{"meta":{"humanUrl":"https://es.bookimed.com/clinics/country=united-states/city=washington/procedure=melanoma-surgery/","canonicalUrl":"https://es.bookimed.com/clinics/country=united-states/city=washington/procedure=melanoma-surgery/","jsonUrl":"https://es.bookimed.com/clinics/country=united-states/city=washington/procedure=melanoma-surgery/data.json","title":"Cirugía de melanoma en Washington 2026: precios y las mejores clínicas","description":"Cirugía de melanoma en Washington: compare 1 clínica con opiniones verificadas y consulta gratuita.","heading":"Cirugía de melanoma en Washington: clínica verificada y sus precios","locale":"es","schemaVersion":"ClinicListingPageDataV1","snapshotId":"a0983aab-a1acac9c","contentVersion":"a0983aab","generatedAt":"2026-11-02T23:04:50.629Z"},"filters":{"country":"united-states","city":"washington","procedure":"melanoma-surgery","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Estados Unidos","url":"/clinics/country=united-states/"},{"name":"Washington","url":"/clinics/country=united-states/city=washington/"},{"name":"Cirugía de melanoma","url":"/clinics/country=united-states/procedure=melanoma-surgery/"}],"entities":[{"name":"Estados Unidos","alias":"united-states","type":"country","id":44},{"name":"Washington","alias":"washington","type":"city","id":1715},{"name":"Cirugía de melanoma","alias":"melanoma-surgery","type":"procedure","id":120}],"clinics":{"clinics":[{"text":"<p>Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.</p><p>Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.</p><p>The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9627,"alias":"davinci-plastic-surgery","name":"Davinci Plastic Surgery","short_description":"<p>Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.</p><p>Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.</p><p>The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.</p>","images":[{"base_url":"clinic/6ae2f5778654e","title":"Quirófano moderno en Davinci Plastic Surgery con luces quirúrgicas y equipo"},{"base_url":"clinic/6ae2f57918478","title":"Sala de recuperación con dos camas hospitalarias en Davinci Plastic Surgery"},{"base_url":"clinic/6ae2f57aa7990","title":"Quirófano moderno en Davinci Plastic Surgery con luces quirúrgicas y equipo"},{"base_url":"clinic/6ae2f57c500af","title":"Sala de consulta con sillón de examen en Davinci Plastic Surgery"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Estados Unidos","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Washington","id":1715,"alias":"washington"},"address":"3050 K St. NW Suite 170, Washington D.C., DC 20007, United States"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":78},"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":{"txt_procedure_3_clinics":{"text":"<p style=\"text-align:justify;\">La<strong>extirpación quirúrgica del melanoma</strong> es el principal <strong>tratamiento para el cáncer de piel en estadio inicial.</strong><a></a>.</p> En el melanoma en estadio 0 y estadio I, la extirpación del tumor primario puede ser el único procedimiento necesario para una recuperación completa.<p style=\"text-align:justify;\"> Los principales tipos de operaciones realizadas para el melanoma:</p><ul><li> extirpación amplia (escisión);</li><li> extirpación micrográfica (operación de Mohs).</li></ul><h2> Escisión amplia</h2><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> La escisión amplia (excisión) implica la extirpación de la formación junto con algo de tejido sano alrededor de los bordes. El tumor se extirpa con un bisturí bajo anestesia local, haciendo una hendidura de 0,5-2 cm. El tamaño del margen quirúrgico depende del grosor (germinación) del melanoma en la profundidad de la piel.</p><p style=\"text-align:justify;\"> Tras la eliminación de la formación, se aplica una sutura. </p><table class=\"block-green-frame\" style=\"width:100%;\"><tbody><tr><td width=\"90\"><p style=\"text-align:center;\"> <strong>Grosor de la formación</strong></p></td><td width=\"90\"><p style=\"text-align:center;\"> <strong>Margen quirúrgico</strong></p></td></tr><tr><td width=\"90\"><p style=\"text-align:center;\"> <a href=\"//ru.bookimed.com/article/stadii-melanomu/\">melanoma no invasivo</a></p></td><td width=\"90\"><p style=\"text-align:center;\"> 0,5 cm</p></td></tr><tr><td width=\"90\"><p style=\"text-align:center;\"> menos de 1 mm</p></td><td width=\"90\"><p style=\"text-align:center;\"> 1 cm</p></td></tr><tr><td width=\"90\"><p style=\"text-align:center;\"> de 2 a 4 mm</p></td><td width=\"90\"><p style=\"text-align:center;\"> 2 cm</p></td></tr><tr><td width=\"90\"><p style=\"text-align:center;\"> más de 4 mm</p></td><td width=\"90\"><p style=\"text-align:center;\"> 2 cm</p></td></tr></tbody></table><div class=\"info-block-wrapper\"> Un patólogo examina el tejido extirpado en busca de afectación tumoral. Si se encuentran células malignas en el tejido limítrofe, se realiza una irradiación para destruir la formación restante. También es obligatoria una biopsia de los ganglios centinelas.</div><p style=\"text-align:justify;\"><a></a> Si se encuentran células malignas en el ganglio centinela, se realiza una disección ganglionar ( <strong>linfadenectomía</strong> ) - extirpación de los ganglios linfáticos afectados.</p></div><h2> Operación de Mohs </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> <a href=\"//ru.bookimed.com/clinics/procedure=mikrohirurgicheskaya-operaciya-mosa/\">La operación de Mohs</a> consiste en la extirpación de la formación por etapas, por capas. Cada capa extirpada durante la operación se examina al microscopio para detectar células cancerosas. La siguiente capa se extirpa siempre que haya células tumorales en ella. Este método es <strong>suave</strong> y permite extirpar el tumor preservando al máximo la piel sana.</p> La cirugía de Mohs puede utilizarse para lesiones de la <strong>cara</strong>, donde una escisión amplia puede dejar un defecto estético no deseado.<a></a> Muchos médicos recomiendan la cirugía de Mohs sólo para los cánceres de piel no <strong>melanoma</strong>.<p style=\"text-align:justify;\"> En caso de lesiones en las extremidades y germinación profunda del tumor, puede procederse a la amputación. En un esfuerzo por preservar la mayor cantidad de tejido posible, los médicos también ofrecen como alternativas <a href=\"//ru.bookimed.com/article/metodu-lecheniya-melanomu/#melan_rad\">la radioterapia</a> y la <a href=\"//ru.bookimed.com/article/metodu-lecheniya-melanomu/#melan_himia\">quimioterapia</a> local (perfusión aislada de las extremidades).</p></div><h2> Extirpación del melanoma en diferentes estadios </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> En los estadios 0 y I, el principal método de tratamiento es una escisión amplia.</p><p style=\"text-align:justify;\"> En el estadio II, también se extirpa el tumor, pero es obligatorio realizar una biopsia del ganglio linfático centinela y, si está dañado, se practica una linfadenectomía.</p><p style=\"text-align:justify;\"> En el melanoma en estadio III, se realiza una escisión amplia, se extirpan los ganglios linfáticos en los que se encontraron células malignas y se administra terapia farmacológica.<a></a></p><p style=\"text-align:justify;\"> En el estadio IV (último), se procede a la extirpación del tumor primario siempre que sea posible. Para el tratamiento de las metástasis, la farmacoterapia y/o la radioterapia son obligatorias.</p></div><h2> Cuidados postoperatorios </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> Para acelerar la cicatrización de una herida postoperatoria, es necesario seguir estrictamente las recomendaciones de un especialista:</p><ul><li> mantener seca la zona de la escisión, protegiéndola con un vendaje estéril;</li><li> aplicar una pomada antibiótica sobre el vendaje, según prescripción médica;</li><li> evitar la actividad física intensa;</li><li> <strong>si experimenta algún síntoma desagradable, consulte a un médico.<a></a></strong></li></ul></div><h2> Efectos secundarios y complicaciones de la cirugía</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><ul><li> infección;</li><li> hemorragia;</li><li> defecto estético (cicatrización y cicatrización);</li><li> linfedema (al extirpar los ganglios linfáticos).</li></ul><p style=\"text-align:justify;\"> El <strong>linfedema</strong> es la hinchazón e inflamación de las extremidades causada por el estancamiento de la linfa durante la extirpación quirúrgica de los ganglios linfáticos.</p><p style=\"text-align:justify;\"> <strong>Los síntomas</strong> del linfedema son</p><ul><li> Hinchazón del brazo o la pierna del lado del ganglio linfático extirpado;</li><li> sensación de pesadez en las manos;</li><li> disminución de la flexibilidad de las extremidades.</li></ul><p> El linfedema puede desarrollarse inmediatamente después de la disección de los ganglios linfáticos y después de mucho tiempo. Vigile atentamente el estado de su cuerpo e informe al médico de cualquier cambio.</p></div>"},"guide_mc":{"text":"<p>Día 1 - Llegada</p><ul><li> Llegada a la clínica.</li><li> Instalarse en la cámara individual prevista.</li><li> Reunirse con asistencia lingüística si es necesario.</li></ul><p> Día 2 - Preoperatorio</p><ul><li> Consulta con dermatólogo y oncólogo.</li><li> Realizar pruebas médicas, incluidos análisis de sangre, biopsia.</li><li> Discuta los anestésicos y el plan quirúrgico con el anestesiólogo.</li></ul><p> Día 3 - Cirugía</p><ul><li> Someterse a una cirugía de melanoma, generalmente de 1 a 3 horas.</li><li> Se aplica anestesia local o general según el caso.</li><li> Posoperatorio, traslado a sala de recuperación para seguimiento.</li></ul><p> Día 4-7 - Postoperatorio</p><ul><li> Permanezca en la clínica para su recuperación y seguimiento.</li><li> Limpieza regular de heridas y cambios de vendajes.</li><li> Consulte con el médico para obtener instrucciones de cuidado postoperatorio.</li></ul><p> Semana 1-2 - Rehabilitación</p><ul><li> Consultas periódicas de seguimiento con el cirujano.</li><li> Comience la actividad física ligera según lo recomendado.</li><li> Reanudar el trabajo después de dos semanas, dependiendo de la recuperación.</li></ul><p> Semana 3-6 - Rehabilitación</p><ul><li> Aumente gradualmente las actividades físicas.</li><li> Regrese a los deportes después de cuatro a seis semanas.</li><li> Los resultados finales suelen ser visibles después de seis semanas.</li></ul><p> <i>Tenga en cuenta que estos plazos pueden variar según las tasas de recuperación individuales y la complejidad de la cirugía.</i></p>"}}},"relations":{"countries":[{"name":"Alemania","alias":"germany","iso_code":"DE"},{"name":"Azerbaiyán","alias":"azerbaijan","iso_code":"AZ"},{"name":"Brasil","alias":"brazil","iso_code":"BR"},{"name":"China","alias":"china","iso_code":"CN"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Corea del 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Longer for manual work, reconstruction, or leg, foot, joint sites; nodal surgery excluded."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Wound complications (infection, hematoma, dehiscence, delayed healing) after excision alone; higher on lower limb; serious ones rare."},"contraindications":["Unmanaged bleeding disorder or anticoagulation (relative)","Active infection at surgical site (usually deferred)","Severe comorbidity or frailty making surgery unsafe (relative)","Life expectancy too limited to benefit from excision"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient under local anesthesia. Extensive reconstruction or sentinel node biopsy may need a day-case or overnight stay; not included."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Simple closure; avoid wound-stretching strenuous activity until healing confirmed. Longer on trunk, back, joints, or after reconstruction."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for scar maturation after wide local excision; oncologic outcome is determined by pathology and surveillance, not by this timeframe."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After simple closure once suture removal and wound check are done; later after graft or flap."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Typically 7-14 days; longer over joints or on the lower limb."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Review of excision margin pathology and discussion of staging and further management."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"First surveillance skin and lymph node examination; subsequent schedule depends on stage."}}],"indications":["Biopsy-proven primary melanoma needing wide excision with Breslow-based margins","Re-excision after diagnostic excisional biopsy with positive or inadequate margins"],"main_risks":["Bleeding or hematoma","Wound infection","Wound dehiscence or delayed healing, especially on the lower limb","Visible, widened or hypertrophic scar","Numbness or sensory nerve injury","Incomplete excision requiring re-excision"],"pain":"Local anesthetic injection causes brief stinging; afterwards mild to moderate soreness for a few days, usually managed with simple analgesics.","preparation":["Review of biopsy pathology and clinical staging as indicated","Marking of the biopsy scar and planned excision margins","Medical history review including bleeding tendency and allergies","Perioperative medication instructions given by the surgical team","Arrange wound care; companion if walking or driving affected"],"recovery_timeline":[{"phase":"Day 0-3","description":"Dressing in place; mild pain and swelling. Rest and elevate the area if on a limb.","restrictions":["Keep dressing dry","Avoid strenuous activity and stretching the wound"]},{"phase":"Days 7-14","description":"Suture removal or wound check; pathology review of margins.","restrictions":["Avoid heavy lifting or strain on the wound until cleared"]},{"phase":"Weeks 2-4","description":"Wound healing; gradual return to normal activity and exercise.","restrictions":["Avoid vigorous activity involving the area until healed"]},{"phase":"Months 3-12","description":"Scar maturation with sun protection and ongoing skin surveillance.","restrictions":["Protect scar from sun exposure"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Functional recovery after simple-closure excision; longer after graft, flap or lower-limb surgery. Nodal surgery excluded."},"result_longevity":"The excision scar is permanent once matured. Cure depends on tumor stage, not time; lifelong skin surveillance is advised because of recurrence and new melanoma risk.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Re-excision for positive margins or later scar revision, or return to theatre for wound complications."},"scars":"Linear scar from elliptical excision, about three times as long as wide; size depends on tumor thickness and margin. Grafts or flaps leave larger scars. Scars mature over 6-12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single excision visit; follow-up not counted. Sentinel node biopsy is additional, outside base scope."},"stages":[{"code":"wide_local_excision","label":"Wide local excision of the primary melanoma site with closure","after":{"min":14,"max":56,"unit":"days","qualifier":"Usually 2-8 weeks after diagnostic biopsy."}}],"qualifier":"Excision-only base protocol; reconstruction and nodal surgery are not included."},"success":{"metric":"Local recurrence-free after wide local excision","value":97,"unit":"percent","horizon":"5 years","population":"Adults with primary localized cutaneous melanoma (in situ or thin to intermediate thickness)","evidence_status":"limited"},"techniques":[{"name":"Wide local excision with primary closure","suits_whom":"Most primary melanomas, with margins set by Breslow thickness (generally 0.5-2 cm).","recovery":"Sutures removed in about 1-2 weeks; return to light activity in days."},{"name":"Wide local excision with skin graft or local flap reconstruction","suits_whom":"Larger defects or sites (face, acral, lower limb) where direct closure is not feasible.","recovery":"Longer healing and activity restriction; may require a longer stay."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Primary closure under local anesthesia. Sentinel biopsy, reconstruction and nodal surgery excluded and take longer."},"initial_assessment_documents":["Biopsy histopathology report with Breslow thickness","Dermoscopy or clinical photos of the lesion site","Pathology slides or digital slide scan (if available)","Ultrasound or CT reports (if available)","Previous skin cancer or melanoma treatment records"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single excision; stay 10-14 days covers suture removal and margin pathology review. Second trip only for surveillance or further staging."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/city=washington/procedure=hirurgiya-melanomu/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":53,"alias":"melanoma","name":"Melanoma"}],"rendersOffersList":false}