dominican Republic. The clinic focuses on facial rejuvenation, breast surgery, and body contouring. Dr. Karvendrish is a member of the American Society of Plastic Surgeons. She also belongs to the Ibero-Latin American Federation of Plastic Surgery.
The practice uses the advanced InMode IGNITE RF radiofrequency platform. This system combines Morpheus8, FaceTite, and BodyTite for skin tightening. The surgical team performs blepharoplasty, rhinoplasty, and mommy makeovers. They also offer Brazilian butt lifts using the patient's own fat cells. Many international clients come from the USA.
","text_type":"short_description","reviews":[],"clinic":{"id":9474,"alias":"dr-alexandrish-karvendrish","name":"Dr. Alexandrish Karvendrish","short_description":"Dr. Alexandrish Karvendrish runs a private aesthetic and reconstructive plastic surgery practice. It is located in Santo Domingo, Dominican Republic. The clinic focuses on facial rejuvenation, breast surgery, and body contouring. Dr. Karvendrish is a member of the American Society of Plastic Surgeons. She also belongs to the Ibero-Latin American Federation of Plastic Surgery.
The practice uses the advanced InMode IGNITE RF radiofrequency platform. This system combines Morpheus8, FaceTite, and BodyTite for skin tightening. The surgical team performs blepharoplasty, rhinoplasty, and mommy makeovers. They also offer Brazilian butt lifts using the patient's own fat cells. Many international clients come from the USA.
","images":[{"base_url":"clinic/6ae2761315aa9","title":"Miembro del personal de la clínica Dr. Alexandrish Karvendrish en sala de consulta moderna"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"República Dominicana","id":185,"alias":"dominican-republic","iso_code":"DO"},"city":{"name":"Santo Domingo","id":2524,"alias":"santo-domingo"},"address":"Santo Domingo, Dominican Republic"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"Sociedad Americana de Cirujanos Plásticos","country_code":"US"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":90},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"Día 1:
Dia 2:
Día 3:
Día 4:
Día 5 a Día 10:
Semana 2:
Semana 3 a Semana 6:
Semana 7:
Semana 12:
Tenga en cuenta que el proceso de recuperación de cada paciente puede variar según el estado de salud individual y la complejidad de la cirugía.
"}}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Corea del Sur","alias":"republic-of-korea","iso_code":"KR"},{"name":"Emiratos Árabes Unidos","alias":"united-arab-emirates","iso_code":"AE"},{"name":"España","alias":"spain","iso_code":"ES"},{"name":"India","alias":"india","iso_code":"IN"},{"name":"Israel","alias":"israel","iso_code":"IL"},{"name":"Italia","alias":"italy","iso_code":"IT"},{"name":"México","alias":"mexico","iso_code":"MX"},{"name":"República Dominicana","alias":"dominican-republic","iso_code":"DO"},{"name":"Tailandia","alias":"thailand","iso_code":"TH"},{"name":"Turquía","alias":"turkey","iso_code":"TR"}],"cities":[{"name":"Santo Domingo","alias":"santo-domingo"}],"operations":[{"name":"Reparación de aneurisma cerebral","alias":"brain-aneurysm-repair"}]},"popularSearches":[{"name":"Cirugía de hernia discal","alias":"removal-of-herniated-disc-discectomy-and-cage-fusion","type":"operation","id":538},{"name":"Cirugía de estimulación cerebral profunda (DBS)","alias":"deep-brain-stimulation","type":"operation","id":146},{"name":"CyberKnife","alias":"cyberknife","type":"operation","id":110},{"name":"Gamma Knife","alias":"gamma-knife","type":"operation","id":112},{"name":"Extirpación de tumores cerebrales","alias":"removal-of-the-brain-tumor","type":"operation","id":101},{"name":"Ultrasonido","alias":"u.s.","type":"diagnostic","id":37},{"name":"Resonancia magnética de un área","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Consulta con un neurólogo","alias":"consultation-neurologist","type":"diagnostic","id":130},{"name":"Consulta con creación de plan de tratamiento","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Consulta con un neurocirujano","alias":"consultation-neurosurgeon","type":"diagnostic","id":42}],"operationPrices":{"operation_prices":{"900":{"operation":{"name":"Reparación de aneurisma cerebral","alias":"brain-aneurysm-repair","use_for_listing":true},"country_price":{"TR":{"amount":14500,"max_amount":38200,"currency":"USD","clinic_count":11,"price_kind":"from_range","price_source":"mixed","scope":"country"},"MX":{"amount":18000,"max_amount":30000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":12000,"max_amount":18000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":20000,"max_amount":33000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"MX":false,"TH":false,"ES":true}}}},"videoReviews":[{"id":"f294c547-c026-4625-97c0-0fa54e397efe","link":"https://player.vimeo.com/video/1096278202?badge=0&autopause=0&player_id=0&app_id=58479","description":"Definitivamente es un proceso largo, ¡pero estoy emocionado/a de ver cómo aparecen los resultados!","userName":"Elissa","user_name":"Elissa","preview":"https://i.vimeocdn.com/video/2030306975-cc21de7cf319a314f716eee0537340f1b56a6b419fc965a2cbc32517bd968856-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:25:33.219+00:00","clinicName":"Hospital Lokman Hekim de Estambul (Lokman Hekim Istanbul Hospital)","clinic":{"name":"Hospital Lokman Hekim de Estambul (Lokman Hekim Istanbul Hospital)","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Rinoplastia","alias":"rhinoplasty-nose-job"},{"name":"Rinoplastia de la punta nasal","alias":"tip-rhinoplasty"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-11-03T00:40:09.446Z","activeCountries":["DO","ES","TR","MX","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":7,"days_in_country":14,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":21657}},"direction":{"id":2,"name":"Neurocirugía","alias":"neurosurgery","name_forms":{"base_form":"Neurocirugía","form_4":"neurocirujano","form_6":"neurocirujanos","form_11":"neurocirujanos"}},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":84,"unit":"days","qualifier":"Unruptured aneurysm clipping via craniotomy; desk work resumes in 4-12 weeks. Ruptured aneurysms take much longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any neurological or surgical complication after elective clipping of unruptured aneurysm; permanent deficit is a smaller share."},"contraindications":["Severe comorbidity precluding anesthesia or craniotomy (relative)","Uncorrected coagulopathy or inability to stop anticoagulant/antiplatelet therapy safely (relative)","Very small incidental aneurysm; observation preferred (relative)","Active systemic infection (relative, postpone elective repair)","Pregnancy for elective repair (relative; timing is individualized)"],"days_in_clinic":{"min":3,"max":7,"unit":"nights","qualifier":"Elective unruptured aneurysm clipping, including monitored postoperative care; ruptured cases need much longer stays."},"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":"Light walking early; strenuous exercise and heavy lifting after surgeon clearance following craniotomy."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to near-full recovery after elective clipping; imaging confirms aneurysm occlusion earlier or at follow-up."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After elective craniotomy clipping, counted from surgery; depends on neurosurgeon clearance, neurological status and absence of complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture or staple removal after craniotomy, counted from surgery."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Neurosurgical review of recovery, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Vascular imaging (CTA or MRA) confirms occlusion; first scan usually 3-12 months after surgery."}}],"indications":["Ruptured intracranial aneurysm causing subarachnoid hemorrhage","Unruptured aneurysm at high rupture risk (size, growth, shape)","Symptomatic aneurysm causing mass effect or cranial nerve palsy","Aneurysm anatomy not suitable for endovascular treatment"],"main_risks":["Stroke or ischemia from vessel occlusion","Intraoperative aneurysm rupture and bleeding","Neurological deficit, including weakness, speech or cognitive problems","Seizures","Infection or meningitis","Postoperative hematoma or brain swelling","Hydrocephalus","Incomplete aneurysm occlusion or later regrowth","Anesthesia-related complications","Death (rare in elective cases, higher in ruptured aneurysms)"],"pain":"Moderate headache and incision/jaw pain after craniotomy for several days to weeks, usually controlled with oral analgesics; temporal muscle chewing discomfort is common.","preparation":["CT/MR angiography, sometimes catheter angiography, for treatment planning","Preoperative blood tests, cardiac and anesthesia assessment","Review of current medications with the surgical team","Fasting before general anesthesia","Stop smoking and manage blood pressure","Informed consent discussing clipping versus endovascular options"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Monitored neurological care initially, then mobilization, with analgesia and swelling control.","restrictions":["No driving","Avoid straining"]},{"phase":"Early home recovery (weeks 1-6)","description":"Fatigue, headache and incision tenderness gradually improve; desk work possible from about week 4; wound check and staple removal.","restrictions":["No heavy lifting","No driving until cleared"]},{"phase":"Return to activity (weeks 6-12)","description":"Gradual return to work and light exercise; strenuous exercise after surgeon clearance.","restrictions":["Avoid strenuous exercise until cleared"]},{"phase":"Late recovery (months 3-6)","description":"Residual fatigue or cognitive complaints settle; imaging follow-up of the aneurysm repair.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after elective clipping; physiotherapy or cognitive rehabilitation is needed only if there is a deficit."},"result_longevity":"Complete clip occlusion is generally durable, but residual neck or regrowth can occur, so surveillance imaging is individualized.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Retreatment for residual neck or aneurysm regrowth after clipping over several years; higher for large aneurysms."},"scars":"Curved or linear scalp incision from craniotomy (often pterional or minipterional), usually mostly hidden within hair; a small area of hair may be shaved.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation for an elective unruptured aneurysm treated by microsurgical clipping."},"stages":[{"code":"clipping_surgery","label":"Craniotomy and microsurgical clip placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Single operation on day of surgery."}}],"qualifier":"Scope is a single microsurgical clipping; endovascular repair is a separate pathway."},"success":{"metric":"Complete or near-complete aneurysm occlusion on follow-up imaging","value":90,"unit":"percent of patients","horizon":"At follow-up imaging, 6-12 months","population":"Adults with unruptured aneurysm treated by elective microsurgical clipping","evidence_status":"limited"},"techniques":[{"name":"Microsurgical clipping via craniotomy","suits_whom":"Accessible aneurysms, especially in younger patients, those with wide necks or branching vessels, or when endovascular treatment is unsuitable.","recovery":"Hospital stay about 3-7 nights in elective cases; return to activity over weeks to months."},{"name":"Endovascular coiling (with or without stent/balloon assistance)","suits_whom":"Many ruptured and unruptured aneurysms with suitable anatomy, and patients less fit for craniotomy.","recovery":"Usually shorter hospital stay and faster recovery than clipping; occasionally needs repeat imaging and retreatment."},{"name":"Flow diversion","suits_whom":"Selected wide-necked, large or fusiform unruptured aneurysms.","recovery":"Requires antiplatelet therapy and delayed occlusion monitoring."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for one elective microsurgical clipping; anesthesia and positioning extend total theatre time."},"initial_assessment_documents":["Brain MRI and MRA reports and images","CT angiography or cerebral angiogram (DSA) images","Neurosurgery or neurology report on the aneurysm","Discharge summary if aneurysm ruptured","List of blood thinners and antiplatelets"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single clipping operation; stay 7-10 days including flight clearance. Imaging follow-up at 3-12 months usually done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=hirurgia-anevrizmy-golovnogo-mozga/"}],"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turquía","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}