Dr. Fabiano Arruda has performed 4,000+ surgeries, specializing in natural results for breast and body contouring. The clinic uses Crisalix 3D simulation. This helps visualize the new breast shape and volume before the procedure starts. Dr. Arruda holds a PhD and completed international training at Jackson Memorial Hospital in Miami. He is a member of both the American Society of Plastic Surgeons and the Brazilian Society of Plastic Surgery. The clinic offers personalized mastopexy with or without silicone implants.
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For nasal procedures, the team uses the Piezotomo device for ultrasonic bone work. It shapes bone with micro-vibrations. For facial aging, surgeons perform the Deep Plane Facelift. This method works on deeper support layers, not skin traction alone. The body surgery department offers HD liposuction and abdominoplasty.
Post-liposuction care includes Renuvion and Argoplasma to help tissue contraction. International patients get structured pre- and post-op instructions. Breast surgery and gluteoplasty with fat transfer are also common requests.
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"},"649":{"operation":{"name":"Breast reduction","alias":"breast-reduction","use_for_listing":true},"country_price":{"US":{"amount":6000,"max_amount":14000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":2100,"max_amount":3700,"currency":"USD","clinic_count":70,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":2900,"max_amount":4400,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4700,"max_amount":6200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"TH":true,"BR":true},"description":"The operation reduces large breasts, enhancing comfort and body proportions. It involves removing excess tissue and reshaping.
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"},"897":{"operation":{"name":"Breast Lift with Implants - Round","alias":"breast-lift-with-implants-round","use_for_listing":true},"country_price":{"US":{"amount":9500,"max_amount":16500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":43,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":3200,"max_amount":5000,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4000,"max_amount":7800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"BR":true},"description":"The procedure lifts sagging breasts, enhancing shape and size with round implants.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work without heavy lifting; most return in 1-2 weeks. Longer with wound problems or physical jobs."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Major early complications: hematoma, infection, wound dehiscence, necrosis, implant exposure. Minor events excluded."},"contraindications":["Pregnancy or breastfeeding","Active breast infection or untreated breast cancer","Uncontrolled systemic disease (e.g., diabetes, hypertension)","Smoking or nicotine use, increasing necrosis risk","Untreated body dysmorphic disorder","Bleeding or clotting disorders"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge or one overnight stay for observation"},"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 upper-body exercise after about 6 weeks"},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Implants settle and swelling resolves; scars continue maturing up to 12 months"},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Short flights usually fine after week-1 check if no hematoma; long-haul about 2 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, dressing change"}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"If non-absorbable sutures were used"}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"Check of healing and implant position"}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of final shape and scars"}}],"indications":["Breast ptosis with volume loss or small breasts","Post-pregnancy or post-weight-loss breast deflation with excess skin","Nipple descent with loss of upper-pole fullness"],"main_risks":["Bleeding or hematoma","Infection","Poor wound healing or wider scars","Nipple or skin necrosis and altered nipple sensation","Capsular contracture","Implant malposition, rotation or rupture","Asymmetry","Need for revision surgery","Anesthesia risks and venous thromboembolism"],"pain":"Moderate pain and tightness for the first several days, controlled with oral analgesics; mostly settled by 1-2 weeks.","preparation":["Preoperative consultation with sizing and implant selection","Medical history review and routine blood tests","Mammography or breast imaging when age-appropriate","Quit smoking and nicotine for weeks before and after surgery","Fasting before general anesthesia","Arrange transport and help at home for the first days","Purchase a surgical support bra"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest with dressings and support bra; swelling, bruising and tightness; possible drains.","restrictions":["No driving","Avoid lifting arms overhead","Sleep on the back, elevated"]},{"phase":"Weeks 1-2","description":"Pain subsides; return to light daily activity and desk work; first checks.","restrictions":["No lifting over a few kilograms","Wear support bra continuously","No sun on scars"]},{"phase":"Weeks 3-6","description":"Swelling decreases; gradual return to normal activity; implants begin to settle.","restrictions":["No strenuous upper-body exercise until cleared","Avoid underwire bras until cleared"]},{"phase":"Months 3-6","description":"Implants drop and settle, final shape emerges; scars mature.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; full activity takes longer"},"result_longevity":"Implants are not lifetime devices and may need replacement or revision over time; breast lift results gradually soften with ageing, weight change and pregnancy.","revision_rate_pct":{"min":4,"max":11,"unit":"percent","qualifier":"Reoperation after primary augmentation-mastopexy, mainly within 1-2 years."},"scars":"Lift scars around the areola, often with a vertical line to the breast fold, and sometimes along the fold (anchor), depending on the degree of ptosis; fade over 12 months but remain permanent.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically a single combined operation; some surgeons stage it in two operations for severe ptosis"},"stages":[{"code":"combined_surgery","label":"Breast lift with implant placement in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery"}}],"qualifier":"Standard one-stage protocol"},"success":{"metric":"Patient satisfaction with breast shape and size","value":90,"unit":"percent satisfied","horizon":"1-2 years after surgery","population":"Adult women with mild to moderate ptosis and volume loss, primary augmentation-mastopexy","evidence_status":"limited"},"techniques":[{"name":"Periareolar (donut) lift with implant","suits_whom":"Mild ptosis","recovery":"Typically 1-2 weeks to light activity"},{"name":"Vertical (lollipop) lift with implant","suits_whom":"Moderate ptosis","recovery":"Typically 1-2 weeks to light activity"},{"name":"Anchor (inverted-T) lift with implant","suits_whom":"Severe ptosis with excess skin","recovery":"Slightly longer wound healing, 2-3 weeks to light activity"}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Both breasts, single combined operation"},"initial_assessment_documents":["Front, side and oblique breast photos","Previous breast surgery or implant records","Recent mammogram or breast ultrasound report","Recent blood test results","Current medication and medical history summary"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until the first postoperative check. Follow-ups usually done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm your surgeon speaks a language you speak well enough","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Insist on two consultations with the treating surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Get the contact details of a named doctor for complications, not just a helpline","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether follow-up care will be at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C6","text":"Ask to see details of your surgeon's insurance","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"You can ask to see details of your surgeon's insurance.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic markets cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Only sales staff meet you; no consultation with the surgeon offered","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding or drainage at the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23298-breast-lift","host":"my.clevelandclinic.org","quote":"Bleeding, drainage, redness or swelling at the incision site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Either breast red, hot, swollen or painful","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23298-breast-lift","host":"my.clevelandclinic.org","quote":"If either breast becomes red, hot, swollen or painful.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever above 100.5 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23298-breast-lift","host":"my.clevelandclinic.org","quote":"Fever higher than 100.5 degrees Fahrenheit.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs medicine doses and follow-up test dates to continue care","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Home doctor needs treatment details and future care needs to continue care","document":"letter for your gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Home doctor can review the scans at follow-up appointments","document":"copies of medical images","source":{"url":"https://radiologyinfo.org/en/info/article-your-medical-images","host":"radiologyinfo.org","quote":"You may want copies of your medical images to bring with you to a doctor's appointment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your 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