{"meta":{"humanUrl":"https://us-uk.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/best/","canonicalUrl":"https://us-uk.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/best/","jsonUrl":"https://us-uk.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/best/data.json","title":"Best clinics for Breast reconstruction surgery in Brazil — Ratings & Reviews | Bookimed","description":"6 top-rated clinics for Breast reconstruction surgery in Brazil. Compare rankings, prices, and patient reviews on Bookimed.","heading":"Best clinics for Breast reconstruction surgery in Brazil","locale":"en","schemaVersion":"ClinicBestPageDataV1","snapshotId":"57ef3430-bb5d31be","contentVersion":"57ef3430","generatedAt":"2026-11-13T20:39:43.303Z"},"filters":{"country":"brazil","city":"porto-alegre","procedure":"reconstructive-breast-surgery","page":1},"pagination":{"page":1,"totalCount":6,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Brazil","url":"/clinics/country=brazil/"},{"name":"Porto Alegre","url":"/clinics/country=brazil/city=porto-alegre/"},{"name":"Breast reconstruction surgery","url":"/clinics/country=brazil/procedure=reconstructive-breast-surgery/"},{"name":"Best","url":"/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/best/"}],"entities":[{"name":"Brazil","alias":"brazil","type":"country","id":31},{"name":"Porto Alegre","alias":"porto-alegre","type":"city","id":2582},{"name":"Breast reconstruction surgery","alias":"reconstructive-breast-surgery","type":"procedure","id":108}],"clinics":{"clinics":[{"text":"<p>Reconstruction options here include TRAM, DIEP, and SGAP flaps, or silicone implants with a tissue expander. Hospital stays typically last 1–3 days, with close monitoring through the clinic’s TC Private Recovery model. Implant reconstruction may involve tissue expansion for up to six months. Post-operative care includes two surgical compression garments. The clinic is accredited by SBCP, ISAPS, and TEMOS, and holds a 5.0/5 rating from 181 reviews.</p>","text_type":"mt_wow_description","best_texts":{"techniques":"TRAM flap, DIEP flap, SGAP flap, silicone implants with tissue expander","why_its_ranked":"Offers TRAM, DIEP, SGAP flaps using your own tissue to reduce rejection risk. Surgeon is SBCP specialist, ISAPS member with Breast Science Experience training. TEMOS accredited, 5.0/5 from 181 reviews."},"reviews":[],"clinic":{"id":9030,"alias":"dr-thiago-costa-plastic-surgery","name":"Dr. Thiago Costa – plastic surgery","short_description":"<p>Dr. Thiago Costa – Plastic Surgery is a specialized practice in Porto Alegre, Brazil. The clinic focuses on aesthetic surgery for the body and face. Key procedures include Lipo HD, abdominoplasty, and breast augmentation with Fast Track Recovery. This breast technique uses a Keller funnel to limit implant contact with the environment. Patients return to daily routines faster than with traditional methods.</p><p>Dr. Thiago Costa is a titular member of the Brazilian Society of Plastic Surgery. He won the Dr. Geraldo Peixoto award for best resident in 2008. The medical team includes four doctors who operate in full hospital settings. A key differentiator is the TC Private Recovery model. It offers close monitoring from day one after surgery until discharge. The clinic holds accreditations from SBCP, TEMOS, and ISAPS.</p>","images":[{"base_url":"clinic/6ae45341810ec","title":"Modern clinic building exterior of Dr. Thiago Costa – plastic surgery in Brazil"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Avenida Independência, 925 - 503, Porto Alegre, RS, Brazil, 90035-073"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"}]}},{"text":"<p>Clinic Riccardi in Porto Alegre lists TEMOS accreditation and affiliations with ASPS, SBCP, and SBD. Reconstruction can be planned alongside mastectomy or delayed until after recovery. Donor tissue options include the back, abdomen, or buttocks, with scars at the donor site and reconstructed breast. A reduction, lift, or augmentation of the opposite breast may also be recommended to improve symmetry.</p>","text_type":"mt_wow_description","best_texts":{"techniques":"Immediate vs delayed reconstruction","why_its_ranked":"Uses donor tissue from back, abdomen, or buttocks to match anatomy. Offers immediate or delayed reconstruction with symmetry procedures. TEMOS-accredited with ASPS/SBCP memberships."},"reviews":[],"clinic":{"id":9052,"alias":"clinic-riccardi","name":"clinic Riccardi","short_description":"<p>Clinic Riccardi is a plastic surgery and dermatology center in Porto Alegre, Brazil. The team specializes in body contouring, breast surgery, and aesthetic medicine. Plastic surgeon Dr. Denis Riccardi founded the clinic in 2014. Doctors offer both surgical rejuvenation and non-invasive skin resurfacing. Surgical options include rhinoplasty, facelifts, and gynecomastia correction.</p><p>Dr. José Carlos Riccardi brings over 45 years of experience to the practice. He is board-certified by the Brazilian Society of Dermatology. For facelifts, the clinic reports a 10 to 15-year rejuvenation effect. Accreditations include the American Society of Plastic Surgeons and TEMOS. Advanced tools include Morpheus technology and ultrapulsed CO2 lasers for collagen stimulation.</p>","images":[{"base_url":"clinic/6adffc5e70b3e","title":"Cozy waiting area at clinic Riccardi with armchairs and soft lighting"},{"base_url":"clinic/6adffc603b07d","title":"Consultation room and modern exam chair at Riccardi clinic"},{"base_url":"clinic/6adffc61d96e6","title":"Modern consultation room at clinic Riccardi with exam table and medical sink"},{"base_url":"clinic/6adffc63abb0b","title":"Tea service on reception counter at Riccardi clinic, welcoming patient area"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"R. Padre Chagas, 415/404, Moinhos de Vento, Porto Alegre – RS, CEP 90570-080, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2014},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"text":"<p>Dr. F. Felipe Laitano is a plastic surgery clinic in Porto Alegre, Brazil. The practice specializes in breast reconstruction and aesthetic breast surgery. Key procedures include explant surgery, mastopexy, and fat grafting. The team also performs abdominoplasty, blepharoplasty, and gynecomastia reduction. A dedicated workflow supports international patients with teleconsultations and surgical planning.</p><p>The clinic uses One STEP technology for lipoaspiration and reconstruction. Dr. Laitano completed his plastic surgery residency at Hospital São Lucas of PUCRS. He is a preceptor training residents in breast surgery. The specialists are members of the Sociedade Brasileira de Cirurgia Plástica. The clinic holds accreditations from TEMOS, ISAPS, and the ASPS.</p><p>Many procedures are outpatient surgeries. Patients often return home a few hours after anesthesia. For delayed reconstruction, patients typically leave within five hours. Reconstruction performed alongside mastectomy requires a two-day stay. The clinic uses structured protocols like pre-operative marking to improve precision.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9181,"alias":"dr-f-felipe-laitano","name":"Dr. F. Felipe Laitano","short_description":"<p>Dr. F. Felipe Laitano is a plastic surgery clinic in Porto Alegre, Brazil. The practice specializes in breast reconstruction and aesthetic breast surgery. Key procedures include explant surgery, mastopexy, and fat grafting. The team also performs abdominoplasty, blepharoplasty, and gynecomastia reduction. A dedicated workflow supports international patients with teleconsultations and surgical planning.</p><p>The clinic uses One STEP technology for lipoaspiration and reconstruction. Dr. Laitano completed his plastic surgery residency at Hospital São Lucas of PUCRS. He is a preceptor training residents in breast surgery. The specialists are members of the Sociedade Brasileira de Cirurgia Plástica. The clinic holds accreditations from TEMOS, ISAPS, and the ASPS.</p><p>Many procedures are outpatient surgeries. Patients often return home a few hours after anesthesia. For delayed reconstruction, patients typically leave within five hours. Reconstruction performed alongside mastectomy requires a two-day stay. The clinic uses structured protocols like pre-operative marking to improve precision.</p>","images":[{"base_url":"clinic/6ae141dedde60","title":"Modern exterior of Hospital Sao Lucas da PUCRS clinic in Brazil"},{"base_url":"clinic/6ae141e0a3bf3","title":"Blanc Hospital exterior with modern Medplex building and entrance"},{"base_url":"clinic/6ae141e219a7d","title":"Dr. F. Felipe Laitano clinic exterior in Porto Alegre, modern medical facility"},{"base_url":"clinic/6ae141e3952d0","title":"Reception area at Dr. F. Felipe Laitano clinic with modern seating and decor"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Avenida Ipiranga 6690, Conj. 520, Centro Clínico da PUCRS, Porto Alegre, RS, Brazil, 26599-000"},"rating":{"rating":0,"google":4.9,"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"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"}]}},{"text":"<p>Dr. Denis Valente brings a PhD and over 20 years of plastic surgery experience to breast reconstruction at his Porto Alegre clinic. He is a professor of plastic surgery at the Federal University of Health Sciences of Porto Alegre and belongs to the Brazilian Society of Plastic Surgery and the American Society of Plastic Surgeons. Breast and abdominal procedures can be combined, with total operating time under five hours. Follow-up includes direct communication with Dr. Valente and recovery guidance over the first year.</p>","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"Breast reconstruction with silicone implants or autologous fat grafting, and can combine with abdominal contouring in one session. Surgeon is a Ph.D., UFCSPA professor, SBCP and ASPS member."},"reviews":[],"clinic":{"id":9230,"alias":"clinic-de-plastic-surgery-and-procedures-esteticos","name":"clinic de plastic surgery and procedures Estéticos","short_description":"<p>Dr. Denis Valente leads a plastic surgery clinic in Porto Alegre, Brazil. The center focuses on body contouring, high-definition liposuction, and breast aesthetics. A key difference is the Lipo One STEP HD protocol. This technique preserves blood vessels and nerves to speed up recovery. It is a refinement procedure, not a weight-loss treatment.</p><p>Dr. Valente is a PhD-qualified surgeon with over 20 years of experience. He is a Professor at UFCSPA and a member of the American Society of Plastic Surgeons. The clinic uses advanced platforms like Argoplasma, Bodytite, and Renuvion for skin tightening. Combined surgeries stay under five hours to improve patient safety. Many international patients travel from Peru for treatment.</p>","images":[{"base_url":"clinic/6ae172f332346","title":"Plastic surgeon in clinic holding liposuction cannula, modern medical interior"},{"base_url":"clinic/6ae172f4d830e","title":"Doctor's office at clinic de plastic surgery and procedures Estéticos with large windows"},{"base_url":"clinic/6ae172f638f05","title":"Plastic surgeon in modern clinic with bright interior lighting"},{"base_url":"clinic/6ae172f7a9675","title":"Plastic surgeon in scrubs at clinic with scenic mountain view backdrop"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Jardim Europa, Porto Alegre, Rio Grande do Sul, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"<p>Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.</p><p>A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9242,"alias":"centro-de-surgery-reconstrutiva-dr-sirlei-costa","name":"Centro de surgery Reconstrutiva (Dr. Sirlei Costa)","short_description":"<p>Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.</p><p>A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.</p>","images":[{"base_url":"clinic/6ae17e6500c1c","title":"Reception area at Centro de Surgery Reconstrutiva, modern interior in Brazil"},{"base_url":"clinic/6ae17e6670905","title":"Modern clinic building exterior at Centro de Surgery Reconstrutiva, Brazil"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"R. Ramiro Barcelos, 630/1111 - Moinhos de Vento, Porto Alegre - RS, 90560-032, Brazil"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1996},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"}]}},{"text":"<p>Dr. Carolina Kurdyk is a plastic surgery practice in Porto Alegre, Brazil. The clinic focuses on aesthetic medicine, plastic surgery, and otorhinolaryngology. Dr. Kurdyk has worked on the Hospital Santa Casa de Misericórdia staff since 2015. She is board-certified in plastic surgery (RQE 38715). Surgical procedures include abdominoplasty, otoplasty, and gluteoplasty with silicone implants or fat grafting.</p><p>The practice uses Fotona lasers that combine Erbium YAG and Nd YAG wavelengths. Morpheus 8 with gold-coated micro-needles is used for body contouring. Office-based options include rhinomodelation and MD Codes® with hyaluronic acid fillers. The clinic also offers Profhilo injectables for skin hydration and firming. Otoplasty is available for children from age six.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9256,"alias":"dr-carolina-kurdyk","name":"Dr. Carolina Kurdyk","short_description":"<p>Dr. Carolina Kurdyk is a plastic surgery practice in Porto Alegre, Brazil. The clinic focuses on aesthetic medicine, plastic surgery, and otorhinolaryngology. Dr. Kurdyk has worked on the Hospital Santa Casa de Misericórdia staff since 2015. She is board-certified in plastic surgery (RQE 38715). Surgical procedures include abdominoplasty, otoplasty, and gluteoplasty with silicone implants or fat grafting.</p><p>The practice uses Fotona lasers that combine Erbium YAG and Nd YAG wavelengths. Morpheus 8 with gold-coated micro-needles is used for body contouring. Office-based options include rhinomodelation and MD Codes® with hyaluronic acid fillers. The clinic also offers Profhilo injectables for skin hydration and firming. Otoplasty is available for children from age six.</p>","images":[{"base_url":"clinic/6ae18cceef775","title":"Doctor at Dr. Carolina Kurdyk clinic holding breast implant for consultation"}],"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":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"R. 24 de Outubro, 1440 - Sl 509 - Auxiliadora, Porto Alegre - RS, 90510-001, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":6,"total_pages":1}},"clinicsMeta":{"total_count":6,"total_pages":1},"clinicsCount":6,"clinicsCountByEntity":{"clinic_count":294},"doctors":{"doctors":[{"doctor":{"id":22002,"alias":"felipe-laitano","name":"Felipe Laitano","clinic_id":9181,"first_year_working":0,"created_at":"2026-10-28T00:36:25.298+00:00","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9181,"alias":"dr-f-felipe-laitano","name":"Dr. F. 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Reconstruction performed alongside mastectomy requires a two-day stay. The clinic uses structured protocols like pre-operative marking to improve precision.</p>","images":[{"base_url":"clinic/6ae141dedde60","title":"Modern exterior of Hospital Sao Lucas da PUCRS clinic in Brazil"},{"base_url":"clinic/6ae141e0a3bf3","title":"Blanc Hospital exterior with modern Medplex building and entrance"},{"base_url":"clinic/6ae141e219a7d","title":"Dr. F. Felipe Laitano clinic exterior in Porto Alegre, modern medical facility"},{"base_url":"clinic/6ae141e3952d0","title":"Reception area at Dr. F. 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Optional refinements extend this."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Once discharged, mobile, drains removed or managed, no flap concerns and team clears travel; take VTE precautions."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"After Hospital discharge: First outpatient wound and flap check; drains reviewed if still in place."}},{"purpose":"other","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"After DIEP flap surgery: Drain removal review once output criteria are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After DIEP flap surgery: Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"After DIEP flap surgery: Result review and discussion of optional refinement."}}],"indications":["Breast absence after mastectomy for breast cancer, immediate or delayed","Breast deformity after lumpectomy or radiotherapy","Risk-reducing mastectomy in high-risk patients (e.g., BRCA mutation)","Prior or planned radiotherapy, where implants are less suitable","Inadequate skin envelope for implants, with adequate abdominal tissue"],"main_risks":["Flap thrombosis or vascular compromise; flap loss uncommon (about 1–3%)","Fat necrosis or partial flap necrosis","Hematoma, seroma, infection, or delayed healing","Abdominal wall weakness, bulge, hernia, or numbness","Mastectomy skin necrosis and altered breast sensation","Asymmetry or contour irregularity needing revision","Venous thromboembolism and anesthesia complications","Long surgery, blood loss, and transfusion"],"pain":"Moderate to significant pain in the first days, mainly at the abdominal donor site, controlled with multimodal analgesia. Discomfort and tightness usually ease over several weeks. Numbness or altered sensation may persist.","preparation":["Oncologic and plastic surgery planning, including timing","Medical assessment, blood tests, and anesthesia review","CT or MR angiography to map abdominal perforators","Stop smoking and nicotine for weeks before and after","Review medications and supplements, including blood thinners","Fasting before general anesthesia","Pre-operative marking and photographs","Arrange home help and nearby lodging after discharge"],"recovery_timeline":[{"phase":"Hospital stay (about 3-6 nights)","description":"Flap monitoring, drain care, pain control, VTE prevention, and early mobilization with sitting and short walks.","restrictions":["No driving","Avoid pressure or tension on flap and abdomen","Nicotine avoidance continues"]},{"phase":"Weeks 1-6","description":"Home recovery with drains managed until removal, gradual walking, and a flexed-hip posture easing as the abdomen heals.","restrictions":["No heavy lifting","No strenuous or core exercise","Wear supportive garments"]},{"phase":"Weeks 6-12","description":"Ordinary function and desk work fully resume; physical work and exercise return stepwise after clearance.","restrictions":["Heavy lifting and high-impact sport only after surgeon clearance"]},{"phase":"Months 6-12","description":"Swelling resolves, the breast softens, and scars mature; optional refinement can be planned.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for flap color change or coolness, sudden swelling, fever, wound discharge, chest pain, breathlessness, calf swelling, or severe abdominal pain.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary daily function returns after uncomplicated unilateral DIEP; slower with complications or adjuvant therapy."},"result_longevity":"The reconstructed breast is made of the patient's own tissue and is generally long-lasting, changing with weight and aging. Fat necrosis or contour changes may occasionally need revision.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Later contour, fat grafting, or nipple-related revisions within 1-2 years after unilateral DIEP; many are elective."},"scars":"Breast scar (mastectomy scar or new incision if delayed), a long low horizontal abdominal scar, and a scar around the navel. Small drain marks; scars mature over 12 months or longer.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One primary DIEP free-flap operation with a single hospital admission."},"stages":[{"code":"planning_imaging","label":"Surgical planning and perforator imaging","after":{"min":0,"max":30,"unit":"days","qualifier":"After First consultation: Planning and imaging are scheduled before surgery, counted from the first consultation; timing depends on cancer treatment."}},{"code":"inpatient_monitoring","label":"Inpatient flap monitoring, drain care, and mobilization","after":{"min":0,"max":6,"unit":"days","qualifier":"After DIEP flap surgery: Uncomplicated stay; flap checks continue until discharge."}},{"code":"optional_refinement","label":"Optional contour or nipple-areola refinement","after":{"min":90,"max":180,"unit":"days","qualifier":"After DIEP flap surgery: Conditional, not mandatory; timing depends on healing, swelling, and any adjuvant therapy."}}],"qualifier":"Primary numbers cover only the single DIEP operation. 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Follow-ups can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many reconstructive breast surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many reconstructive breast surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has before and after photos of breast reconstruction procedures you can see","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"Do you have before and after photos of breast reconstruction procedures that I can see?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have 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":"C4","text":"Check how your aftercare will be coordinated before you agree to treatment","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of the treatment","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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","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":"Cut-price campaigns or cheap offers for surgery are a warning sign","scope":"treatment_type","source":{"url":"https://bapras.org.uk/media-government/news-and-views/view/cut-it-out-surgery-societies-and-britain's-largest-surgical-royal-college-slam-summer-discounts","host":"bapras.org.uk","quote":"Surgery should never be subject to cut price campaigns or cheap offers, it is too important.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A consultation only with sales staff, not the surgeon, is a warning sign","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":"A surgeon who cannot show before and after pictures of their work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home 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