Dr. Aleksandra Luniewska has performed 900+ procedures over more than 15 years of practice. She is a member of the Polish Society of Plastic, Reconstructive and Aesthetic Surgery. The reconstruction package costs around $6,500. This typically covers the surgery, pre-operative diagnostics, one night in the hospital, and a compression garment. KCM Clinic is ISO-accredited and offers three reconstruction methods: implants, own tissue, or a combination. The clinic also provides personal coordination for international patients.
KCM Clinic & KCM Hospital is a private, multidisciplinary medical centre and hospital in Jelenia Góra, Poland. It specialises in minimally invasive and advanced surgical procedures, including bariatric and metabolic surgery, plastic surgery, orthopaedics, gynaecology, urology, ophthalmology, ENT and general surgery, alongside rehabilitation and diagnostic services such as MRI, CT, ultrasound and Doppler examinations.
The hospital treats around 2,500 patients a year, including both Polish and international patients, and provides coordinated care from consultation through diagnostics, surgery and post-operative support.
","images":[{"base_url":"clinic/63a2fa65d08d3","title":"KCM Clinic building exterior in Jelenia Góra, Poland, surrounded by greenery"},{"base_url":"clinic/63a2fa360f353","title":"Reception desk at KCM Clinic with modern minimalist interior design"},{"base_url":"clinic/63a5eaf7a34d3","title":"MRI room at KCM Clinic with advanced scanner and mountain-themed decor"},{"base_url":"clinic/6aeddaa9d9aca","title":"Reception desk at Dental Clinic KCM with staff assisting patients"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Poland","id":17,"alias":"poland","iso_code":"PL"},"city":{"name":"Jelenia Góra","id":337,"alias":"jelenia-gora"},"address":"ul. Bankowa 5-7 58-500 Jelenia Góra, Poland"},"rating":{"rating":4.2,"google":4.3,"percent_of_satisfied_clients":74},"statistics":{"number_of_reviews":91,"doctors_number":50,"year_foundation":2011},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bde869d63.jpeg","name":"Polish Association of Medical Tourism","country_code":"PL"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":294},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":26175,"user":{"id":718258,"name":"Muhai Maryoud ","country_code":"MY","country_name":{"en":"Malaysia"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5}],"text":{"en":"If you're researching a breast lift, you probably value a clear and organized process, just like I do. The entire journey, from initial inquiries to arriving at the clinic, was managed with a high degree of professionalism. Everything was handled efficiently. The clinical environment was orderly, and the staff were attentive throughout my stay. I found my surgeon to be very thorough during our discussions, making sure all technical aspects were understood before moving forward. I'm currently in the early phase of recovery, and the healing is progressing just as the medical team outlined it would. For me, the competence of the surgeon and the supportive nature of the clinic staff were the most important factors, and both were consistently present."},"order":{"operation":{"id":20,"name":{"en":"Breast lift"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-07-06T10:11:57.392+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"coordinator_mentioned","value":false}],"summary":{"positive":{"en":"For me, the competence of the surgeon and the supportive nature of the clinic staff were the most important factors, and both were consistently present."}}},{"id":11331,"user":{"id":467873,"name":"Ольга ","country_code":"PL","country_name":{"en":"Poland"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"Good day. I am sincerely grateful to Dr. Artur and his team, and to the coordinator who accompanied me to the operation. Due to an accident, I lost part of my eyebrow. But the clinic did the impossible for me. I liked how the doctor and his team encouraged. They talked all the time and asked if everything was okay. The operation itself was quick and painless, high-quality and accurate. And all thanks to the qualifications of the doctor and his assistants. I am very grateful to the clinic, they restored my beauty!"},"order":{"operation":{"id":775,"name":{"en":"Eyebrow transplantation"}}},"clinic_info":{"id":457,"name":"San-Medical Hair Transplant Center ","alias":"san-medical-hair-transplant-center","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2023-04-24T06:15:03.070+00:00","flags":[{"name":"would_recommend","value":true},{"name":"is_anonymously","value":false},{"name":"is_approved","value":true},{"name":"is_notification_sent","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/64463c8f8b2ba_b.jpeg","preview_url":"review/64463c8f8b2ba_s.jpeg"}],"comment_about_bookimed":{"en":"I am very grateful for the support of Bookimed. They supported me from the very beginning and immediately answered all my questions. Consultations at the highest level. Thank you"},"summary":{"positive":{"en":"I am very grateful to the clinic, they restored my beauty!"}}},{"id":20995,"user":{"id":822194,"name":"Oleksandra ","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":9},{"name":"manager","value":4}],"text":{"en":"Overall, my experience as a patient was very positive, and the medical staff was courteous. Surgeon Grzegorz Keżyńska was also competent and very responsible in making decisions regarding the surgery. Unfortunately, after the surgery was canceled for medical reasons, I have been waiting for a refund to my bank account for 10 days, as I was informed in the clinic, but time has passed, and there is still no money. I will be even more grateful to the clinic if I receive the refund! Thank you very much."},"order":{"operation":{"id":650,"name":{"en":"Breast augmentation"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-08-02T07:14:17.239+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"Overall, my experience as a patient was very positive, and the medical staff was courteous. Surgeon Grzegorz Kężynek was also competent and very responsible in making decisions about the surgery. Unfortunately, after the surgery was canceled for medical reasons, I have been waiting 10 days for the refund to my bank account, as I was told by the clinic, but time has passed, and the money has not yet been returned. I would be even more grateful to the clinic if I receive the refund! \nThank you very much."},"what_like_text":{"en":"I appreciated the professional approach of surgeon Grigory Kezhinki, a highly qualified specialist."},"what_not_like_text":{"en":"That upon leaving the clinic, I have neither a contract nor documents confirming payment for the surgery, which unfortunately was not performed, as well as that I am owed a refund. And what amount will be deducted for the examination? All of this needs to be discussed with the patient, and there should not be a situation where funds are taken before the surgery, and then the patient is forced to request reports!"}},"comment_about_bookimed":{"en":"The collaboration went smoothly and quickly, everything was successful. However, when problems arise, they do not show much interest in helping."},"summary":{"positive":{"en":"Overall, my experience as a patient was very positive."}}},{"id":18655,"user":{"id":763784,"name":"Sof'ya ","country_code":"IL","country_name":{"en":"Israel"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":4},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"It's a nice small clinic.\nI will start with the supervisor: Karina, a wonderful girl, very friendly and professional, I was delighted with her.\nThe nurses are mostly adult women with a lot of experience. The night after the operation I was pleasantly surprised that after pressing the call button I did not have to wait for them to come at all.\nThe surgeon and anaesthetist are professionals."},"order":{"operation":{"id":21,"name":{"en":"Facelift"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-02-07T05:52:19.648+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"It's a nice small clinic.\nI will start with the supervisor: Kristina, a wonderful girl, very friendly and professional, I was delighted with her.\nThe nurses are mostly adult women with a lot of experience. The night after the operation I was pleasantly surprised that after pressing the call button I did not have to wait for them to come at all.\nThe surgeon and the anaesthetist are professionals."},"what_like_text":{"en":"Experienced nursing staff and a wonderful supervisor Karina"},"what_not_like_text":{"en":"You need to be prepared for the fact that different countries have different ways of providing medical services. (This is not a disadvantage, it is a fact that should be treated with understanding :))."}},"comment_about_bookimed":{"en":"Great platform.\nVery fast and professional response.\nMy supervisor Christina, a wonderful girl, a great specialist, I am very grateful to her for her help"},"summary":{"positive":{"en":"I will start with the supervisor: Karina, a wonderful girl, very friendly and professional, I was delighted with her."}}},{"id":17510,"user":{"id":618332,"name":"Elena ","country_code":"AT","country_name":{"en":"Austria"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":0},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"I was satisfied with everything. The staff literally led me by the hand to all the examinations. Dr Alexandra Luniewska listened to all my wishes and applied them during the operation. I can't say 100% yet, as it is 9 days after the operation, but based on what I can see, I am satisfied with the result."},"order":{"operation":{"id":20,"name":{"en":"Breast lift"}}},"doctor_info":{"id":5116,"name":"Aleksandra Luniewska ","alias":"aleksandra-luniewska"},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-11-09T11:14:01.180+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"I was satisfied with everything. The staff literally led me by the hand to all the examinations. Dr Alexandra Luniewska listened to all my wishes and applied them during the operation. I can't say 100% yet, as it is 9 days after the operation, but based on what I can see, I am satisfied with the result."}},"comment_about_bookimed":{"en":"I would like to thank the staff at Bookimed, special thanks to my supervisor Vera, who stayed in touch with me from the choice of clinic to the post-operative period."},"summary":{"positive":{"en":"I was satisfied with everything."}}},{"id":24108,"user":{"id":965567,"name":"Katarzyna ","country_code":"PL","country_name":{"en":"Poland"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"The service made a pleasant impression from the beginning: the coordinator Tatyana on Booking was attentive and responsive, guiding me every step of the way. The treatment by the doctor was professional, and the staff was very friendly. Everything went smoothly and comfortably."},"order":{"operation":{"id":944,"name":{"en":"Breast Augmentation with Fat Transfer"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-03-01T17:35:11.642+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"The service made a pleasant impression from the start: coordinator Tatyana on Booking was attentive and responsive, guiding every step of the way. Treatment by the doctor was professional, and the staff was very friendly. Everything went smoothly and comfortably."},"what_like_text":{"en":"I liked the assistance — attentive helpers on Booking, a professional doctor, and friendly staff. Everything is organized conveniently and comfortably."}},"summary":{"positive":{"en":"The treatment by the doctor was professional"}}},{"id":13613,"user":{"id":547015,"name":"Виктория ","country_code":"UA","country_name":{"en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":1},{"name":"coordination","value":5},{"name":"nps","value":10}],"text":{"en":"Thank you very much for your support. I met all my expectations and became more confident in myself. I recommend. ) ."},"order":{"operation":{"id":26,"name":{"en":"Blepharoplasty (Eyelid correction)"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-12-08T10:01:12.087+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"Thank you very much for your support. I met all my expectations and became more confident in myself. I recommend. ) ."},"what_like_text":{"en":"Help from personal doctor Vitaly, special thanks for the work done."}},"comment_about_bookimed":{"en":"All liked it . And I recommend"},"summary":{"positive":{"en":"I met all my expectations and became more confident in myself."}}},{"id":12897,"user":{"id":526512,"name":"Lewis Jones","country_code":"GB","country_name":{"en":"United Kingdom"}},"ratings":[{"name":"main","value":4},{"name":"doctor","value":3},{"name":"personal","value":4},{"name":"comfort","value":3},{"name":"coordination","value":4},{"name":"translation","value":2},{"name":"relative_price","value":2},{"name":"nps","value":8},{"name":"manager","value":2}],"text":{"en":"Pros: \nTransfer service was really good and well worth it in my opinion\n.\nPatient co-ordinator we’re very helpful and fluent in English \n\nHospital staff were polite and professional.\n\nCons:\nBusy hospital corridors, people waiting on stairwells.\n\nEquipment seemed poorly maintained, and old in a lot of cases.\n\nOne room we had to use to sign documents was full of bloody bandages just sitting on table, no co-ordination.\n\nWhen having my blood pressure checked, the equipment had pieces of chewing gum stuck on it - assuming from previous patients ( no attention to detail when cleaning).\n\nAdvertised as English speaking nurses, but none really spoke English, had to use translator app alot."},"order":{"operation":{"id":860,"name":{"en":"Gynecomastia surgery"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-09-29T12:59:47.889+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"would_recommend","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"Transfer service was really good and well worth it in my opinion."}}},{"id":17025,"user":{"id":662920,"name":"Nataliya Nikulina","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":2},{"name":"nps","value":9},{"name":"manager","value":5}],"text":{"en":"The clinic is well equipped, very clean, the staff is attentive. The hotel was very close by. The disadvantage I can call too short consultation on implants before the operation and lack of contact with the doctor after the operation. The doctor comes only for the operation. But everything went without complications and I received proper care. The nursing staff is very attentive, helpful and polite."},"order":{"operation":{"id":650,"name":{"en":"Breast augmentation"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-10-05T05:23:05.812+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"en":"The clinic is well equipped, very clean, the staff is attentive. The hotel was very close by. The disadvantage I can call too short consultation on implants before the operation and lack of contact with the doctor after the operation. The doctor comes only for the operation. But everything went without complications and I received proper care. The nursing staff is very attentive, helpful and polite."},"what_like_text":{"en":"Comfort, cleanliness, equipment, nursing staff and coordinators."},"what_not_like_text":{"en":"Insufficient time to consult a doctor. Lack of contact with her after the operation. The doctor comes only for the operation and after the operation I had contact only with the nurses. They took photos during the dressing. Probably for the doctor."}},"comment_about_bookimed":{"en":"The operator was very quick to respond to my questions. Good work"},"summary":{"positive":{"en":"But everything went without complications and I received proper care."}}},{"id":17766,"user":{"id":700852,"name":"Artur Movsisyan","country_code":"PL","country_name":{"en":"Poland"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"In general liked everything, but of course from my city is too far away, I think there was no point in travelling so far."},"order":{"operation":{"id":22,"name":{"en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-11-29T11:00:41.124+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false},{"name":"coordinator_mentioned","value":false}],"client_response":{"preview_to_review_text":{"en":"In general liked everything, but of course from my city is too far away, I think there was no point in travelling so far."},"what_like_text":{"en":"An assistant, very handy"}},"summary":{"positive":{"en":"In general liked everything"}}},{"id":9343,"user":{"id":345836,"name":"Ксения ","country_code":"IL","country_name":{"en":"Israel"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":4},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":1},{"name":"personal","value":5},{"name":"translation","value":3},{"name":"relative_price","value":2}],"text":{"en":"I thank all the medical workers at the KSM clinic and Vladimir, who organized my whole trip to this clinic!!!!!!!!!"},"order":{"operation":{"id":21,"name":{"en":"Facelift"}}},"doctor_info":{"id":489,"name":"Krzysztof Czerkasow ","alias":"krzysztof-czerkasow"},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-07-30T20:51:06.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Yes, very much, thank you very much to Vladimir for organizing my trip. Vladimir is a very polite, attentive and responsible person, he supported and helped throughout my entire trip to the clinic."},"summary":{"positive":{"en":"I am very pleased with the results after the surgery."}}},{"id":13928,"user":{"id":424406,"name":"Оксана ","country_code":"PL","country_name":{"en":"Poland"}},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"manager","value":0}],"text":{"en":"I liked everything, the medical staff was clean, the room was nice."},"order":{"operation":{"id":897,"name":{"en":"Breast Lift with Implants - Round"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-01-18T08:56:56.352+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"I liked everything"}}},{"id":19014,"user":{"id":762875,"name":"Princess Grace Soumah","country_code":"CH","country_name":{"en":"Switzerland"}},"ratings":[{"name":"main","value":3},{"name":"relative_price","value":2},{"name":"doctor","value":3},{"name":"personal","value":3},{"name":"comfort","value":5},{"name":"coordination","value":2},{"name":"translation","value":3},{"name":"nps","value":8},{"name":"manager","value":5}],"text":{"en":"Surgeon pleasant kind helpful. However, not very transparent, I asked for a certain result. His assistant and he himself assured me that it was feasible and that I would get it. Nothing at all like what I had asked for and once you have paid the deposit it will be very difficult to get in touch with his personal assistant... fortunately there was the bookimed assistant who was always there to meet my expectations!"},"order":{"operation":{"id":22,"name":{"en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-03-07T10:23:27.733+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"what_like_text":{"en":"Hospital cleanliness. Hospital staff"},"what_not_like_text":{"en":"Lack of transparency for the desired results!"}},"comment_about_bookimed":{"en":"Bookimed yes, but not the KCM clinic in"}},{"id":9910,"user":{"id":415760,"name":"Naisreen Alhaj","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":3},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"en":"شكرا لكم أنني سعيدة جدا بالنتيجه لقد اصبح أنفي أجمل بكثير شكرا على معاملتكم الجميلة"},"order":{"operation":{"id":22,"name":{"en":"Rhinoplasty (nose job)"}}},"clinic_info":{"id":460,"name":"KCM Clinic","alias":"kcm-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-11-09T12:58:07.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"نعم"}},{"id":21528,"user":{"id":754271,"name":"Maiia Shostak ","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":2},{"name":"relative_price","value":3},{"name":"doctor","value":2},{"name":"personal","value":1},{"name":"comfort","value":5},{"name":"coordination","value":2},{"name":"translation","value":1},{"name":"nps","value":8},{"name":"manager","value":5}],"text":{"en":"I had a breast augmentation operation. 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\nDay 2 - Pre-Operation
\nDay 3 - Surgery
\nDay 4 - Post-Operation
\nDay 5 - 7
\nWeek 1 - 3 Rehabilitation
\nWeek 4 - 6 Rehabilitation
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Complications or return to theater lengthen the stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Strenuous exercise, core loading and heavy lifting after surgeon clearance and stable healing; walking starts within days."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the breast softens; scars mature longer. 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. Later refinements are optional, and implant-based reconstruction is outside this profile."},"success":{"metric":"Early flap survival without total flap loss","value":97,"unit":"percent","horizon":"During the initial hospital stay and first weeks","population":"Adults after unilateral DIEP free-flap breast reconstruction in specialist microsurgical centers","evidence_status":"limited"},"techniques":[{"name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","suits_whom":"Patients with enough lower abdominal tissue and suitable perforator vessels who want autologous reconstruction after mastectomy.","recovery":"Several inpatient nights with flap monitoring; ordinary functional recovery takes several weeks."},{"name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","suits_whom":"Patients with adequate skin envelope who prefer a shorter operation or no donor site.","recovery":"Shorter initial stay; may need expansion visits and later implant exchange."},{"name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","suits_whom":"Patients unsuitable for DIEP because of insufficient abdominal tissue or vessel anatomy.","recovery":"Varies by flap and donor site."},{"name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","suits_whom":"Patients who have healed after breast mound reconstruction and want nipple restoration or symmetry adjustment.","recovery":"Usually short procedures, often day-case; recovery is shorter than for the primary operation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operating time for uncomplicated unilateral DIEP with microvascular anastomosis; longer if combined with mastectomy or complicated by vessel problems."},"initial_assessment_documents":["Front, side and back photos of torso","Mastectomy operative and pathology reports","Oncology treatment summary with radiotherapy dates","Abdominal CT or MR angiography (if available)","Previous abdominal surgery history and scars"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single DIEP operation; about 2-3 weeks total for stay, drains and travel clearance. 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 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