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.
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 augments gluteal size, enhancing shape with silicone prosthetics, with quick recovery and long-lasting results.
"},"1521":{"operation":{"name":"Male Butt Implants","alias":"male-butt-implants","use_for_listing":true},"country_price":{"US":{"amount":8000,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8800,"max_amount":11000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":7200,"max_amount":8200,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":5200,"max_amount":7600,"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 male buttocks\" size and shape by inserting silicone implants beneath the muscle, requiring careful recovery for optimal results."}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":8,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":3329,"alias":"leyla-arvas","name":"Leyla Arvas","photo":"doctor/6197a70575e96","advisory_text":"Dr. Leyla Arvas is a renowned plastic, reconstructive, and aesthetic surgeon who specializes in rhinoplasty, facelifts, liposuction, and breast surgeries. She trained in Taiwan, Tokyo, and Barcelona, working with top experts in microsurgery and laser treatments. Dr. Arvas is experienced in VASER and LASER liposuction and high-definition liposculpture.","linkedin":"https://www.linkedin.com/in/leyla-arvas-m-d-9b7a28b2/?originalSubdomain=tr","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":21,"unit":"days","qualifier":"For desk work with a sitting cushion; avoid prolonged sitting. Physical work needs longer; complications extend recovery."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any complication (mainly wound dehiscence, seroma, infection) within first months; serious ones are a minority."},"contraindications":["Active local or systemic infection","Skin infection or open wounds in gluteal or sacral area","Pregnancy or breastfeeding","Untreated body dysmorphic disorder","Uncontrolled medical conditions (e.g., diabetes, heart disease)","Current smoking or nicotine use (relative; impairs wound healing)","Insufficient soft tissue coverage in very thin patients (relative)","Bleeding or clotting disorders or history of venous thromboembolism (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually day case or one night of observation after primary gluteal implant surgery."},"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":"Light walking early; lower-body and strenuous exercise only after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"After swelling resolves and implants settle."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After the wound check and suture removal, once pain and sitting allow, with surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early check, drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":14,"unit":"days","qualifier":"If non-absorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of settled result."}}],"indications":["Flat or underdeveloped buttocks","Gluteal asymmetry","Gluteal volume loss"],"main_risks":["Wound dehiscence or opening of the incision","Infection","Seroma or hematoma","Implant malposition, rotation or visible/palpable implant","Capsular contracture","Implant exposure or extrusion","Sciatic nerve irritation or numbness","Persistent pain","Asymmetry","Venous thromboembolism","Anesthesia-related risks","Scarring (widened or hypertrophic scar at the incision)","Skin necrosis or poor wound healing","Need for revision surgery or implant removal"],"pain":"Moderate to significant pain for the first 1–2 weeks, especially when sitting, controlled by prescribed analgesics; tightness and discomfort may persist for several weeks.","preparation":["Preoperative consultation and medical history review","Routine blood tests and medical clearance as indicated","Stop smoking and nicotine products in advance","Review of medication and supplements with the surgeon","Fasting before general anesthesia","Arrange home help and a sitting cushion","Preoperative photos and implant size and plane planning"],"recovery_timeline":[{"phase":"Days 0–3","description":"Rest, swelling and pain; compression garment worn; drains if used.","restrictions":["Avoid sitting directly on the buttocks","Sleep on stomach or side"]},{"phase":"Weeks 1–2","description":"Pain and swelling decrease; light walking encouraged.","restrictions":["No prolonged sitting","No lifting or strenuous activity"]},{"phase":"Weeks 3–6","description":"Gradual return to daily activities and gradual sitting; compression continues as advised.","restrictions":["Avoid squats and lower-body workouts","Avoid heavy lifting"]},{"phase":"Weeks 6–12","description":"Gradual return to exercise as cleared; swelling settles.","restrictions":["Avoid high-impact activity until cleared"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Pain and limited sitting for 1–2 weeks, then gradual return to daily activities. Strenuous exercise waits 6–12 weeks."},"result_longevity":"Implants are long-lasting but not guaranteed lifetime devices; revision or removal may be needed in some patients over time.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation or implant removal/exchange within first 1-2 years, mostly for infection, exposure or malposition."},"scars":"Typically a single vertical incision of about 5–8 cm in the upper natal cleft, usually well hidden; scar may be sometimes widened or thickened.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session for primary bilateral gluteal implant placement."},"stages":[{"code":"surgery","label":"Bilateral gluteal implant placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Single-stage operation; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient satisfaction with buttock shape and volume","value":85,"unit":"percent satisfied","horizon":"6-12 months after surgery","population":"Healthy adults undergoing primary gluteal implant placement","evidence_status":"limited"},"techniques":[{"name":"Intramuscular implant placement","suits_whom":"Patients with thin soft tissue needing extra coverage; provides better implant stability.","recovery":"Often more painful with longer sitting restrictions, around 4–6 weeks."},{"name":"Subfascial implant placement","suits_whom":"Selected patients with adequate soft tissue and muscle quality.","recovery":"Usually somewhat less painful than intramuscular placement, with similar activity restrictions."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for primary bilateral gluteal implant placement."},"initial_assessment_documents":["Rear, side and front standing photos of buttocks","Recent blood test results","Medical history and current medication list","List of blood thinners","Prior buttock surgery or filler details"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until wound check, suture removal and clearance to fly. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Talk to the operating surgeon yourself before you consent to surgery","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"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":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check the facilities and standards at the clinic or hospital where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask to see before and after pictures of the surgeon's work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Get the contact details of a named doctor for complications, not only a helpline","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"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":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that the surgeon speaks a language you speak well enough to discuss surgery","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Hospital sells cosmetic surgery bundled with a holiday package in its marketing","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Surgeon or hospital refuses to discuss the details of your surgery with you","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"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":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgeon or clinic cannot show before and after pictures of its work","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Excessive bleeding or swelling at the buttocks","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23353-butt-implants","host":"my.clevelandclinic.org","quote":"Excessive bleeding or swelling.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Allergic reaction or infection after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23353-butt-implants","host":"my.clevelandclinic.org","quote":"An allergic reaction or infection.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Extreme pain that does not go away","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23353-butt-implants","host":"my.clevelandclinic.org","quote":"Pain that’s extreme or doesn’t go away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Shortness of breath or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/buttock-augmentation/recovery","host":"plasticsurgery.org","quote":"If you experience shortness of breath, chest pains or unusual heart beats, seek medical attention immediately.","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":"Gives your home doctor your treatment details and future care needs","document":"letter for your gp","source":{"url":"https://www.nhs.uk/using-the-nhs/nhs-services/hospitals/being-discharged-from-hospital/","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","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":"T3","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":"T4","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a more natural look and feel","name":"Brazilian butt 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out.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"subfascial-implant-placement","name":"Subfascial implant placement","how_it_works":{"text":"Implants are placed below the fascia of the gluteus muscle","source":{"url":"https://med.stanford.edu/cosmeticsurgery/aestheticservices/body/buttock-augmentation.html","host":"med.stanford.edu","quote":"Silicone implants are inserted into the subfascial (below the fascia) plane of the gluteus 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