Davinci Plastic Surgery offers DIEP and TUG flap options alongside implant-based reconstruction. For implants, the clinic uses a Keller Funnel no-touch technique to reduce capsular contracture risk. Vectra 3D imaging supports surgical planning, which can be coordinated with the patient’s oncologist. The onsite surgical suite has two AAAHC-accredited operating rooms, and virtual consultations are available through FaceTime and Skype.
","text_type":"mt_wow_description","best_texts":{"techniques":"DIEP flap, TUG flap, latissimus dorsi flap, direct-to-implant reconstruction, tissue expander placement, oncoplastic reconstruction after lumpectomy, Vectra 3D imaging","why_its_ranked":"Offers DIEP, TUG and latissimus flap reconstruction, plus Vectra 3D imaging to preview results and Keller Funnel no-touch implant placement. AAAHC-accredited operating rooms."},"reviews":[],"clinic":{"id":9627,"alias":"davinci-plastic-surgery","name":"Davinci Plastic Surgery","short_description":"Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
","images":[{"base_url":"clinic/6ae2f5778654e","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57918478","title":"Patient recovery room with two hospital beds at Davinci Plastic Surgery clinic"},{"base_url":"clinic/6ae2f57aa7990","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57c500af","title":"Consultation room with exam chair at Davinci Plastic Surgery clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Washington","id":1715,"alias":"washington"},"address":"3050 K St. NW Suite 170, Washington D.C., DC 20007, United States"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}},{"text":"Cleveland Clinic is a nonprofit multispecialty academic healthcare system in Cleveland, Ohio. It offers adult and pediatric care across 12 specialized institutes. Key departments include heart surgery, neurology, and oncology. The clinic was founded in 1921. It now employs over 50,000 people across its global network, with hospitals in London, Abu Dhabi, and Canada.
The Neurological Institute treats over 140,000 patients each year. The Heart and Vascular program manages over 900,000 visits annually. Surgical teams perform more than 200,000 procedures each year. The nursing practice holds the Magnet designation for excellence. Its cancer program is accredited by the American College of Surgeons. International patients get help through a dedicated Global Patient Services department.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":250,"price_to":350,"currency":"USD","id":40403},"diagnostic":{"id":340,"name":"Plastic Surgery Consultation","alias":"plastic-surgery-consultation"}}],"reviews":[],"clinic":{"id":80,"alias":"cleveland-clinic","name":"Cleveland Clinic","short_description":"Cleveland Clinic is a nonprofit multispecialty academic healthcare system in Cleveland, Ohio. It offers adult and pediatric care across 12 specialized institutes. Key departments include heart surgery, neurology, and oncology. The clinic was founded in 1921. It now employs over 50,000 people across its global network, with hospitals in London, Abu Dhabi, and Canada.
The Neurological Institute treats over 140,000 patients each year. The Heart and Vascular program manages over 900,000 visits annually. Surgical teams perform more than 200,000 procedures each year. The nursing practice holds the Magnet designation for excellence. Its cancer program is accredited by the American College of Surgeons. International patients get help through a dedicated Global Patient Services department.
","images":[{"base_url":"clinic/6a78129a14470","title":"Cleveland Clinic hospital exterior with emergency entrance, USA"},{"base_url":"clinic/6a78129bcf8d1","title":"Cleveland Clinic Taussig Cancer Center modern glass building in Cleveland, USA"},{"base_url":"clinic/6a78129df2450","title":"Cleveland Clinic Taussig Cancer Center modern glass building exterior in Cleveland"},{"base_url":"clinic/6a78129fee224","title":"Cleveland Clinic modern glass facade with landscaped pond in Cleveland, USA"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Cleveland","id":102,"alias":"cleveland"},"address":"9500 Euclid Ave, Cleveland, OH 44195"},"rating":{"rating":4.8,"google":3.4,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":4,"doctors_number":2,"year_foundation":1921},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6194fa5077fec.jpeg","name":"Accreditation Canada Diamond Status Level ","country_code":"CA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/619b4c38f036b.jpeg","name":"QHA Trent Accreditation","country_code":"GB"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"World's Best Hospitals 2022 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"World's Best Smart Hospitals 2023 by Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"},{"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"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Center for Plastic and Reconstructive Surgery is a clinic in Detroit, United States. The clinic focuses on plastic and reconstructive surgery.
","text_type":"short_description","procedure_prices":[{"prices":{"price_from":12000,"price_to":30000,"currency":"USD","id":38775},"operation":{"id":108,"name":"Breast reconstruction surgery","alias":"reconstructive-breast-surgery"}}],"reviews":[],"clinic":{"id":1819,"alias":"center-for-plastic-and-reconstructive-surgery","name":"Center for Plastic and Reconstructive Surgery","short_description":"Center for Plastic and Reconstructive Surgery is a clinic in Detroit, United States. The clinic focuses on plastic and reconstructive surgery.
","images":[{"base_url":"clinic/67f8d83b66962","title":"Waiting room at Center for Plastic and Reconstructive Surgery with modern decor"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Detroit","id":1718,"alias":"detroit"},"address":"5333 McAuley Dr, Ypsilanti, MI 48197"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":0},"accreditations":[]}},{"text":"Plastic Surgery Clinic of Chicago is led by a surgeon board-certified by the American Board of Plastic Surgery. The clinic specializes in aesthetic, craniofacial, and reconstructive plastic surgery. It also offers breast surgery, body contouring, and aesthetic orthognathic surgery.
Plastic Surgery Clinic of Chicago is led by a surgeon board-certified by the American Board of Plastic Surgery. The clinic specializes in aesthetic, craniofacial, and reconstructive plastic surgery. It also offers breast surgery, body contouring, and aesthetic orthognathic surgery.
Dr Otto Placik is a double board-certified plastic surgeon in Chicago, Illinois. The clinic specializes in feminine rejuvenation, rhinoplasty, and liposuction. A RealSelf Top Doctor and recipient of the Compassionate Doctor Award.
Dr Otto Placik is a double board-certified plastic surgeon in Chicago, Illinois. The clinic specializes in feminine rejuvenation, rhinoplasty, and liposuction. A RealSelf Top Doctor and recipient of the Compassionate Doctor Award.
Plastic Surgery Chicago is a private practice led by board-certified surgeon Dr. Robert Walton. The clinic specializes in plastic surgery of the face, breast, and nose. It also provides non-surgical skin rejuvenation treatments.
Plastic Surgery Chicago is a private practice led by board-certified surgeon Dr. Robert Walton. The clinic specializes in plastic surgery of the face, breast, and nose. It also provides non-surgical skin rejuvenation treatments.
Dr. John Kim is an internationally renowned innovator in plastic surgery, with over a decade of experience in performing more than 10,000 surgical and non-surgical procedures. Dr. Kim is one of Chicago's leading specialists, offering personalized approaches to address aesthetic concerns of patients through one or more cosmetic procedures. The clinic provides state-of-the-art facilities at Northwestern Memorial Hospital and Prentice Women's Hospital, where Dr. Kim and his experienced team work with patients to develop custom approaches to address their concerns, through comprehensive body contouring, breast surgery, and face surgery procedures. They also use 3D camera imaging technology to set realistic expectations and achieve a natural aesthetic customized to the patient's specific needs and desires.
\n","text_type":"short_description","reviews":[],"clinic":{"id":4026,"alias":"john-y-kim","name":"John Y Kim","short_description":"Dr. John Kim is an internationally renowned innovator in plastic surgery, with over a decade of experience in performing more than 10,000 surgical and non-surgical procedures. Dr. Kim is one of Chicago's leading specialists, offering personalized approaches to address aesthetic concerns of patients through one or more cosmetic procedures. The clinic provides state-of-the-art facilities at Northwestern Memorial Hospital and Prentice Women's Hospital, where Dr. Kim and his experienced team work with patients to develop custom approaches to address their concerns, through comprehensive body contouring, breast surgery, and face surgery procedures. They also use 3D camera imaging technology to set realistic expectations and achieve a natural aesthetic customized to the patient's specific needs and desires.
\n","images":[{"base_url":"clinic/6452683404d66","title":"Portrait of a male doctor in formal suit at John Y Kim clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Chicago","id":1699,"alias":"chicago"},"address":"675 N St Clair St Ste 19-250, Chicago, IL 60611, United States"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0},"accreditations":[]}},{"text":"Dr. Elias Gikas is a board-certified plastic surgeon in Chicago with 24 years of practice. The clinic focuses on facial aesthetics, body contouring, and laser skin treatments.
Dr. Elias Gikas is a board-certified plastic surgeon in Chicago with 24 years of practice. The clinic focuses on facial aesthetics, body contouring, and laser skin treatments.
Iteld Plastic Surgery is led by Dr. Lawrence Iteld, a board-certified plastic surgeon in Chicago. The clinic specializes in plastic and cosmetic surgery. It offers surgical and nonsurgical options for the face and body.
Iteld Plastic Surgery is led by Dr. Lawrence Iteld, a board-certified plastic surgeon in Chicago. The clinic specializes in plastic and cosmetic surgery. It offers surgical and nonsurgical options for the face and body.
John Q. Cook M.D. is a plastic surgery and medical aesthetics clinic in Chicago with two locations. It is run by board-certified surgeon Dr. John Q. Cook. The clinic offers MOXI fractional laser safe for all skin tones and treatments preserving natural facial character.
John Q. Cook M.D. is a plastic surgery and medical aesthetics clinic in Chicago with two locations. It is run by board-certified surgeon Dr. John Q. Cook. The clinic offers MOXI fractional laser safe for all skin tones and treatments preserving natural facial character.
Dr. Steven P. Davison is a triple board-certified surgeon in plastic surgery, facial plastic surgery, and otolaryngology. He received the Webster Prize for the highest score on the facial plastic surgery board exam. Dr. Davison works at Davinci Plastic Surgery, where he treats complex revision and reconstructive cases. He completed fellowships at the Mayo Clinic, University of Pittsburgh, and MD Anderson Cancer Center.
Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
","images":[{"base_url":"clinic/6ae2f5778654e","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57918478","title":"Patient recovery room with two hospital beds at Davinci Plastic Surgery clinic"},{"base_url":"clinic/6ae2f57aa7990","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57c500af","title":"Consultation room with exam chair at Davinci Plastic Surgery clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Washington","id":1715,"alias":"washington"},"address":"3050 K St. NW Suite 170, Washington D.C., DC 20007, United States"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}},{"doctor":{"id":23155,"alias":"ximena-pinell","name":"Ximena Pinell","clinic_id":9627,"photo":"doctor/6ae306116d884","first_year_working":2015,"created_at":"2026-10-29T07:50:22.642+00:00","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.002","name":"Facial plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9627,"alias":"davinci-plastic-surgery","name":"Davinci Plastic Surgery","short_description":"Davinci Plastic Surgery is a specialized practice in Washington, D.C. The clinic focuses on aesthetic and reconstructive plastic surgery. Key areas include facial rejuvenation, breast reconstruction, and body contouring. The office surgical suite has 10 exam rooms and two operating rooms. Both operating rooms hold AAAHC accreditation for outpatient safety.
Dr. Steven Davison and Dr. Ximena Pinell lead the medical team. Dr. Davison is triple board-certified in plastic and facial surgery. He has authored over 100 clinical papers. Dr. Pinell is double board-certified and trained at Emory University. The team uses Vectra 3D imaging for surgical planning. They also apply the Keller Funnel no-touch technique for breast safety.
The practice treats a diverse group of international patients. Virtual consultations are available via FaceTime and Skype. The surgeons perform complex revisions for rhinoplasty and breast procedures. Non-surgical options include BOTOX and the full range of Juvéderm fillers. Most surgical patients return to work within one week.
","images":[{"base_url":"clinic/6ae2f5778654e","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57918478","title":"Patient recovery room with two hospital beds at Davinci Plastic Surgery clinic"},{"base_url":"clinic/6ae2f57aa7990","title":"Modern operating room at Davinci Plastic Surgery with surgical lights and equipment"},{"base_url":"clinic/6ae2f57c500af","title":"Consultation room with exam chair at Davinci Plastic Surgery clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"United States of America","id":44,"alias":"united-states","iso_code":"US"},"city":{"name":"Washington","id":1715,"alias":"washington"},"address":"3050 K St. NW Suite 170, Washington D.C., DC 20007, United States"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}}],"meta":{"total_count":2,"total_pages":1}},"offers":{"cards":[{"image_count":0,"images":[],"offer":{"id":"6a4bb4e3b63392348e01ca58","name":"Breast Reconstruction Surgery with Mentor Implants","type":"procedure","tags":[],"for_who":"Op. Dr. Semih Özçınar is a plastic, reconstructive, and aesthetic surgeon. He earned his M.D. from Ankara University and completed his plastic surgery residency at İnönü University. He is a member of the International Society of Aesthetic Plastic Surgery (ISAPS).
\nHis scientific work includes an oral presentation at the 2022 National Congress of the Turkish Society of Plastic, Reconstructive and Aesthetic Surgery titled \"Retrospective Analysis of Regional, Free, and Local Flaps in Head and Neck Reconstruction.\" He also wrote a thesis on the effect of septocolumellar flap use on nasal tip projection in rhinoplasty.
\nHe has completed training in ISAPS Live Surgery Rhinoplasty, the ISAPS World Congress 2022 in Istanbul, Bosphorus Breast Live Surgery, the 9th Rhinoplasty & Facial Aesthetics fresh cadaver course, BTS International Aesthetic in Sweden, and FABCAST meetings. His focus areas are facial aesthetics, breast surgery, body contouring, and reconstruction.
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.002","name":"Facial plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38}],"statistics":{"operations_performed_count":4999}}],"clinic":{"id":1519,"alias":"turan-turan","name":"Turan Turan Health Group","short_description":"Turan Turan Health Group is a robotic surgery and orthopedic center in Bursa, Turkey, with over 25 years of experience. It specializes in robotic joint replacement and minimally invasive spine surgery. The clinic treats around 18,000 patients each year.
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":{"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"},"MX":{"amount":4200,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":4200,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"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":{"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"},"MX":{"amount":3500,"max_amount":6200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5800,"max_amount":6500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"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":{"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"},"MX":{"amount":6500,"max_amount":9800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":5800,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":false,"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":{"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"},"MX":{"amount":8000,"max_amount":17500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":10000,"max_amount":13500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":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 staff, not the surgeon, is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A surgeon who cannot show before and after pictures of their work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home doctor information about your treatment and future care needs","document":"discharge letter for gp","source":{"url":"https://www.nhs.uk/nhs-services/hospitals/going-into-hospital/being-discharged-from-hospital","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Lets a doctor at home identify the breast implants you received","document":"implant registration card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have reconstruction surgery after mastectomy","name":"Breast prosthesis","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"Instead, they wear a breast form (prosthesis) inside a special bra.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"unilateral-diep-free-flap","name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","how_it_works":{"text":"Tissue is moved to the chest using microsurgery","source":{"url":"https://health.ucdavis.edu/plasticsurgery/procedures/diep.html","host":"health.ucdavis.edu","quote":"The prepared tissue (\"flap\") is then disconnected from the body and transplanted to the chest using microsurgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"alternative-implant-tissue","name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","how_it_works":{"text":"Saline or silicone implants are used to recreate breast tissue","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"In implant reconstruction, surgeons use saline or silicone implants to recreate breast tissue.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"alternative-other-flaps","name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","how_it_works":{"text":"A flap of your own tissue rebuilds the breast","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"Other techniques use a flap of tissue from your body (such as tissue from the lower belly).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"optional-nipple-areola","name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","how_it_works":{"text":"Surgeons can create a new nipple if needed","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"If necessary, providers can create a new nipple.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=united-states/procedure=vosstanovitelnaya-hirurgiya-grudi/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":46,"name":"Turkey","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":56},"manualSeo":[],"updatedAt":"2026-11-05T17:13:47.000Z","activeCountries":["TR","US","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}