R24R rapid-recovery implants and hybrid breast surgery with fat grafting are among the clinic’s options. Abdominoplasty can address excess skin and rectus diastasis alongside breast augmentation, lifting, or reduction. Techniques also include dual-plane implant placement and an internal bra. The plastic surgeon is a specialist member of the Brazilian Society of Plastic Surgery and preceptor of the plastic surgery residency at Hospital São Rafael Rede D’Or.
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The clinic uses QuantumRF and Morpheus technologies to improve skin quality. Dr. Alves performs hybrid breast surgeries that combine implants with fat grafting. He also offers the R24R rapid recovery breast implant system. The team supports patients in Portuguese, English, and Spanish. Every case gets individual planning focused on natural-looking results.
","images":[{"base_url":"clinic/6adff9df1e7d3","title":"Surgeon at Dr. Rafael Alves Clinic wearing surgical mask and cap in operating room"}],"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":"Salvador","id":2810,"alias":"salvador"},"address":"Av. Anita Garibaldi, 1477 - Sl 108 - Ondina, Salvador - BA, 40210-750, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"ArgoPlasma, SAFER ultrasonic technology, and Vibrofit feature in Clinic Lottez’s surgical planning in Salvador. The Dream Day process brings team evaluation, financial planning, and scheduling together. Preoperative consultations include a physiotherapist, nutritionist, nurse, nutrologist, and psychologist. Surgery takes place in a hospital with a dedicated anesthesia team. Recovery support includes photobiomodulation, home nursing visits, therapeutic exercises, and guidance on posture and walking.
","text_type":"mt_wow_description","best_texts":{"techniques":"Lipoabdominoplasty HD, mastopexy with or without implants, liposuction 360, Brazilian butt lift","why_its_ranked":"Lottez Method combines ArgoPlasma, SAFER, and Vibrofit for skin retraction, reduced trauma, and faster healing. Multidisciplinary Dream Day planning with 3D simulation."},"reviews":[],"clinic":{"id":9059,"alias":"clinic-lottez","name":"clinic Lottez","short_description":"Clinic Lottez is a plastic surgery center in Salvador, Brazil. It opened in 2024 and focuses on body contouring, mommy makeovers, and rhinoplasty. The medical team includes two plastic surgeons and a multidisciplinary support group. They offer a \"Dream Day\" planning process to personalize each surgical journey. International patients can start this step via telemedicine.
The clinic uses advanced technology to improve patient safety and recovery. ArgoPlasma supports skin retraction through collagen stimulation. SAFER ultrasonic technology helps reduce surgical trauma and pain. Vibrofit allows less invasive fat removal. Post-operative care includes photobiomodulation and home nursing visits to aid healing and control swelling.
","images":[{"base_url":"clinic/6adfffdd62d06","title":"Modern consultation office at Lottez Clinic with desk, chairs, and medical equipment"},{"base_url":"clinic/6adfffdf0ec37","title":"Surgeons and advanced medical equipment in Lottez Clinic operating room"},{"base_url":"clinic/6adfffe08d642","title":"Reception at Lottez Clinic Brazil decorated for festival with snacks and cakes"}],"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":"Salvador","id":2810,"alias":"salvador"},"address":"Rua Frederico Simões 153, Edf Orlando Gomes Empresarial, Salas 607 e 608, Caminho das Árvores, Salvador - BA"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2024},"accreditations":[]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":410},"doctors":{"doctors":[{"doctor":{"id":21709,"alias":"rafael-alves","name":"Rafael Alves","clinic_id":9045,"first_year_working":0,"created_at":"2026-10-27T01:15:31.573+00:00","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"sur.010","name":"General surgeon","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9045,"alias":"dr-rafael-alves","name":"Dr. Rafael Alves","short_description":"Dr. Rafael Alves is a plastic surgery specialist in Salvador, Brazil. His practice focuses on body contouring, facial rejuvenation, and mammology. Dr. Alves is a specialist member of the Brazilian Society of Plastic Surgery. He earned his doctorate from EBMSP and works as a residency preceptor. His main procedures include abdominoplasty, lipoHD, and advanced breast surgery.
The clinic uses QuantumRF and Morpheus technologies to improve skin quality. Dr. Alves performs hybrid breast surgeries that combine implants with fat grafting. He also offers the R24R rapid recovery breast implant system. The team supports patients in Portuguese, English, and Spanish. Every case gets individual planning focused on natural-looking results.
","images":[{"base_url":"clinic/6adff9df1e7d3","title":"Surgeon at Dr. Rafael Alves Clinic wearing surgical mask and cap in operating room"}],"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":"Salvador","id":2810,"alias":"salvador"},"address":"Av. 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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. 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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 pain","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":"W3","text":"Unusual heartbeat","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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor the medication details and any changes made","document":"written discharge 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