Lipoabdominoplasty using the Saldanha technique involves minimal skin undermining, and the clinic reports using no surgical drains for six years. VASER ultrasound-assisted liposuction is also available for body contouring. Breast surgery options include a lift with or without implants, plus silicone augmentation using subglandular, submuscular, or dual-plane placement. TIGR Matrix and GalaFLEX absorbable meshes are available for internal reinforcement. Breast augmentation patients may have access to a 24-hour fast-recovery protocol.
","text_type":"mt_wow_description","best_texts":{"techniques":"Saldanha lipoabdominoplasty, VASER lipoaspiration, dual-plane implant placement, Ono muscular sling mastopexy"},"reviews":[],"clinic":{"id":9026,"alias":"aqua-plastic-surgery","name":"AQUA plastic surgery","short_description":"AQUA Plastic Surgery is a specialized clinic in Natal, Brazil. The center focuses on breast surgery and body contouring. Two specialists make up the medical team. Dr. Allan Filgueira belongs to the Brazilian Society of Plastic Surgery. He completed his residency at Hospital Santa Marcelina in São Paulo. International patients also receive unrestricted postoperative support.
For breast augmentation, the clinic follows a 24-hour recovery protocol. American surgeon John Tebbetts first published this method. Body contouring is performed with the VASER ultrasound platform. This includes advanced techniques like Lipo HD and LAD. The team has not used surgical drains for abdominoplasty in six years, a method known as lipoabdominoplasty Saldanha.
","images":[{"base_url":"clinic/6adff12989e18","title":"AQUA plastic surgery clinic exterior with modern facade and lush landscaping"},{"base_url":"clinic/6adff12b02c2c","title":"Modern treatment room at AQUA plastic surgery clinic with medical chair and equipment"},{"base_url":"clinic/6adff12c97770","title":"Consultation room at AQUA plastic surgery clinic with modern decor and green marble table"},{"base_url":"clinic/6adff12e337db","title":"Patient in AQUA plastic surgery clinic operating room preparing for procedure"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Natal","id":2736,"alias":"natal"},"address":"Av. Rodrigues Alves, 1167, Natal, RN, Brazil, 59020-200"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"text":"Instituto Farinas is a plastic surgery clinic in Natal, Brazil. It focuses on aesthetic and reconstructive procedures for the breast and body. Key services include breast augmentation, mastopexy, and tummy tucks. The team also performs reconstructive surgery after mastectomy. A key differentiator is Argoplasma technology. This argon plasma system treats skin laxity and improves body contours. Some breast implant patients can go home the same day within four hours.
The medical team performed over 250 surgeries in 2025. Dr. Alexander Farinas belongs to the American Society of Plastic Surgeons. He also holds membership in the Brazilian Society of Plastic Surgery. Specialized postoperative physiotherapy supports recovery. This care helps reorganize scar tissue and improves mobility. International patients get dedicated support before and after surgery.
","text_type":"short_description","reviews":[],"clinic":{"id":9178,"alias":"instituto-farinas-dr-alexander-farinas","name":"Instituto Farinas — Dr. Alexander Farinas","short_description":"Instituto Farinas is a plastic surgery clinic in Natal, Brazil. It focuses on aesthetic and reconstructive procedures for the breast and body. Key services include breast augmentation, mastopexy, and tummy tucks. The team also performs reconstructive surgery after mastectomy. A key differentiator is Argoplasma technology. This argon plasma system treats skin laxity and improves body contours. Some breast implant patients can go home the same day within four hours.
The medical team performed over 250 surgeries in 2025. Dr. Alexander Farinas belongs to the American Society of Plastic Surgeons. He also holds membership in the Brazilian Society of Plastic Surgery. Specialized postoperative physiotherapy supports recovery. This care helps reorganize scar tissue and improves mobility. International patients get dedicated support before and after surgery.
","images":[{"base_url":"clinic/6ae13e6d65e9c","title":"Reception area at Instituto Farinas clinic with modern wood interior and patient lounge"},{"base_url":"clinic/6ae13e6ec65ec","title":"Reception area at Instituto Farinas clinic with modern wood and white design"},{"base_url":"clinic/6ae13e702644b","title":"Consultation office at Instituto Farinas, modern interior with wood accents"},{"base_url":"clinic/6ae13e7167f5b","title":"Clinic exterior sign at Instituto Farinas on marble wall"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Natal","id":2736,"alias":"natal"},"address":"R. Cel. Francisco Borges, 114 - Tirol, Natal - RN, 59020-270, Brazil"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"}]}},{"text":"Post-op physiotherapy starts 24 hours after surgery, with the first five sessions at home. The tailored plan may combine a breast lift, liposuction, and abdominoplasty, with silicone or gummy bear implants considered based on tissue assessment. The clinic also provides scar-care guidance over several months. Its plastic surgeon is a specialist member of the Sociedade Brasileira de Cirurgia Plástica (SBCP), and care is available in Portuguese, English, and Spanish.
","text_type":"mt_wow_description","best_texts":{"techniques":"Liposuction, abdominoplasty, breast lift, breast augmentation, silicone implants, gummy bear implants","why_its_ranked":"Combines breast surgery, abdominoplasty, and liposuction for full body restoration. Offers gummy bear silicone implants. Surgeon is a specialist member of the Brazilian Society of Plastic Surgery (SBCP)."},"reviews":[],"clinic":{"id":9166,"alias":"dr-romero-catao-clinic-aviv","name":"Dr. Romero Catão (clinic Aviv)","short_description":"Dr. Romero Catão is a plastic surgery specialist based in Natal, Brazil. The clinic focuses on breast surgery, liposuction, and abdominoplasty. Dr. Catão is a member of the Sociedade Brasileira de Cirurgia Plástica. He has over 10 years of experience. He trained at HGF in Fortaleza and Hospital Walfredo Gurgel.
Recovery includes an integrated physiotherapy program starting 24 hours after surgery. The first five sessions take place at the patient's home. This continuity helps restore mobility and autonomy safely. The clinic offers tailored techniques for mastopexy with or without implants. Staff assist patients in Portuguese, English, and Spanish.
","images":[{"base_url":"clinic/6ae1321536f50","title":"Reception area at Dr. Romero Catão Clinic Aviv with modern seating and wood decor"},{"base_url":"clinic/6ae13217927ab","title":"Surgical instruments prepared for operation at Dr. Romero Catão Clinic Aviv"},{"base_url":"clinic/6ae13219a8c18","title":"Doctor's office at Dr. Romero Catão Clinic Aviv with modern workspace"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Natal","id":2736,"alias":"natal"},"address":"Aviv Medicine Especializada clinic - Av. Hermes da Fonseca, 880 - Sl 702 - Petrópolis, Natal - RN, 59020-145, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":3,"total_pages":1}},"clinicsMeta":{"total_count":3,"total_pages":1},"clinicsCount":3,"clinicsCountByEntity":{"clinic_count":410},"doctors":{"doctors":[{"doctor":{"id":21998,"alias":"alex-farina","name":"Alex Farina","clinic_id":9178,"photo":"doctor/6ae1440bdae73","first_year_working":0,"created_at":"2026-10-28T00:22:54.657+00:00","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9178,"alias":"instituto-farinas-dr-alexander-farinas","name":"Instituto Farinas — Dr. Alexander Farinas","short_description":"Instituto Farinas is a plastic surgery clinic in Natal, Brazil. It focuses on aesthetic and reconstructive procedures for the breast and body. Key services include breast augmentation, mastopexy, and tummy tucks. The team also performs reconstructive surgery after mastectomy. A key differentiator is Argoplasma technology. This argon plasma system treats skin laxity and improves body contours. Some breast implant patients can go home the same day within four hours.
The medical team performed over 250 surgeries in 2025. Dr. Alexander Farinas belongs to the American Society of Plastic Surgeons. He also holds membership in the Brazilian Society of Plastic Surgery. Specialized postoperative physiotherapy supports recovery. This care helps reorganize scar tissue and improves mobility. International patients get dedicated support before and after surgery.
","images":[{"base_url":"clinic/6ae13e6d65e9c","title":"Reception area at Instituto Farinas clinic with modern wood interior and patient lounge"},{"base_url":"clinic/6ae13e6ec65ec","title":"Reception area at Instituto Farinas clinic with modern wood and white design"},{"base_url":"clinic/6ae13e702644b","title":"Consultation office at Instituto Farinas, modern interior with wood accents"},{"base_url":"clinic/6ae13e7167f5b","title":"Clinic exterior sign at Instituto Farinas on marble wall"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Natal","id":2736,"alias":"natal"},"address":"R. Cel. 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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"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":14,"max":28,"unit":"days","qualifier":"Desk work resumes in 2-4 weeks after drain removal. Physical work or lifting childcare takes about 6-8 weeks."},"complication_rate_pct":{"min":15,"max":35,"unit":"percent","qualifier":"Any complication within 90 days (seroma, wound healing, hematoma, infection); serious events such as VTE under 2%."},"contraindications":["Pregnancy or breastfeeding (wait several months after weaning)","Active smoking or nicotine use (relative, high wound-healing risk)","Unstable or poorly controlled cardiac disease, diabetes or bleeding disorders","History of venous thromboembolism or unassessed high clot risk","Untreated body dysmorphic disorder","Significant obesity (high BMI)","Active infection or breast lesion awaiting work-up","Recent massive weight loss with unstable weight"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Overnight stay after combined surgery; most stay 1 night, some 2."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":8,"unit":"weeks","qualifier":"Light walking early; strenuous exercise, core and chest-loading activity after surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling resolves and scars mature gradually; final breast position and contour settle."},"fly_home_after_days":{"min":14,"max":28,"unit":"days","qualifier":"Short flights are fine after drain removal and first check, around 2 weeks. Long-haul waits 3-4 weeks."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, drain removal if drains used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"If non-absorbable sutures are used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Healing and compression garment review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Review of the settled result."}}],"indications":["Post-pregnancy breast volume loss or ptosis","Abdominal skin laxity and rectus diastasis after pregnancy","Abdominal fat and skin resistant to diet and exercise"],"main_risks":["Bleeding or hematoma","Seroma","Infection","Delayed wound healing or skin necrosis","Venous thromboembolism including pulmonary embolism, higher with combined surgery","Visible or widened scars","Asymmetry or contour irregularities","Changes in nipple or skin sensation","Implant-related issues if implants used","Anesthesia-related risks","Need for revision surgery","Contour deformity such as dog-ears"],"pain":"Moderate to significant pain for the first several days, most notable in the abdomen and with movement; controlled with prescribed analgesia and gradually easing over 1-2 weeks.","preparation":["Preoperative consultation, examination and surgical planning","Blood tests and medical clearance as needed","Stable weight near goal weight","Stop smoking and nicotine products as advised by the surgeon","Review of current medications and supplements with the surgeon","Fasting before anesthesia as instructed","Arrange help at home and for childcare during early recovery","Preoperative breast imaging when indicated by age or history"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest, assisted mobilisation, drains and compression garment in place; peak discomfort.","restrictions":["No driving","No lifting","Walk with a slightly flexed posture as advised"]},{"phase":"Weeks 1-2","description":"Pain and swelling decrease; drains removed; short walks.","restrictions":["No lifting children or heavy objects","Wear compression garment and supportive bra"]},{"phase":"Weeks 3-6","description":"Gradual return to normal daily activities and desk work; swelling persists.","restrictions":["Avoid strenuous exercise","Avoid heavy lifting"]},{"phase":"Weeks 6-12","description":"Return to full exercise after surgeon approval; scars still maturing.","restrictions":["Protect scars from sun"]},{"phase":"Months 6-12","description":"Swelling fully resolved and final contour visible.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Light daily activities resume in 2-4 weeks. Abdominal tightness limits weeks 1-2; strenuous activity waits 6-8 weeks."},"result_longevity":"Long-lasting but not permanent; results can be affected by aging, weight changes, future pregnancies and gravity.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Share needing secondary procedures (scar, breast or contour touch-up) within 1-3 years; higher with augmentation-mastopexy."},"scars":"Permanent scars: a horizontal lower abdominal scar and navel scar, plus breast scars (periareolar, vertical and/or inframammary depending on technique); typically fade over 12-18 months but remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically performed as a single combined operation; staged surgery is used in some cases."},"stages":[{"code":"combined_surgery","label":"Combined breast and abdominal body-contouring surgery in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Standard protocol is one combined surgery; the exact components vary by patient."},"success":{"metric":"Patient satisfaction with breast and abdominal contour","value":90,"unit":"percent satisfied","horizon":"6-12 months after surgery","population":"Healthy adult women with stable weight after pregnancy","evidence_status":"limited"},"techniques":[{"name":"Abdominoplasty with breast lift (mastopexy)","suits_whom":"Patients with breast ptosis and abdominal skin laxity, with adequate breast volume.","recovery":"Typically 2-6 weeks to return to routine activities."},{"name":"Abdominoplasty with breast augmentation (implants or fat) and/or lift","suits_whom":"Patients with breast volume loss and abdominal laxity.","recovery":"Similar to above; avoid heavy chest activity for several weeks."},{"name":"Abdominoplasty with breast reduction","suits_whom":"Patients with heavy or enlarged breasts and abdominal laxity.","recovery":"Typically 2-6 weeks to return to routine activities."},{"name":"Liposuction added to the above","suits_whom":"Patients with localized fat deposits in the flanks or abdomen.","recovery":"Adds bruising and swelling; compression garment worn for several weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":6,"unit":"hours","qualifier":"Typical combined breast and abdominal procedure in a single operation; varies with components."},"initial_assessment_documents":["Front, side and back photos of torso","Close-up photos of breasts and abdomen","Recent mammogram or breast ultrasound report","Recent blood test results","Medical history and previous surgery reports","Current medication list including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single combined surgery; stay about 2 weeks locally before a short flight home, 3-4 weeks for long-haul."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask the surgeon what training and qualifications they have","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"You should always ask a surgeon what training and qualifications they have and what organisations they belong to.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask about the surgeon's experience in cosmetic surgery","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"What is the surgeons experience in cosmetic surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Talk to the operating surgeon before giving consent to surgery","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check the surgeon can communicate in a language you speak well enough","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask what facilities and back-up the clinic has if something goes wrong","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"What facilities do they have and what back up do they have if something goes wrong?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Ask for the arrangements for follow-up care with the surgeon after surgery","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Once you have had your surgery what are the arrangements for follow-up care with the surgeon?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C7","text":"Get contact details of a named doctor for complications, not only a helpline","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic advertises the surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Surgeon or hospital does not want to discuss the details of the surgery","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"Procedure advice comes from someone other than the operating surgeon","scope":"treatment_abroad","source":{"url":"https://cutover.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"cutover.rcseng.ac.uk","quote":"Only that surgeon should advise you about the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://www.theaestheticsociety.org/procedures/body/mommy-makeover/aftercare-recovery","host":"theaestheticsociety.org","quote":"Other red flags include shortness of breath, chest pains, and unusual heartbeat.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Chest 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reduction surgery involves removal of excess skin, fat and glandular tissue through incisions in your breasts.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"liposuction-added-above","name":"Liposuction added to the above","how_it_works":{"text":"Fat is removed from treated areas without tightening skin","source":{"url":"https://www.theaestheticsociety.org/procedures/body/liposuction","host":"theaestheticsociety.org","quote":"Liposuction removes fat but does not tighten skin, and it does not improve the look of 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