Volodymyr Sazhiyenko provides plastic surgery in Kyiv and Odesa with a practice that spans aesthetic surgery, plastic surgery after significant weight loss, reconstructive plastic surgery, oncoplastic surgery, and regenerative plastic surgery. In reconstructive breast care, the clinic uses multiple approaches to restore form after breast tissue loss or damage, including breast reconstruction using flaps explicitly named as “TDL, TRAM локальні клапті.” The same breast reconstruction pathway also includes tissue expansion of the breast area using an “inner tissue expander.” Breast reconstruction may be complemented with lipofilling and with nipple and areola reconstruction. For scar management, the clinic describes scar camouflage and restoring nipple and areola pigment using medical tattooing. The broader service set includes lipofilling as an autologous fat transfer approach for breast and face contour and rejuvenation goals. In addition to aesthetic outcomes, the clinic’s reconstructions are designed to restore normal anatomy and function in complex clinical scenarios. For gynecomastia surgery, the clinic outlines a comprehensive pre-op examination panel that includes general blood and urine tests, biochemistry, a coagulogram, a hormone profile (testosterone, estrogen, prolactin), breast ultrasound, and consultations with a therapist and an anesthesiologist to support safe anesthesia planning. For international patients, the clinic’s content indicates support through a dedicated plastic surgeon profile and detailed patient-prep workflows across multiple services. The practice is led by Volodymyr Sazhiyenko, who is certified in three specialties: plastic reconstructive and aesthetic surgery, surgical oncology, and general surgery. The clinic also lists service combinations that reflect real-life surgical planning, including adding PRP therapy for vaginal indications alongside other intimate procedures. Post-operative follow-up is personally managed by the doctor, with aftercare described for procedures such as endoscopic lifting and labiaplasty, including scheduled dressing changes and medication guidance. The clinic also emphasizes long-term reconstruction planning for breast implants, including what happens when an implant shell is ruptured and the possibility of replacing implants and performing mastopexy with lipofilling. Overall, the clinic’s reconstruction approach is built around clearly described techniques and structured pre- and post-operative care, led by a doctor with multi-specialty certification and training abroad.