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.
Dr. Agustin Granado Tiagonce brings _doctor_1894_years_ of experience with 5,000+ procedures performed, specializing exclusively in facial plastic surgery. The neck lift package may cost around $8,820 – typically covering surgery, pre-op tests, 1-day hospital stay, physiotherapy, and 1-year follow-up. As founder of Clinica Granado Tiagonce and professor at Autonomous University of Madrid, Dr. Tiagonce offers 3D imaging to preview results and personally performs all international cases. The clinic holds SECPRE accreditation with a 98% patient recommendation rate.
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.
Clínica Tarrazo is a plastic surgery and aesthetic medicine center in Madrid, Spain. It focuses on facial rejuvenation, body sculpting, and hair restoration. A dedicated capillary unit also operates in Santo Domingo. Key procedures include rhinoplasty, facelifts, and FUE hair transplants. The team offers intimate care and non-surgical treatments like FaceFlash.
Dr. Manuel Tarrazo founded the clinic in 1996. He previously led plastic surgery as department chief for 15 years. His medical team has 11 doctors with 30 years of experience. They aim for natural results in surgical and aesthetic cases. The clinic reports a 90% success rate in treating alopecia.
The facility holds ISAPS accreditation for its surgical standards. Specialists use the FUE technique for scarless hair transplants. Each session can reach up to 6,000 grafts. Laser Fotona is also used for skin rejuvenation. Most patients travel from Spain and the Dominican Republic.
","text_type":"short_description","reviews":[],"clinic":{"id":9491,"alias":"clinic-tarrazo","name":"clinic Tarrazo","short_description":"Clínica Tarrazo is a plastic surgery and aesthetic medicine center in Madrid, Spain. It focuses on facial rejuvenation, body sculpting, and hair restoration. A dedicated capillary unit also operates in Santo Domingo. Key procedures include rhinoplasty, facelifts, and FUE hair transplants. The team offers intimate care and non-surgical treatments like FaceFlash.
Dr. Manuel Tarrazo founded the clinic in 1996. He previously led plastic surgery as department chief for 15 years. His medical team has 11 doctors with 30 years of experience. They aim for natural results in surgical and aesthetic cases. The clinic reports a 90% success rate in treating alopecia.
The facility holds ISAPS accreditation for its surgical standards. Specialists use the FUE technique for scarless hair transplants. Each session can reach up to 6,000 grafts. Laser Fotona is also used for skin rejuvenation. Most patients travel from Spain and the Dominican Republic.
","images":[{"base_url":"clinic/6ae2896736203","title":"Clinic Tarrazo exterior facade in Spain, plastic and aesthetic surgery center"},{"base_url":"clinic/6ae28968e4ba9","title":"Treatment room with exam chair and medical equipment at Tarrazo clinic"},{"base_url":"clinic/6ae2896aa453e","title":"Treatment room with modern medical equipment at Tarrazo clinic"},{"base_url":"clinic/6ae2896c4748b","title":"Product display shelf with skincare serums at Tarrazo clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"Paseo de la Chopera, 188, Madrid, Spain, 28100"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":11,"year_foundation":1996},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate ","country_code":"US"}]}}],"meta":{"total_count":3,"total_pages":1}},"clinicsMeta":{"total_count":3,"total_pages":1},"clinicsCount":3,"clinicsCountByEntity":{"clinic_count":431},"doctors":{"doctors":[{"doctor":{"id":10804,"alias":"casar-casado-sanchez","name":"Cásar Casado Sánchez","clinic_id":6225,"photo":"doctor/68f104f7b5c69","first_year_working":2008,"created_at":"2025-10-16T14:45:09.278+00:00","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Hospital Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"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.
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.
A minimally invasive procedure to tighten saggy skin and reduce wrinkles for a youthful appearance.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"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":10,"max":14,"unit":"days","qualifier":"About 10-14 days to desk work, as comfort and wounds permit. Physical work needs later clearance; combined procedures excluded."},"complication_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Major early complication within about 3 months: hematoma needing surgery, skin necrosis or deep infection. Excludes bruising, nerve injury."},"contraindications":["Smoking or nicotine use impairing skin healing","Uncontrolled hypertension or significant cardiovascular disease","Bleeding or clotting disorders, or unmanageable anticoagulant use","Uncontrolled diabetes or other poorly controlled systemic illness","Active skin infection in the surgical area","Pregnancy","Unrealistic expectations or untreated body dysmorphic disorder","Unfit for general anesthesia","Poor wound healing, abnormal scarring, or immunosuppressive therapy","Vasculitis or connective tissue disease affecting wound healing"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Planned day case: zero nights, same-day discharge. Overnight observation is outside this profile."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Light walking early; strenuous exercise and heavy lifting after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually; scar maturation continues longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Counted from surgery day. Fly once surgeon excludes hematoma and wound problems. Arrange suture removal and reviews at home beforehand."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"Early check and drain/dressing review if used."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Removal of non-dissolving sutures."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Assessment of healing and contour."}}],"indications":["Loose or sagging neck skin","Visible platysmal bands","Loss of jawline and neck definition","Submental fullness with skin laxity","Aging-related neck contour changes","Excess or prominent submental fat (neck adiposity)"],"main_risks":["Hematoma","Infection","Scarring, including hypertrophic scars","Temporary or permanent nerve injury causing numbness or weakness","Skin necrosis, especially in smokers","Contour irregularities or asymmetry","Persistent swelling or seroma","Anesthesia-related risks"],"pain":"Mild to moderate discomfort, tightness and numbness for the first days, usually controlled with oral analgesics.","preparation":["Preoperative consultation and medical assessment","Routine preoperative tests as indicated by age and health","Stop smoking and nicotine well before surgery","Review of medications, blood thinners and supplements with the surgeon","Fasting before general anesthesia as instructed","Arrange transport and help at home after surgery","Preoperative photographs"],"recovery_timeline":[{"phase":"Day of surgery (day case)","description":"General anesthesia, then same-day discharge with a responsible adult. Compression garment on; any drain usually removed at first review.","restrictions":["Rest with head elevated","No driving for 24 hours or while sedated","Adult stays with you the first night"]},{"phase":"Days 1-3","description":"Swelling, bruising, tightness and numbness peak. Take short indoor walks often. First wound review checks drain and dressing.","restrictions":["Sleep and rest with head elevated","No strenuous activity or heavy lifting","Wear compression garment as instructed"]},{"phase":"Days 4-14","description":"Swelling and bruising gradually fade. Non-dissolving sutures come out at about 7-14 days. Desk work is often possible at 10-14 days.","restrictions":["Avoid heavy lifting, bending and neck strain","No sunbathing or saunas","Light walking only"]},{"phase":"Weeks 3-6","description":"Most swelling resolves. Gradual return to exercise once the surgeon clears it.","restrictions":["No strenuous exercise or lifting until cleared (3-6 weeks)"]},{"phase":"Months 3-6","description":"Final contour becomes clearer as residual swelling resolves. Scars continue to mature beyond these first 3-6 months.","restrictions":["Protect scars from sun","Avoid scar-stretching activity as advised"]},{"phase":"At any time","description":"Seek urgent care for rapid one-sided neck swelling, severe pain, breathing or swallowing trouble, fever, pus or dark skin. Report new facial weakness.","restrictions":["Do not wait for the next scheduled review","Call emergency services for breathing difficulty"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"About 7-14 days to ordinary light activities. Swelling may persist; strenuous-exercise limits and scar maturation take longer."},"result_longevity":"Results are long-lasting, often many years, but natural aging continues and duration varies by technique, skin quality and lifestyle.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Unplanned corrective surgery within about 2 years, e.g. for residual laxity, irregularity, banding or scar. Planned stages excluded."},"scars":"Incisions are usually placed under the chin and/or behind the ears, and scars are generally discreet and fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical procedure."},"stages":[{"code":"surgery","label":"Neck lift surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone neck lift is typically a single operation."},"success":{"metric":"Patients satisfied with neck contour and not needing a corrective operation","value":80,"unit":"percent","horizon":"12 months after surgery","population":"Healthy adults undergoing standalone primary neck lift with platysmaplasty under general anesthesia","evidence_status":"limited"},"techniques":[{"name":"Platysmaplasty neck lift with submental incision and liposuction","suits_whom":"Adults with platysmal bands, submental fullness and mild to moderate skin laxity","recovery":"Social recovery about 1-2 weeks; strenuous exercise after clearance at 3-6 weeks."},{"name":"Extended neck lift (lower rhytidectomy) with postauricular incisions","suits_whom":"Moderate to marked skin laxity","recovery":"Often longer swelling; timelines may exceed the primary protocol."},{"name":"Limited-incision neck lift","suits_whom":"Good skin elasticity with mainly submental fat and mild banding","recovery":"Often shorter swelling; return to work may be slightly earlier."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Standalone neck lift surgery; longer if combined with other procedures."},"initial_assessment_documents":["Front, side and oblique photos of face","Neck photos in relaxed and raised-chin positions","Medication list including blood thinners","Previous facial or neck surgery reports (if available)","Recent blood tests or ECG (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until suture removal and surgeon clearance to fly."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon has extensive experience with neck lift surgery","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/neck-lift/selecting-surgeon","host":"theaestheticsociety.org","quote":"Does the surgeon have extensive experience with neck lift surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask to see before-and-after photos of the surgeon's neck lift results","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/head-face/neck-lift/selecting-surgeon","host":"theaestheticsociety.org","quote":"Do you have neck lift surgery before-and-after photos that I can see?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Ask whether the surgeon has hospital privileges to perform neck lifts, and at which hospitals","scope":"procedure","source":{"url":"https://plasticsurgery.org/cosmetic-procedures/neck-lift/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure? 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