Private Optimed Hospital is an ISO-certified hospital in Istanbul treating over 250,000 patients each year. Its main specialty is obesity and weight loss surgery. The hospital also has 25 departments covering cardiology, neurosurgery, and plastic surgery.
Private Optimed Hospital is an ISO-certified hospital in Istanbul treating over 250,000 patients each year. Its main specialty is obesity and weight loss surgery. The hospital also has 25 departments covering cardiology, neurosurgery, and plastic surgery.
Madame Safiye Clinic specializes in hair transplantation with expertise from Dr. Safiye Kurt, who has performed over 15,000 procedures. The clinic offers personalized treatment plans and high-standard care for hair restoration.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1105,"alias":"madame-safiye-health-group","name":"Madame Safiye Clinic","short_description":"Madame Safiye Clinic is a hair transplant clinic in Istanbul led by Dr. Safiye Kurt. Dr. Kurt was the first doctor in Turkey certified in hair transplantation. The clinic specializes in hair transplantation and has performed over 15,000 procedures.
Gürler Akınbingöl M.D. Aesthetic & Plastic Surgery is a private practice run by a specialist plastic surgeon in Istanbul. It focuses on aesthetic surgery, including rhinoplasty, facelifts, and body contouring. Surgeries take place in a fully equipped affiliated A+ hospital.
Gürler Akınbingöl M.D. Aesthetic & Plastic Surgery is a private practice run by a specialist plastic surgeon in Istanbul. It focuses on aesthetic surgery, including rhinoplasty, facelifts, and body contouring. Surgeries take place in a fully equipped affiliated A+ hospital.
Coolest Clinic is a JCI- and ISAPS-accredited plastic surgery center in Istanbul. It treats over 900 patients per year and holds certification from the Turkish Ministry of Healthcare for international patients.
Coolest Clinic is a JCI- and ISAPS-accredited plastic surgery center in Istanbul. It treats over 900 patients per year and holds certification from the Turkish Ministry of Healthcare for international patients.
Op. Dr. Serif Yavuz's Private Practice is a plastic surgery clinic in Istanbul with a focus on natural-looking results. The clinic holds an International Health Tourism Authorization Certificate from the Turkish Ministry of Health.
Op. Dr. Serif Yavuz's Private Practice is a plastic surgery clinic in Istanbul with a focus on natural-looking results. The clinic holds an International Health Tourism Authorization Certificate from the Turkish Ministry of Health.
Esthetic Hospital is a private multispecialty center in Istanbul with patient-voted awards for plastic surgery. Its main specialties include plastic surgery, dental treatment, and general surgery. Certified by ISO (International Organization for Standardization).
Esthetic Hospital is a private multispecialty center in Istanbul with patient-voted awards for plastic surgery. Its main specialties include plastic surgery, dental treatment, and general surgery. Certified by ISO (International Organization for Standardization).
Prof. Dr. İbrahim Yıldız provides personalized breast reconstruction surgery at Acibadem Altunizade, a LEED Platinum certified clinic. The procedure may cost around $10,000–40,000 USD depending on complexity, with PET-CT recommended for optimal staging. The environmentally conscious facility combines surgical expertise with sustainable healthcare practices in Istanbul.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":100,"price_to":100,"currency":"USD","id":33646},"diagnostic":{"id":83,"name":"Complete blood count","alias":"total-blood"}}],"reviews":[],"clinic":{"id":1602,"alias":"acibadem","name":"Acibadem Altunizade Clinic","short_description":"Acıbadem Altunizade Hospital is a multidisciplinary hospital on Istanbul's Asian side. It opened in 2017 and occupies a 98,000 m² facility. Its services include neurology, cardiology, oncology, breast health, ophthalmology, spine care, reproductive medicine, obesity and metabolic surgery, and robotic surgery.
","images":[{"base_url":"clinic/616ec7e35aa11","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, illuminated at dusk"},{"base_url":"clinic/616ec8d7ea3c0","title":"Modern exterior of Acibadem Altunizade Clinic in Istanbul, Turkey"},{"base_url":"clinic/616ec8e2885db","title":"Modern operating room at Acibadem Altunizade Clinic with advanced surgical equipment"},{"base_url":"clinic/616ec8ec06bcf","title":"Modern waiting room at Acibadem Altunizade Clinic, Istanbul with comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Altunizade, Yurtcan Sokağı No:1, 34662 Üsküdar/İstanbul, Турция"},"rating":{"rating":4.4,"google":4.1,"percent_of_satisfied_clients":71},"statistics":{"number_of_reviews":7,"doctors_number":0,"year_foundation":2017},"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/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d0b4dd6b9a6b.jpeg","name":"LEED Platinum Sertificate for ECO Buildings","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dr. Omer Faruk Deveci's Private Practice is an ISAPS-accredited plastic surgery clinic in Istanbul. It specializes in plastic surgery and aesthetic medicine. The clinic treats patients from Europe, the CIS region, and the United States.
Dr. Omer Faruk Deveci's Private Practice is an ISAPS-accredited plastic surgery clinic in Istanbul. It specializes in plastic surgery and aesthetic medicine. The clinic treats patients from Europe, the CIS region, and the United States.
Euro İstanbul Medical Group is a JCI-accredited multi-specialty clinic in Istanbul. It is best known for hair transplantation, plastic surgery, and dental treatment. The clinic attracts Italian patients and public figures for hair restoration.
Euro İstanbul Medical Group is a JCI-accredited multi-specialty clinic in Istanbul. It is best known for hair transplantation, plastic surgery, and dental treatment. The clinic attracts Italian patients and public figures for hair restoration.
Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Medistanbul Hospital is a private multi-specialty medical center in Istanbul, Turkey, treating around 90,000 patients each year. Its strongest specialties are orthopedics, oncology, urology, and plastic surgery.
Dr. Besir Oner specializes in aesthetic and reconstructive surgery at Memorial Şişli Hospital – Turkey's first JCI-accredited facility with a 4.7/5 rating from 4,500+ reviews. The buttock lift package typically costs around $4,900, covering surgery, anesthesia, 1 night hospital stay, pre-op tests, transfers, and interpreter services. The hospital maintains ISO 15189 and LEED Platinum certifications, ensuring international standards.
","text_type":"mt_wow_description","best_texts":{"techniques":"Butt lift","good_fit_for":"Patients seeking body contouring","why_its_ranked":"Offers comprehensive butt lift procedures with package including transfer, translator, and hospital stay. JCI-accredited facility with experienced plastic surgeons."},"additional_data":{"advertising_id":"96:illness_kind:38"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":5200,"price_to":5200,"currency":"USD","id":60653},"operation":{"id":509,"name":"Buttock lift","alias":"buttock-lift"}},{"prices":{"price_from":250,"price_to":250,"currency":"USD","id":62984},"diagnostic":{"id":340,"name":"Plastic Surgery Consultation","alias":"plastic-surgery-consultation"}},{"prices":{"price_from":470,"price_to":600,"currency":"USD","id":17256},"diagnostic":{"id":20,"name":"Mammography","alias":"mammography"}}],"reviews":[],"clinic":{"id":96,"alias":"memorial-healthcare-group","name":"Memorial Şişli Hospital","short_description":"Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436,"doctors_number":189,"year_foundation":2000},"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/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}}],"clinicsMeta":{"total_count":66,"total_pages":7},"clinicsCount":66,"clinicsCountByEntity":{"clinic_count":294},"doctors":{"doctors":[{"card_text":"Dr. Baran Kul trained with top plastic surgeons in Turkey and the US, specializing in breast reconstruction techniques.
Dr. Baran Kul is a plastic surgeon at Coolest Clinic in Istanbul. He is a member of the European Board of Plastic Reconstructive and Aesthetic Surgery (EBOPRAS). Dr. Kul completed his training at Istanbul University Cerrahpasa Medical Faculty. He later refined his skills through fellowships at the University of Miami in the USA.
Coolest Clinic is a JCI- and ISAPS-accredited plastic surgery center in Istanbul. It treats over 900 patients per year and holds certification from the Turkish Ministry of Healthcare for international patients.
Op. Dr. Şerif Yavuz specializes in breast reconstruction and aesthetic surgeries, with a focus on stem cell and PRP applications for enhanced recovery.
Dr. Şerif Yavuz is a plastic surgeon at his private practice in Istanbul. He is a member of the American Society for Aesthetic Plastic Surgery. Dr. Yavuz specialized in reconstructive and aesthetic surgeries at Abant Izzet Baysal University. He also completed microsurgery training at the University of Zurich.
Op. Dr. Serif Yavuz's Private Practice is a plastic surgery clinic in Istanbul with a focus on natural-looking results. The clinic holds an International Health Tourism Authorization Certificate from the Turkish Ministry of Health.
Dr. Ömer Faruk Deveci specializes in breast reconstruction surgery with international training in Miami and Seattle.
Dr. Ömer Faruk Deveci is a facial plastic surgeon at his private clinic in Istanbul. He gained international experience in Miami, working with Dr. Oscar Ramirez on facelift techniques. Dr. Deveci also trained in craniofacial surgery at Washington University Seattle Children’s Hospital. His practice holds ISAPS accreditation and treats approximately 500 patients annually.
Dr. Omer Faruk Deveci's Private Practice is an ISAPS-accredited plastic surgery clinic in Istanbul. It specializes in plastic surgery and aesthetic medicine. The clinic treats patients from Europe, the CIS region, and the United States.
The operation restores breast shape after mastectomy, using implants or body tissue. It boosts body image and confidence.
"},"591":{"operation":{"name":"Reconstruction of foot joints and toes","alias":"reconstruction-of-foot-joints-and-toes","use_for_listing":true},"country_price":{"GB":{"amount":12000,"max_amount":22000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":14000,"max_amount":27000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":3500,"max_amount":6200,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":4200,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"GB":false,"US":false,"TR":true,"TH":false},"description":"This procedure corrects foot and toe joint deformities enhancing mobility, reducing pain, and improving overall foot health.
"},"770":{"operation":{"name":"Reconstructive surgery","alias":"reconstructive-surgery","use_for_listing":true},"country_price":{"GB":{"amount":5500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":9000,"max_amount":20000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5800,"max_amount":13800,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":5800,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"GB":false,"US":false,"TR":true,"TH":true},"description":"This therapy regains body function, improves appearance through surgical repair, benefiting heavily from grafting techniques.
"},"1287":{"operation":{"name":"Prepectoral breast reconstruction","alias":"prepectoral-breast-reconstruction","use_for_listing":true},"country_price":{"GB":{"amount":9800,"max_amount":15500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":18000,"max_amount":36000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":10000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"country"},"TH":{"amount":5800,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"GB":false,"US":false,"TR":true,"TH":false},"description":"This surgery remakes breasts post mastectomy, placing implants over chest muscles for a more natural appearance, hastening recovery.
"},"1506":{"operation":{"name":"DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery)","alias":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","use_for_listing":true},"country_price":{"GB":{"amount":17500,"max_amount":26500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":45000,"max_amount":75000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":25300,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"GB":false,"US":false,"TR":true,"TH":true},"description":"**DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery):** This surgery rebuilds the breast using skin and fat from the lower abdomen, preserving muscle for a natural appearance and smoother recovery."}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":3,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":5},"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":28,"max":56,"unit":"days","qualifier":"Desk or light work after surgeon clearance following uncomplicated unilateral DIEP; physical or heavy-lifting jobs take longer."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Significant early flap or donor-site complications within about 3 months after unilateral DIEP; varies with risk factors."},"contraindications":["Unfit for prolonged general anesthesia (severe uncontrolled disease)","Active infection at chest, abdominal donor site, or systemic","Current smoking or nicotine use (usually relative)","Insufficient abdominal tissue or damaged epigastric vessels (relative)","Very high BMI or poorly controlled diabetes (relative)","Prior thrombosis or clotting disorder without hematology planning (relative)","Pregnancy","Advanced or inflammatory cancer; reconstruction may be deferred (relative)"],"days_in_clinic":{"min":3,"max":6,"unit":"nights","qualifier":"Uncomplicated unilateral DIEP with flap monitoring, drains and early mobilization. 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 surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you agree to 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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","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":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cut-price campaigns or cheap offers for surgery are a warning sign","scope":"treatment_type","source":{"url":"https://bapras.org.uk/media-government/news-and-views/view/cut-it-out-surgery-societies-and-britain's-largest-surgical-royal-college-slam-summer-discounts","host":"bapras.org.uk","quote":"Surgery should never be subject to cut price campaigns or cheap offers, it is too important.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A consultation only with sales 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