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.
The procedure sculpts the lower face, enhancing aesthetics and balance through surgical or non-surgical methods.
"},"1033":{"operation":{"name":"Sliding genioplasty","alias":"sliding-genioplasty","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":5200,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2300,"max_amount":3800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6800,"max_amount":10100,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"ES":true},"description":"The operation reshapes the chin by moving the bone forward, providing improved facial proportions and balance.
"},"1507":{"operation":{"name":"Jaw Implant","alias":"jaw-implant","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":13000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3500,"max_amount":5200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9100,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"ES":{"amount":10000,"max_amount":17900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":false,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"EG":true},"description":"This cosmetic surgery enhances facial symmetry by inserting a silicone or other material implant into the jawline, improving appearance and often requiring a brief recovery period."},"1541":{"operation":{"name":"Jawline Contouring","alias":"jawline-contouring","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":11500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":4600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":600,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":500,"max_amount":5400,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"ES":true},"description":"This cosmetic surgery reshapes the jawline using implants, fillers, or reduction techniques to enhance facial balance and aesthetics, with a recovery period of several weeks."}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"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":7,"max":14,"unit":"days","qualifier":"Desk work after jawline implant placement; physical work and swelling may take longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication (infection, hematoma, malposition, nerve symptoms) within 6 months; implant-threatening infection about 1–5%."},"contraindications":["Active infection near the surgical site (dental, skin, sinus)","Uncontrolled systemic disease or unfitness for anesthesia","Pregnancy","Untreated body dysmorphic disorder","Smoking or nicotine use (relative; impairs healing)","Unmanageable bleeding disorders or anticoagulation (relative)","Skeletal or occlusal discrepancy better suited to orthognathic surgery (relative)","Insufficient soft-tissue cover or prior radiation to the area (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically same-day discharge; one overnight observation is 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":"Return to strenuous exercise and contact activity, subject to surgeon clearance; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for swelling to resolve and soft tissues to settle around the implant."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Typical range only; depends on swelling, wound status and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"From surgery; includes suture or dressing check."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; assessment of settled result."}}],"indications":["Augmenting a weak or recessive mandibular angle or jawline","Mild congenital or acquired mandibular asymmetry or deficiency","Chin projection deficiency"],"main_risks":["Swelling and bruising","Infection of the implant, which may require removal","Implant malposition or asymmetry","Implant shift or palpable/visible edges","Hematoma or seroma","Mandibular or mental nerve injury: numbness or weakness, rarely lasting","Bone resorption beneath the implant","Wound dehiscence or implant exposure","Unsatisfactory aesthetic result requiring revision","Anesthesia-related risks"],"pain":"Moderate pain, tightness and pressure for the first few days, usually controlled with oral analgesics; this settles over 1–2 weeks.","preparation":["Consultation with facial assessment and imaging (photos, X-ray or CT)","Medical history, medication and supplement review with surgeon and anesthetist","Stopping smoking/nicotine as advised","Dental check if an intraoral approach is planned","Fasting before general anesthesia as instructed","Arranging an escort home and help for first days"],"recovery_timeline":[{"phase":"First days","description":"Swelling, tightness and bruising peak; liquid or soft diet; oral hygiene care, especially with an intraoral approach.","restrictions":["Soft or liquid diet","Head elevated when resting","No strenuous activity"]},{"phase":"Weeks 1–2","description":"Swelling gradually subsides; sutures or dressings are checked; most return to desk work.","restrictions":["Avoid pressure on the jaw","Avoid wide jaw opening and hard foods"]},{"phase":"Weeks 3–6","description":"Diet progresses to normal; residual swelling and numbness settle; exercise resumes on clearance.","restrictions":["No contact sports or heavy exertion until cleared"]},{"phase":"Months 3–6","description":"Final contour becomes apparent as swelling resolves.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery (eating, speaking, daily activities); no formal physiotherapy normally required."},"result_longevity":"Long-lasting by design; can be removed or revised, and facial aging continues to change contour.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation for removal, repositioning or replacement of the implant within several years of primary surgery."},"scars":"Intraoral approach leaves no external scar (inside-mouth incisions heal inconspicuously); a chin implant may be placed via a small submental skin incision, leaving a small, usually discreet scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary implant placement; follow-up checks are not counted."},"stages":[{"code":"implant_placement","label":"Surgical placement of jaw/mandibular implant(s)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standard primary alloplastic augmentation in one stage."},"success":{"metric":"Patient satisfaction with jawline contour","value":90,"unit":"percent satisfied","horizon":"6 months after surgery","population":"Adults with weak jawline or mandibular angle undergoing primary alloplastic implant placement","evidence_status":"limited"},"techniques":[{"name":"Alloplastic mandibular angle/jawline implant placement (intraoral approach)","suits_whom":"Adults with a weak or narrow jawline or angle who want more definition and width, with adequate bone and soft tissue.","recovery":"Swelling for several weeks; desk work often after about 1–2 weeks; final contour after 3–6 months."},{"name":"Alloplastic chin (mentum) implant placement","suits_whom":"Adults with mild to moderate chin projection deficiency without a need for bone repositioning; often combined with jawline contouring.","recovery":"Swelling for 1–3 weeks; desk work often after about 5–10 days; final shape after a few months."},{"name":"Extended or wrap-around jawline implant","suits_whom":"Adults needing combined chin, jawline and angle augmentation in one implant.","recovery":"Similar to angle implants, though swelling may be more prominent and last longer."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Operating time for primary bilateral jaw angle implants, with or without chin implant; excludes anesthesia preparation and recovery."},"initial_assessment_documents":["Front, side and three-quarter face photos","Profile photo with relaxed jaw closed","Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray (if available)","Prior jaw or facial surgery records, if available"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until wound check and surgeon clearance. Result review can be done remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","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":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you have been able to ask the treatment team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://111.wales.nhs.uk/Travelhealth/ChecklistNCP/","host":"111.wales.nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you are clear about how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check the facility’s credentials","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking treatment abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision about the treatment","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of the possible complications of the treatment","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"No mention of aftercare when the treatment is offered","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The facility cannot provide its credentials when asked","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Implant shifting out of position","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/chin-surgery/safety","host":"plasticsurgery.org","quote":"Anesthesia risks Asymmetry Bleeding Chin implant displacement","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Bleeding after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/chin-surgery/safety","host":"plasticsurgery.org","quote":"Anesthesia risks Asymmetry Bleeding","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Infection","urgency":"contact_clinic","general":true,"source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/chin-surgery/safety","host":"plasticsurgery.org","quote":"Anesthesia risks Asymmetry Bleeding Chin implant displacement Deep vein thrombosis, cardiac and pulmonary complications Fatty cysts Fatty tissue found deep in the skin might die (fat necrosis) Fluid accumulation (seroma) Hematoma Infection","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs discharge documents to understand the completed treatment","document":"discharge documents","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/apply-for-a-free-uk-global-health-insurance-card-ghic/","host":"nhs.uk","quote":"receipts or invoices relating to treatment; confirmation that the treatment was state-provided; confirmation of payments made to healthcare institutions; documents relating to insurance cover if your insurer paid for treatment; discharge documents","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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":"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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer repositioning part of the chin bone","name":"Sliding genioplasty","source":{"url":"https://www.plasticsurgery.org/news/articles/sculpting-the-male-jawline-chin-and-neck-contouring-101","host":"plasticsurgery.org","quote":"Another approach is sliding genioplasty, where a section of the chin bone is repositioned to achieve the desired look.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":1033},{"id":"A2","text":"You mainly want excess fat removed from under your chin","name":"Liposuction","source":{"url":"https://www.plasticsurgery.org/news/articles/sculpting-the-male-jawline-chin-and-neck-contouring-101","host":"plasticsurgery.org","quote":"Liposuction removes excess fat from beneath your chin and around your neck, enhancing the angle between the neck and jaw.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":23},{"id":"A3","text":"You may only need filler to improve your jawline","name":"Dermal fillers","source":{"url":"https://www.plasticsurgery.org/news/articles/sculpting-the-male-jawline-chin-and-neck-contouring-101","host":"plasticsurgery.org","quote":"Some men may only need filler.","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":"alloplastic-mandibular-angle","name":"Alloplastic mandibular angle/jawline implant placement (intraoral approach)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://www.plasticsurgery.org/news/articles/sculpting-the-male-jawline-chin-and-neck-contouring-101","host":"plasticsurgery.org","quote":"Most patients return to normal activities within a week.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"alloplastic-chin-implant","name":"Alloplastic chin (mentum) implant placement","how_it_works":{"text":"An implant is placed over the chin bone during surgery","source":{"url":"https://www.plasticsurgery.org/news/articles/sculpting-the-male-jawline-chin-and-neck-contouring-101","host":"plasticsurgery.org","quote":"An implant, usually made of silicone or another biocompatible material, is inserted over the chin bone during the operation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"weeks","label":"1 week","source":{"url":"https://www.plasticsurgery.org/news/articles/sculpting-the-male-jawline-chin-and-neck-contouring-101","host":"plasticsurgery.org","quote":"Most patients return to normal activities within a week.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"extended","name":"Extended or wrap-around jawline implant","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"event":"back_to_daily_activities","min":7,"max":7,"unit":"days","label":"7 days","source":{"url":"https://www.healthline.com/health/cosmetic-surgery/jaw-implants","host":"healthline.com","quote":"Most patients will be able to resume most normal daily activities after seven days of recovery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"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=uvelichenie-nizhney-chelyusti-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":5},"manualSeo":[],"updatedAt":"2026-11-11T16:00:12.626Z","activeCountries":["ES","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}