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Professional communication supports international patients from many countries.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9246,"alias":"plastic-surgery-clinic-dr-sergio-keinert","name":"Plastic Surgery Clinic – Dr. Sérgio Keinert","short_description":"<p>The Plastic Surgery Clinic – Dr. Sérgio Keinert is a specialized practice in Curitiba, Brazil. A second branch serves patients in Itapema. The clinic focuses on facial and body reshaping. Key procedures include rhinoplasty, breast surgery, and labiaplasty. It also treats gynecomastia. Dr. Sérgio Keinert has over 30 years of experience and trained at PUC-PR.</p><p>The medical team has treated more than 30,000 patients. The practice is accredited by SBCP, ISAPS, and TEMOS. It uses Renuvion technology for minimally invasive skin tightening. This system combines radiofrequency energy with helium plasma. Post-operative care includes personalized recovery plans and annual breast implant monitoring. 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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-based work; physical or lifting jobs usually need about 4-6 weeks."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any early or late complication, including wound healing, hematoma, infection, asymmetry; serious ones under 5%."},"contraindications":["Pregnancy or breastfeeding","Active breast infection or untreated breast cancer","Uncontrolled systemic disease (e.g., diabetes, hypertension)","Active smoking or nicotine use (relative; strongly discouraged)","Unfit for general anesthesia","Unrealistic expectations or untreated body dysmorphic disorder","Bleeding disorders or anticoagulation that cannot be safely managed","Planned significant weight loss or future pregnancy (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically 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 only after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Implants settle and swelling resolves over several months; scars mature up to a year."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After first dressing check and surgeon clearance; longer if wound-healing problems, swelling or hematoma occur."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check and dressing change"}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":10,"unit":"days","qualifier":"Only if non-absorbable sutures or drains were used"}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Review of healing and implant position"}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":365,"unit":"days","qualifier":"Later review of final result"}}],"indications":["Breast ptosis (sagging) with reduced upper-pole volume","Loss of breast volume after pregnancy, breastfeeding or weight loss","Skin excess with deflated breasts needing both lift and volume"],"main_risks":["Bleeding or hematoma","Infection","Capsular contracture","Implant malposition, rotation or rupture","Asymmetry","Visible or widened scars","Nipple or skin sensation changes","Nipple or skin flap necrosis or wound-healing problems","Recurrent sagging or need for revision","Anesthesia-related risks"],"pain":"Moderate pain and tightness for the first few days, usually controlled with oral analgesics. It improves markedly within 1-2 weeks.","preparation":["Surgical consultation and breast examination","Preoperative tests: blood work, mammography or ultrasound by age","Quit smoking and nicotine before and after surgery","Review medications and supplements with the surgeon","Fasting before general anesthesia","Arrange a support person and home help","Prepare a supportive surgical bra"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest with dressings and a surgical bra; swelling, tightness and bruising are expected.","restrictions":["No driving","No lifting"]},{"phase":"Days 3-14","description":"Pain eases, early wound checks, gentle daily activity; return to desk work possible.","restrictions":["Avoid raising arms above the shoulders","No lifting over a few kilograms","Wear the support bra continuously"]},{"phase":"Weeks 2-6","description":"Swelling and bruising decline, and the implants begin to settle. Light exercise is gradually reintroduced.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Breast shape stabilizes and scars mature.","restrictions":["Scar protection from sun"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal physiotherapy normally needed."},"result_longevity":"Implants are not lifetime devices and may need replacement or revision over time. Lift durability depends on skin quality, weight changes, pregnancy and aging.","revision_rate_pct":{"min":8,"max":20,"unit":"percent","qualifier":"Unplanned revision surgery within about 5 years, mainly for recurrent ptosis, malposition, capsular contracture or scars."},"scars":"Scars depend on the lift pattern used (periareolar, vertical or anchor/inverted-T). They are permanent but usually fade over 12 months or more. A lift with implants often has longer scars than augmentation alone.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single-stage surgery is standard; staging is uncommon, mainly for significant ptosis."},"stages":[{"code":"single_operation","label":"Combined breast lift and implant placement in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery"}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with breast shape and volume","value":90,"unit":"percent satisfied","horizon":"1-2 years after surgery","population":"Adults with mild to moderate ptosis and volume loss, uncomplicated single-stage surgery","evidence_status":"limited"},"techniques":[{"name":"Periareolar (donut) lift with implants","suits_whom":"Mild ptosis needing limited skin removal","recovery":"Similar overall recovery; scar around the areola."},{"name":"Vertical (lollipop) lift with implants","suits_whom":"Moderate ptosis","recovery":"Typically 1-2 weeks off desk work; scar around the areola and vertically down the breast."},{"name":"Anchor (inverted-T) lift with implants","suits_whom":"Significant ptosis or excess skin","recovery":"Somewhat longer wound healing around the incisions; additional scar along the breast fold."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for both breasts in a single standard operation."},"initial_assessment_documents":["Front, side and oblique breast photos","Previous breast surgery or implant records (if available)","Recent mammogram or breast ultrasound","Recent blood test results","Current medication list including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days for first dressing check and clearance to fly. Later reviews usually done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon’s experience with this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"How much experience does this person have with this procedure?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the surgeon explains risks and expectations openly","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"Is the surgeon up-front about risks and expectations?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","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":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A surgeon does not explain risks and expectations openly","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/blog/important-things-to-know-about-breast-augmentation","host":"plasticsurgery.org","quote":"Is the surgeon up-front about risks and expectations?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","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}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","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":"A lump in the breast or armpit","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Breast hardening or large fluid collection","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety","host":"plasticsurgery.org","quote":"Common symptoms include unexplained breast enlargement, pain, asymmetry, lump in the breast or armpit, overlying skin rash, hardening of the breast or a large fluid collection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe in","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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 surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","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":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Gives implant details, so a home doctor can identify the devices","document":"product registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","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":"2026-11-11","http_status":200}},{"id":"T6","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer using your own tissue for more breast volume","name":"Fat grafting","source":{"url":"https://www.plasticsurgery.org/news/articles/implant-free-options-for-breast-augmentation","host":"plasticsurgery.org","quote":"There are two main ways this is done – using a patient's own tissue obtained from liposuction to inject into the breast for more volume – known as fat grafting – or at the time of a mastopexy or breast lift, rearranging a patient's own breast tissue to provide a modest augmentation of the shape and projection of the breast.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"periareolar-lift","name":"Periareolar (donut) lift with implants","how_it_works":{"text":"The incision circles the areola and the breast tissue is reshaped","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/breast-lift","host":"my.clevelandclinic.org","quote":"It is much less invasive than the anchor breast lift procedure because the incision is limited to a circle around the areola.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"vertical-lift","name":"Vertical (lollipop) lift with implants","how_it_works":{"text":"An incision circles the areola, then runs down to the breast crease","source":{"url":"https://my.clevelandclinic.org/health/treatments/23298-breast-lift","host":"my.clevelandclinic.org","quote":"This incision goes in a circle around the entire areola, then vertically down from your areola to your breast crease.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"anchor-lift","name":"Anchor (inverted-T) lift with implants","how_it_works":{"text":"The technique uses an anchor-shaped incision to reshape the breast","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/breast-lift","host":"my.clevelandclinic.org","quote":"This technique creates an anchor shape and is the most common incision pattern used.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=san-paulu/procedure=podtazka-grudi-s-uveliceniem-kruglymi-implantami/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53935},"manualSeo":[],"updatedAt":"2026-11-12T21:17:05.000Z","activeCountries":["BR","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}