{"key":"op_1506_TR","page":{"url":"https://us-uk.bookimed.com/clinics/country=turkey/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/","procedure":{"id":1506,"slug":"diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery","name":"DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery)","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"plastic-surgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":46,"iso":"TR","name":"Turkey"},"currency":"USD","data_date":{"status":"missing","reason":"not_collected"}},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=turkey/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/","cost_url":"https://us-uk.bookimed.com/clinics/country=turkey/procedure=diep-flap-reconstruction-deep-inferior-epigastric-perforator-flap-surgery/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":25300,"to":{"status":"missing","reason":"not_collected"},"avg":{"value":25300,"method":"median","source":"offers"},"us":{"from":45000,"to":75000},"uk":{"from":17500,"to":26500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Istanbul","from":25300},{"city":"Antalya","from":9500},{"city":"İzmir","from":8500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"source":"offers","items":[{"tier":"basic","min":25300,"max":25300,"median":25300,"count":1}]},"comparison":[{"country_iso":"UA","from":5500,"to":8800},{"country_iso":"FR","from":14500,"to":21000},{"country_iso":"GB","from":17500,"to":26500},{"country_iso":"US","from":45000,"to":75000},{"country_iso":"IL","from":24000,"to":35000},{"country_iso":"MX","from":8000,"to":17500},{"country_iso":"DE","from":14500,"to":23000},{"country_iso":"CA","from":18000,"to":31000},{"country_iso":"AE","from":14000,"to":24000},{"country_iso":"TH","from":10000,"to":13500},{"country_iso":"PL","from":9500,"to":15000},{"country_iso":"KR","from":14000,"to":20000},{"country_iso":"CZ","from":8500,"to":12500},{"country_iso":"AT","from":16500,"to":24000},{"country_iso":"ES","from":20500,"to":42700},{"country_iso":"IT","from":11500,"to":18000},{"country_iso":"CN","from":11000,"to":18500},{"country_iso":"AU","from":21000,"to":32000},{"country_iso":"IN","from":5500,"to":8200},{"country_iso":"MY","from":9500,"to":15500},{"country_iso":"VN","from":7500,"to":12000},{"country_iso":"BR","from":11500,"to":17500}],"base_country":"US","base_is_fallback":false},"savings":{"pct":44,"variant":">=15%"},"package":{"included":["Consultation with a doctor","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":5,"items":[{"id":96,"name":"Memorial Şişli Hospital","city":"Istanbul","rating":4.6,"reviews_count":437,"accreditations":["International Organization for Standardization","Joint Commission International"],"rank":1,"has_procedure":true,"why_ranked":"General and plastic surgeons remove the tumor and reconstruct the breast in one session, cutting overall treatment time. First JCI-accredited hospital in Turkey; offers both DIEP flap and prosthesis-based options.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":[{"id":"68b1a8e37d4eddd89c081799","price":25300,"nights":0,"included":["Consultation with a doctor","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"DIEP Flap Reconstruction Surgery with Microsurgical Perforator Artery Technique"}]},{"id":418,"name":"Memorial Ankara Hospital","city":"Ankara","rating":4.8,"reviews_count":10,"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":7176,"name":"Memorial Göztepe Hospital","city":"Istanbul","rating":4.8,"reviews_count":9,"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":"Simultaneous DIEP reconstruction during mastectomy – plastic surgeons rebuild the breast in the same surgery as tumor removal, supported by a multidisciplinary team. JCI-accredited, the first in Turkey.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":397,"name":"SALUSS Medical Group","city":"Antalya","rating":4.6,"reviews_count":98,"accreditations":["Turkish Medical Association","Straumann® Dental Implant System Official Provider"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8743,"name":"Rebirthian Consulting Clinic","city":"Esenyurt","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":5,"has_procedure":true,"why_ranked":"Uses your own abdominal tissue to rebuild the breast without implants. Preserves muscles for stronger recovery. Also tightens the abdomen.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":7,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":107,"slug":"istanbul","name":"Istanbul","clinics_count":1,"price_from":25300,"profile":{"city_type":"Largest city in Turkey, megacity","access":["Sabiha Gökçen Airport (SAW), 32 km southeast of city center"],"sources":["https://en.wikipedia.org/wiki/Istanbul","https://en.wikipedia.org/wiki/Sabiha_G%C3%B6k%C3%A7en_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":382,"slug":"antalya","name":"Antalya","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":9500,"profile":{"city_type":"Major Mediterranean coastal city in Turkey","access":["Antalya Airport (AYT), 13 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Antalya","https://en.wikipedia.org/wiki/Antalya_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":395,"slug":"izmir","name":"İzmir","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":8500,"profile":{"city_type":"Aegean coastal port city in Turkey","access":["Izmir Airport (ADB), 14 km from the city center"],"sources":["https://en.wikipedia.org/wiki/%C4%B0zmir","https://en.wikipedia.org/wiki/Izmir_Adnan_Menderes_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":1,"active_with_related":1,"hospital_nights_median":0,"days_in_country_median":{"status":"missing","reason":"fewer than 10 offers with hotel days"},"top_offers":[{"id":"68b1a8e37d4eddd89c081799","clinic_id":96,"clinic_listed":true,"price":25300,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Consultation with a doctor","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"DIEP Flap Reconstruction Surgery with Microsurgical Perforator Artery Technique","is_package":true}],"packages":[{"id":"68b1a8e37d4eddd89c081799","clinic_id":96,"clinic_listed":true,"price":25300,"nights":0,"transfer":{"status":"missing","reason":"not_collected"},"tests":{"status":"missing","reason":"not_collected"},"meds":{"status":"missing","reason":"not_collected"},"aftercare":{"status":"missing","reason":"not_collected"},"guarantee":{"status":"missing","reason":"not_collected"},"included":["Consultation with a doctor","VIP transfer (premium vehicle service, all transfers between airport, hotel and clinic)"],"excluded":["Accommodation is not included"],"other_services":"DIEP Flap Reconstruction Surgery with Microsurgical Perforator Artery Technique","is_package":true}],"related_packages":{"status":"missing","reason":"not_collected"},"other_packages":{"status":"missing","reason":"not_classified"}},"medical":{"indications":["Breast reconstruction after mastectomy","Delayed reconstruction after breast cancer treatment","Reconstruction after failed implant-based reconstruction"],"contraindications":["Active smoking or nicotine use","Insufficient abdominal tissue for the needed breast volume","Prior abdominoplasty or abdominal surgery that damaged perforator vessels","Uncontrolled diabetes or severe cardiovascular disease","Clotting disorders or high thrombosis risk","High BMI with elevated surgical risk","Active infection or unfit for prolonged general anesthesia"],"operation_hours":{"min":5,"max":8,"unit":"hours","qualifier":"Unilateral microsurgical reconstruction; bilateral takes longer."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One main surgery; optional refinements are separate."},"stages":[{"code":"flap_reconstruction","label":"DIEP flap breast reconstruction","after":{"min":0,"max":0,"unit":"days","qualifier":"Main operation."}}],"qualifier":"Single-stage microsurgical reconstruction; nipple reconstruction or revision optional later."},"hospital_nights":{"value":0,"source":"offers","parsed_details":{"min":4,"max":7,"unit":"nights","qualifier":"Unilateral 4-6 nights; bilateral 5-7 nights. Inpatient stay with flap monitoring."}},"treatment_conditions":["inpatient"],"rehabilitation_days":{"min":30,"max":60,"unit":"days","qualifier":"Ordinary functional recovery with walking, self-care and light activity."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After flap check and drain removal; surgeon clearance required, with thrombosis precautions."},"back_to_work_days":{"min":42,"max":84,"unit":"days","qualifier":"Desk work about 6-8 weeks; physical work 10-12 weeks."},"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Walking early; core and heavy lifting restricted until surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the flap softens; nipple reconstruction or refinements add time."},"result_longevity":"Reconstructed breast is long-lasting and changes with weight like natural tissue; no implant replacement needed.","main_risks":["Flap vascular compromise requiring return to theatre","Partial or total flap loss","Fat necrosis","Hematoma or seroma","Infection and wound-healing problems","Abdominal bulge or hernia","Venous thromboembolism","Donor-site and breast scarring and asymmetry","Reduced sensation"],"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any breast or donor-site complication within 90 days; total flap loss about 1-3%."},"revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned return to theatre or secondary revision surgery; excludes planned nipple reconstruction."},"success":{"metric":"Flap survival (complete flap success)","value":97,"horizon":"Within 30 days after surgery","source":{"status":"missing","reason":"not_collected"},"evidence_status":"proven"},"scars":"Hip-to-hip lower abdominal scar, scar around the navel, and breast scars; fade over 12-18 months.","pain":"Moderate to severe for the first days, controlled with multimodal analgesia; abdominal tightness lasts 2-3 weeks.","preparation":["Stop smoking and nicotine at least 4-6 weeks before","CT or MR angiography to map abdominal perforators","Medical clearance and blood tests","Plan timing with oncology and radiotherapy team","Stop blood-thinning supplements as advised by surgeon","Arrange help at home and compression garments","Pre-operative photographs and markings"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Flap perfusion monitored hourly, drains in place, early mobilization from day 1-2.","restrictions":["Bed rest initially","Flexed hip position"]},{"phase":"Weeks 1-2","description":"Recovery at home after discharge; drain removal and gradual walking.","restrictions":["No lifting","Avoid straightening fully","No pressure on breast"]},{"phase":"Weeks 3-6","description":"Pain and swelling decrease, return to light daily activity; desk work from about week 6.","restrictions":["No lifting over 2-5 kg","No strenuous exercise","Wear compression garment"]},{"phase":"Weeks 6-12","description":"Gradual return to normal activity and exercise.","restrictions":["Core exercise only after clearance"]},{"phase":"Months 3-12","description":"Swelling resolves, scars mature, optional refinements.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Before discharge or at first dressing and flap check."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Drain and suture management; usually before flight home."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":60,"unit":"days","qualifier":"Healing and flap review, often remote."}},{"purpose":"result_review","requirement":"conditional","after":{"min":180,"max":365,"unit":"days","qualifier":"Final result and planning of refinements."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon is properly trained","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"For cosmetic surgery to be performed safely, it requires the proper administration of anesthesia, sterile technique, modern instrumentation and equipment, as well as properly trained surgeons.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check how many procedures of this type the surgeon has performed","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the surgical facility is accredited, since non-accredited facilities add risk","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Patients may take unnecessary risks when choosing cosmetic surgery vacations by unknowingly selecting unqualified physicians and having procedures performed in non-accredited surgical facilities.","tier":"tier1_medical","fetched_at":"2026-11-14","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":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery trips are marketed as vacations","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Cosmetic surgery trips are marketed as vacations.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"A surgeon cannot state how many procedures of this type they have performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"A surgeon will not provide a medical evaluation and discuss your full medical history","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Consult with your plastic surgeon for an evaluation and discuss your full medical history to determine the most appropriate treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Flap turns black or blue","urgency":"emergency","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Open wounds on the flap","urgency":"contact_clinic","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fluid draining from incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Rapid swelling","urgency":"emergency","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","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":"It tells the home doctor which surgical techniques were used","document":"operation notes","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Local doctors may not know what surgical techniques the physician used in the initial operation, making treatment difficult or nearly impossible.","tier":"tier1_medical","fetched_at":"2026-11-14","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}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":84,"unit":"days","qualifier":"Desk work about 6-8 weeks; physical work 10-12 weeks."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any breast or donor-site complication within 90 days; total flap loss about 1-3%."},"contraindications":["Active smoking or nicotine use","Insufficient abdominal tissue for the needed breast volume","Prior abdominoplasty or abdominal surgery that damaged perforator 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Inpatient stay with flap monitoring."},"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":"Walking early; core and heavy lifting restricted until surgeon clearance."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Swelling settles and the flap softens; nipple reconstruction or refinements add time."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After flap check and drain removal; surgeon clearance required, with thrombosis precautions."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":5,"max":7,"unit":"days","qualifier":"Before discharge or at first dressing and flap check."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Drain and suture management; usually before flight 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exercise.","restrictions":["Core exercise only after clearance"]},{"phase":"Months 3-12","description":"Swelling resolves, scars mature, optional refinements.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":60,"unit":"days","qualifier":"Ordinary functional recovery with walking, self-care and light activity."},"result_longevity":"Reconstructed breast is long-lasting and changes with weight like natural tissue; no implant replacement needed.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned return to theatre or secondary revision surgery; excludes planned nipple reconstruction."},"scars":"Hip-to-hip lower abdominal scar, scar around the navel, and breast scars; fade over 12-18 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One main surgery; optional refinements are separate."},"stages":[{"code":"flap_reconstruction","label":"DIEP flap breast 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nights."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":5,"max":8,"unit":"hours","qualifier":"Unilateral microsurgical reconstruction; bilateral takes longer."},"initial_assessment_documents":["Chest and abdomen photos","Mastectomy and pathology report","Radiotherapy and chemotherapy history","Abdominal CT or MR angiography (if available)","Prior abdominal surgery operative notes"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days until drain removal and flap check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the surgeon is properly trained","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"For cosmetic surgery to be performed safely, it requires the proper administration of anesthesia, sterile technique, modern instrumentation and equipment, as well as properly trained surgeons.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check how many procedures of this type the surgeon has performed","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the surgical facility is accredited, since non-accredited facilities add risk","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Patients may take unnecessary risks when choosing cosmetic surgery vacations by unknowingly selecting unqualified physicians and having procedures performed in non-accredited surgical facilities.","tier":"tier1_medical","fetched_at":"2026-11-14","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":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgery trips are marketed as vacations","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Cosmetic surgery trips are marketed as vacations.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"A surgeon cannot state how many procedures of this type they have performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"A surgeon will not provide a medical evaluation and discuss your full medical history","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Consult with your plastic surgeon for an evaluation and discuss your full medical history to determine the most appropriate treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Flap turns black or blue","urgency":"emergency","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Open wounds on the flap","urgency":"contact_clinic","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fluid draining from incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Rapid swelling","urgency":"emergency","general":false,"source":{"url":"https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/autologous-flap/diep","host":"breastcancer.org","quote":"Call your doctor right away if the flap turns black or blue or develops open wounds, or if you have bleeding, fluid drainage from the incisions, severe pain, rapid swelling, or a high fever.","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":"It tells the home doctor which surgical techniques were used","document":"operation notes","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"Local doctors may not know what surgical techniques the physician used in the initial operation, making treatment difficult or nearly impossible.","tier":"tier1_medical","fetched_at":"2026-11-14","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}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your chest has enough tissue to support an implant","name":"Breast implant reconstruction","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/techniques","host":"plasticsurgery.org","quote":"Implant-based breast reconstruction may be possible if the mastectomy or radiation therapy have left sufficient tissue on the chest wall to cover and support a breast implant.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You have already had mastectomy and radiation","name":"Latissimus dorsi flap","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/techniques","host":"plasticsurgery.org","quote":"The latissimus flap is recommended for patients who have already had mastectomy and radiation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"unilateral-diep-flap","name":"Unilateral DIEP flap","how_it_works":{"text":"Abdominal tissue is moved with microsurgery while abdominal muscle stays mostly intact","source":{"url":"https://www.plasticsurgery.org/news/blog/understanding-your-options-for-breast-reconstruction-following-mastectomy","host":"plasticsurgery.org","quote":"A free TRAM or DIEP flap is similar to the TRAM flap, but these procedures leave the abdominal muscle mostly or entirely intact and use microsurgery to connect the abdominal tissue to blood vessels in the chest.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"bilateral-diep-flap","name":"Bilateral DIEP flap","how_it_works":{"text":"Both breasts are rebuilt during the same operation","source":{"url":"https://my.clevelandclinic.org/departments/dermatology-plastic-surgery/depts/breast-reconstruction","host":"my.clevelandclinic.org","quote":"One or both breasts can be reconstructed at the same time.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"stacked-diep-flap","name":"Stacked DIEP flap","how_it_works":{"text":"Stacked surgery takes tissue from both sides of the belly","source":{"url":"https://my.clevelandclinic.org/health/treatments/24023-diep-flap-surgery","host":"my.clevelandclinic.org","quote":"In these cases, a stacked DIEP surgery (taking tissue from both sides of your belly instead of the middle) might be an option.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"unilateral-diep-flap","name":"Unilateral DIEP flap","how_it_works":{"id":"H1","text":"Abdominal tissue is moved with microsurgery while abdominal muscle stays mostly intact","source":{"url":"https://www.plasticsurgery.org/news/blog/understanding-your-options-for-breast-reconstruction-following-mastectomy","host":"plasticsurgery.org","quote":"A free TRAM or DIEP flap is similar to the TRAM flap, but these procedures leave the abdominal muscle mostly or entirely intact and use microsurgery to connect the abdominal tissue to blood vessels in the chest.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients needing reconstruction of one breast with adequate abdominal tissue.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Stay 4-6 nights; surgery about 5-7 hours."},{"id":"bilateral-diep-flap","name":"Bilateral DIEP flap","how_it_works":{"id":"H1","text":"Both breasts are rebuilt during the same operation","source":{"url":"https://my.clevelandclinic.org/departments/dermatology-plastic-surgery/depts/breast-reconstruction","host":"my.clevelandclinic.org","quote":"One or both breasts can be reconstructed at the same time.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients needing both breasts reconstructed.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer surgery and recovery; stay 5-7 nights."},{"id":"stacked-diep-flap","name":"Stacked DIEP flap","how_it_works":{"id":"H1","text":"Stacked surgery takes tissue from both sides of the belly","source":{"url":"https://my.clevelandclinic.org/health/treatments/24023-diep-flap-surgery","host":"my.clevelandclinic.org","quote":"In these cases, a stacked DIEP surgery (taking tissue from both sides of your belly instead of the middle) might be an option.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients needing more volume than one hemi-abdomen provides.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer, more complex surgery; stay about 5-7 nights."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your chest has enough tissue to support an implant","name":"Breast implant reconstruction","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/techniques","host":"plasticsurgery.org","quote":"Implant-based breast reconstruction may be possible if the mastectomy or radiation therapy have left sufficient tissue on the chest wall to cover and support a breast implant.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You have already had mastectomy and radiation","name":"Latissimus dorsi flap","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/techniques","host":"plasticsurgery.org","quote":"The latissimus flap is recommended for patients who have already had mastectomy and radiation.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"ok","items":[{"id":"Y1","text":"Turkey's Ministry of Health publishes lists of authorized healthcare providers and facilitators holding authorization certificates","specialties":[],"source":{"url":"https://shgmturizmdb.saglik.gov.tr/EN-69410/announcements.html","host":"shgmturizmdb.saglik.gov.tr","quote":"Updated lists of healthcare providers and facilitators that have been granted authorization certificates by the Ministry","tier":"government","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-05-11","version":1},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK citizen passport holders can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"You can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US ordinary passport holders are exempt from a visa for up to 90 days in any 180-day period in Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Ordinary passport holders are exempted from visa up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 150 days after arrival in Turkey and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"To enter Turkey, your passport must have an ‘expiry date’ at least 150 days after the date you arrive and at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport must be valid for six months beyond the entry date into Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Passports must be valid for six months beyond your entry date.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"uk","volatile":false,"text":"British prescriptions are not accepted in pharmacies in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"British prescriptions are not accepted in pharmacies in Turkey.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["brazil","colombia","mexico","poland","spain","thailand","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.61,"count":554,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>DIEP flap breast reconstruction in Turkey typically costs from _op_1506_price_from_ to _op_1506_price_to_. Prices depend on surgical complexity, hospital tier, and whether the procedure is unilateral or bilateral. Patients save approximately _price_percent_discount_% compared to the US, where average costs reach _price_compare_US_average_. Packages usually include microsurgical fees, hospital stays in JCI-accredited facilities, anesthesia, and postoperative care with specialized garments.</p>\n\n<ul>\n<li><strong>Surgical complexity:</strong> Bilateral reconstruction for both breasts typically costs 50-70% more than a single-sided procedure.</li>\n<li><strong>Hospital facilities:</strong> Premium multidisciplinary centers in Istanbul often charge 15-20% more than specialized aesthetic clinics.</li>\n<li><strong>Surgeon expertise:</strong> Fees increase for professors or surgeons with international microsurgery fellowships and board certifications.</li>\n<li><strong>Medical hubs:</strong> Most advanced microsurgical centers are located in Istanbul, Ankara, and Antalya.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a multidisciplinary hospital like Memorial Sisli or Memorial Bahcelievler ensures high-level safety. These facilities offer advanced microsurgical techniques, such as the 2015 HUV perforator artery-based flap. Packages at these top-tier hospitals typically run about $25,300 for comprehensive surgical care. This investment is wise as these centers feature intensive care units and 24/7 specialist support. Doctors like Professor Cemal Firat in Antalya bring specialized expertise in microvascular tissue transfers. For the best value, look for surgeons with Turkish Plastic, Reconstructive and Aesthetic Surgery Association (TPRAASA) membership.</p>","faq":[{"q":"Can DIEP flap reconstruction be done at the same time as a mastectomy?","a":"<p>DIEP flap breast reconstruction is commonly performed during the same surgery as a mastectomy, known as immediate reconstruction. This dual procedure preserves natural skin and nipple sensation while eliminating the need for a second major operation, though it requires specialized microsurgical teams and 8 to 12 hours.</p> <ul> <li><strong>Surgical duration:</strong> Combined procedures typically last 8 to 12 hours requiring expert microsurgeons.</li> <li><strong>Cosmetic benefit:</strong> Immediate timing allows for skin-sparing techniques resulting in less visible scarring.</li> <li><strong>Psychological impact:</strong> Patients avoid a flat phase by waking up with a reconstructed breast.</li> <li><strong>Recovery period:</strong> Plan for a 4 to 6 week total hospital and home recovery.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While immediate reconstruction is preferred, the 8-plus hour surgery duration makes surgeon experience critical. At clinics like Memorial Bahçelievler Hospital, specialists like Tonguc Isken utilize advanced imaging like Tomosynthesis Mammography. Look for surgeons who perform over 50 flaps annually to ensure success rates remain above 98%.</p> <p><strong>Patient Consensus:</strong> Many patients find the immediate abdominal harvest results in a beneficial tummy-tuck effect. While initial pain is significant, waking up with a breast shape greatly reduces post-operative emotional distress.</p>"}],"h2":[{"text":"How it works","kind":"content"},{"text":"How Much Does DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery) Cost in Turkey?","kind":"content"},{"text":"DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery) Packages in Turkey — November 2026","kind":"content"},{"text":"Discover the Best DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery) Clinics in Turkey: 5 Verified Options and Prices","kind":"content"},{"text":"DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery) Overview in Turkey","kind":"content"},{"text":"Our Trusted Doctors","kind":"ui"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Reviews about Bookimed: Discover Patients' Insights","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"FAQ about DIEP Flap Reconstruction (Deep Inferior Epigastric Perforator Flap Surgery) in Turkey","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[{"field":"medical.hospital_nights","chosen":"offers","offers":0,"parsed_details":{"min":4,"max":7}}]}