Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Clinica Granado Tiagonce is a Madrid plastic surgery center. The lead surgeon performs all operations for international patients. With 5,000+ procedures over 25+ years, it specializes in breast surgery, facelifts, and body contouring.
Clinica Granado Tiagonce is a Madrid plastic surgery center. The lead surgeon performs all operations for international patients. With 5,000+ procedures over 25+ years, it specializes in breast surgery, facelifts, and body contouring.
_doctor_1894_years_ specializing in cosmetic and reconstructive breast surgery – Dr. Granado Tiagonce combines precision with an artistic approach.
Dr. Agustín Granado Tiagonce performs over 1,000 surgeries annually at his namesake clinic in Madrid. He specializes in facial, body, and reconstructive breast surgery. Dr. Tiagonce practiced in the USA and Mexico. He serves as an Honorary Professor of Surgery at the Autonomous University of Madrid.
Clinica Granado Tiagonce is a Madrid plastic surgery center. The lead surgeon performs all operations for international patients. With 5,000+ procedures over 25+ years, it specializes in breast surgery, facelifts, and body contouring.
The procedure enhances breast size using implants or fat transfer.
"},"944":{"operation":{"name":"Breast Augmentation with Fat Transfer","alias":"breast-augmentation-with-fat-transfer","use_for_listing":true},"country_price":{"US":{"amount":6000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":2200,"max_amount":3900,"currency":"USD","clinic_count":20,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3500,"max_amount":4500,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":6500,"max_amount":7400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"TH":true,"ES":true},"description":"This therapy enhances breast size using patient\"s own fat, a natural alternative offering long-lasting, subtle results.
"},"946":{"operation":{"name":"Breast Augmentation with Tear Drop Implants ","alias":"breast-augmentation-with-tear-drop-implants","use_for_listing":true},"country_price":{"US":{"amount":8500,"max_amount":14000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3000,"max_amount":5000,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3600,"max_amount":4400,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5500,"max_amount":9500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":true,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":false,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"CO":true,"LT":true},"description":"The operation uses shaped implants, enhancing a woman\"s chest, mimicking the natural breast shape and providing a subtle lift.
"},"1113":{"operation":{"name":"Breast Augmentation with Gummy Bear Implants","alias":"breast-augmentation-with-gummy-bear-implants","use_for_listing":true},"country_price":{"US":{"amount":7500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3500,"max_amount":5500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3200,"max_amount":6500,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5200,"max_amount":7400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":false},"description":"Ennhances breast size and shape using durable, teardrop-shaped silicone implants for a natural look, with a typical recovery period of a few weeks."},"1117":{"operation":{"name":"Breast Augmentation with Saline Implants","alias":"breast-augmentation-with-saline-implants","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5000,"max_amount":10000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4400,"max_amount":5200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4600,"max_amount":6300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":false},"description":"This cosmetic surgery enhances breast size and shape using saline-filled implants, typically involving a short recovery period and offering customizable results."},"1118":{"operation":{"name":"Breast Augmentation with Silicone Implants","alias":"breast-augmentation-with-silicone-implants","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3400,"max_amount":5000,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":3100,"max_amount":4400,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":8000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true},"description":"Enhances breast size and shape by placing silicone implants under the breast tissue or chest muscle, offering a natural feel and appearance with a recovery period involving temporary swelling and soreness."}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":2},"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":5,"max":10,"unit":"days","qualifier":"Desk-based work after primary augmentation with anatomical (teardrop) implants; physical jobs usually need 2-4 weeks."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any local complication within 1-3 years (hematoma, infection, contracture, malposition, rotation); serious ones under 5%."},"contraindications":["Pregnancy or breastfeeding","Active breast or systemic infection","Untreated or suspected breast cancer","Uncontrolled systemic disease making general anesthesia unsafe","Untreated body dysmorphic disorder","Active smoking/nicotine use (relative; delays healing)","Bleeding disorders or ongoing anticoagulation without specialist management (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Same-day discharge usual; one overnight stay sometimes used."},"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 activity earlier; strenuous upper-body and chest exercise usually after 4-6 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and implants settle; anatomical implants show their final shape as they drop."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After first wound check and dressing review; earlier if no complications and surgeon agrees, short flights usually acceptable."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check, dressing and wound review."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":45,"unit":"days","qualifier":"Check of implant position, swelling and rotation; usually remote or local."}},{"purpose":"result_review","requirement":"conditional","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of settled result; usually remote or local."}}],"indications":["Breast hypoplasia or small breasts","Volume loss after pregnancy or weight loss","Breast asymmetry","Mild breast ptosis with upper-pole volume deficiency"],"main_risks":["Bleeding/hematoma","Infection","Capsular contracture","Implant rotation or malposition distorting anatomical shape","Changes in nipple or breast sensation","Asymmetry or visible scarring","Implant rupture or deflation over time","Need for revision surgery","Anesthesia-related risks","Rare breast implant-associated lymphoma (BIA-ALCL), mainly textured implants"],"pain":"Moderate pain and tightness for the first several days, especially with implants under the muscle, controlled with oral analgesics; gradually improves over 1-2 weeks.","preparation":["Consultation with breast examination, measurements and implant sizing","Preoperative blood tests and medical evaluation","Mammography or breast ultrasound where age or risk warrants","Stop smoking/nicotine in advance as advised by the surgeon","Fasting before general anesthesia","Review of current medications and supplements with the surgeon","Arrange transport and help at home for the first days","Purchase a supportive surgical bra"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest, swelling and tightness; dressings and supportive bra in place, drains rarely used.","restrictions":["No heavy lifting","Avoid raising arms above shoulder height","Sleep on the back with head elevated"]},{"phase":"Days 4-14","description":"Pain and swelling decrease; return to light daily activity and desk work; first review.","restrictions":["No lifting over a few kilograms","No driving while on strong painkillers","Wear the supportive bra continuously"]},{"phase":"Weeks 2-6","description":"Gradual return to normal activity; implants begin to settle.","restrictions":["No strenuous upper-body exercise","Avoid pressure on the chest","Avoid massage unless instructed"]},{"phase":"Months 2-6","description":"Swelling resolves, implants drop and settle, scars mature.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal physiotherapy typically needed."},"result_longevity":"Implants are not lifetime devices; many last 10-20 years or longer, but replacement or revision may be needed over time depending on complications, aging, weight changes and patient preference.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Reoperation within 5-10 years for any reason; higher with long follow-up and anatomical implant rotation."},"scars":"Usually a 4-6 cm scar in the inframammary fold (the most common approach for anatomical implants), sometimes periareolar; scars fade over 6-12 months but remain permanent.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session for primary augmentation."},"stages":[{"code":"surgery","label":"Breast augmentation surgery with anatomical implants","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"One operation for both breasts; routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with breast augmentation result","value":90,"unit":"percent satisfied","horizon":"1-2 years after surgery","population":"Adult women undergoing primary cosmetic augmentation with anatomical implants","evidence_status":"limited"},"techniques":[{"name":"Inframammary fold incision with submuscular (dual-plane) placement","suits_whom":"Most patients, especially those with thin tissue coverage; common for anatomical implants.","recovery":"Somewhat more discomfort initially, with lower capsular contracture risk; implant settles over several months."},{"name":"Inframammary incision with subglandular placement","suits_whom":"Patients with adequate breast tissue coverage and no need for extra muscle support.","recovery":"Often less early pain, but implant edges may be more visible."},{"name":"Periareolar incision","suits_whom":"Selected patients with suitable areola size who prefer a less visible scar.","recovery":"Similar overall recovery; slightly higher sensation change and scar considerations."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Operating time for bilateral primary augmentation with anatomical implants, excluding anesthesia preparation and recovery."},"initial_assessment_documents":["Front, side and oblique chest photos","Recent mammogram or breast ultrasound (if available)","Recent preoperative blood test results","List of blood thinners and supplements"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay 5-10 days until first wound check and dressing review. Later reviews usually done remotely or locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether a breast lift is also needed, because augmentation does not correct severely drooping breasts","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"Breast augmentation does not correct severely drooping breasts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the surgical facility meets recognized accreditation standards","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation//surgeon","host":"plasticsurgery.org","quote":"Perform surgery in accredited, state-licensed or Medicare-certified surgical facilities","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","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":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic promises augmentation alone will fix severely drooping breasts","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"Breast augmentation does not correct severely drooping breasts.","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pus or abnormal discharge from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Abnormal discharge, such as pus, from your incision site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Breast enlargement or firmness with pain and pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Increasing enlargement, or firmness, of one or both of your breasts that’s associated with pain and pressure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Rupture of the stitches","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/articles/breast-augmentation","host":"my.clevelandclinic.org","quote":"Rupture of your stitches.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"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":"T5","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want volume from fat taken from another body part","name":"Fat transfer breast augmentation","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation","host":"plasticsurgery.org","quote":"When fat from another part of the patient's body is used to create the improved breast volume, the procedure is referred to as fat transfer breast augmentation .","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"inframammary-fold-incision","name":"Inframammary fold incision with submuscular (dual-plane) placement","how_it_works":{"text":"The implant is placed under the chest muscle, lowering capsular contracture risk","source":{"url":"https://www.uclahealth.org/medical-services/surgery/plastic-surgery/cosmetic-services/breast-augmentation","host":"uclahealth.org","quote":"The principle advantage of subpectoral placement is that it statistically lowers the risk of capsular contracture.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"inframammary-incision","name":"Inframammary incision with subglandular placement","how_it_works":{"text":"The implant sits behind breast tissue and over the pectoral muscle","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/procedure","host":"plasticsurgery.org","quote":"Directly behind the breast tissue, over the pectoral muscle (a submammary/subglandular placement)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"periareolar-incision","name":"Periareolar incision","how_it_works":{"text":"The incision follows the edge of the areola","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-augmentation/procedure","host":"plasticsurgery.org","quote":"along the areolar edge (peri-areolar incision), the fold under the breast (inframammary fold) and in the armpit (axillary incision).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=uvelicenie-grudi-kaplevidnymi-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":9},"manualSeo":[],"updatedAt":"2026-11-14T23:55:30.000Z","activeCountries":["ES","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}