Complexo Lapidar is a plastic surgery center in Manaus, Brazil. The clinic specializes in body contouring, breast surgery, and Mommy Makeovers. Dr. José Cabral Jr. founded it in 2026. He mentors new surgeons in residency programs. The medical team includes two doctors and a safety network. This network features an endocrinologist, cardiologist, and anesthesiologist.
The clinic holds accreditations from SBCP, ISAPS, ASPS, and TEMOS. It uses Renuvion plasma technology for skin firming during liposuction. Surgeons also perform MILA, a video-guided technique for abdominal diastasis correction. Postoperative care includes the Oxygene hyperbaric chamber to speed tissue healing. Diamond Package patients stay in an on-site luxury apartment. This premium lodging gives a private space for early recovery.
","text_type":"short_description","reviews":[],"clinic":{"id":8991,"alias":"complexo-lapidar","name":"Complexo Lapidar","short_description":"Complexo Lapidar is a plastic surgery center in Manaus, Brazil. The clinic specializes in body contouring, breast surgery, and Mommy Makeovers. Dr. José Cabral Jr. founded it in 2026. He mentors new surgeons in residency programs. The medical team includes two doctors and a safety network. This network features an endocrinologist, cardiologist, and anesthesiologist.
The clinic holds accreditations from SBCP, ISAPS, ASPS, and TEMOS. It uses Renuvion plasma technology for skin firming during liposuction. Surgeons also perform MILA, a video-guided technique for abdominal diastasis correction. Postoperative care includes the Oxygene hyperbaric chamber to speed tissue healing. Diamond Package patients stay in an on-site luxury apartment. This premium lodging gives a private space for early recovery.
","images":[{"base_url":"clinic/6adfe19e93976","title":"Patient lounge at Complexo Lapidar clinic with city view and modern decor"},{"base_url":"clinic/6adfe1a036a8c","title":"Patient recovery room at Complexo Lapidar clinic with modern decor"},{"base_url":"clinic/6adfe1a1d6f3e","title":"Elegant waiting area at Complexo Lapidar clinic with chandelier and modern decor"},{"base_url":"clinic/6adfe1a372e34","title":"Advanced operating room with high-tech imaging equipment at Complexo Lapidar clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"R. Salvador","id":2853,"alias":"r-salvador"},"address":"SOBERANE LIVE & WORK - salas 1312, 1313 e 1314, R. Salvador, 450 - Adrianópolis, Manaus - AM, 69057-040"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"},{"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"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"}]}},{"text":"Dr. Theodore Droubi has treated 60,000+ patients and brings over 30 years of plastic surgery experience. He trained at the Ivo Pitanguy School and is a member of the Brazilian Society of Plastic Surgery (SBCP). The Rio de Janeiro practice offers consultations in Portuguese, English, French, and Arabic. A detailed consultation covers surgical steps, anesthesia options, and recovery expectations.
","text_type":"mt_wow_description","best_texts":{"techniques":"Silicone implant-based reconstruction","why_its_ranked":"Surgeon trained at Ivo Pitanguy School, an elite plastic surgery institution, with over 60,000 patients treated. Member of SBCP."},"reviews":[],"clinic":{"id":8994,"alias":"theodore-droubi","name":"Theodore Droubi","short_description":"Theodore Droubi is a plastic surgery clinic in Rio de Janeiro, Brazil. It specializes in aesthetic and restorative procedures for the face and body. Dr. Theodore Droubi founded the clinic in 1996. He trained at the renowned school of Professor Ivo Pitanguy. The team has treated over 60,000 patients from around the world.
Dr. Droubi has over 30 years of experience in plastic surgery. He is a member of the Brazilian Society of Plastic Surgery. Surgical options include rhinoplasty and high-definition liposuction. For body contouring, the team uses Vaser and laser lipolysis. Patients receive support in Portuguese, English, French, and Arabic.
","images":[{"base_url":"clinic/6ae4532bb7e49","title":"Entrance to Dr. Theodore Droubi plastic surgery and aesthetic medicine clinic"},{"base_url":"clinic/6ae4532d25a3e","title":"Doctor's office at Theodore Droubi Clinic with modern desk and certificates"},{"base_url":"clinic/6ae4532e8854b","title":"Treatment room at Theodore Droubi Clinic with modern medical equipment"},{"base_url":"clinic/6ae4532fe7201","title":"Entrance door of Dr. Theodore Droubi Plastic Surgery Clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Av. Nossa Sra. de Copacabana, 680 - sala 403 - Copacabana, Rio de Janeiro - RJ, 22050-001"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":1996},"accreditations":[]}},{"text":"Dr. George Soares leads a private plastic surgery clinic in Rio de Janeiro, Brazil. The practice specializes in aesthetic and reconstructive surgery for the face, body, and breasts. Key procedures include facial lifting, rhinoplasty, and ear reconstruction for microtia. Dr. Soares was chief of a surgical center at Clinic Ivo Pitanguy from 1989 to 2002.
The practice handles both cosmetic goals and reparative needs like tumor-related tissue loss. Dr. Soares is a titular member of the Brazilian Society of Plastic Surgery. He finished his medical training in 1983 and two surgical residencies. For body contouring, the clinic offers classic, mini, and inverted abdominoplasty. International patients get individual planning coordinated by the surgeon.
","text_type":"short_description","best_texts":{"techniques":"DIEP flap reconstruction","why_its_ranked":"DIEP flap reconstruction uses patient's own abdominal tissue to avoid breast implants. Expander therapy for burn sequelae. Surgeon trained at Ivo Pitanguy Clinic."},"reviews":[],"clinic":{"id":9001,"alias":"dr-george-soares-clinic-do-dr-george-soares","name":"Dr. George Soares (clinic do Dr. George Soares)","short_description":"Dr. George Soares leads a private plastic surgery clinic in Rio de Janeiro, Brazil. The practice specializes in aesthetic and reconstructive surgery for the face, body, and breasts. Key procedures include facial lifting, rhinoplasty, and ear reconstruction for microtia. Dr. Soares was chief of a surgical center at Clinic Ivo Pitanguy from 1989 to 2002.
The practice handles both cosmetic goals and reparative needs like tumor-related tissue loss. Dr. Soares is a titular member of the Brazilian Society of Plastic Surgery. He finished his medical training in 1983 and two surgical residencies. For body contouring, the clinic offers classic, mini, and inverted abdominoplasty. International patients get individual planning coordinated by the surgeon.
","images":[{"base_url":"clinic/6adfe4eea05e0","title":"Reception area at Dr. George Soares Clinic with wooden desk and red accent wall"},{"base_url":"clinic/6adfe4f033d8e","title":"Doctor's office at Dr. George Soares Clinic with colorful chairs and art decor"},{"base_url":"clinic/6adfe4f1d08d8","title":"Elegant waiting room at Dr. George Soares Clinic with vintage furniture and decor"},{"base_url":"clinic/6adfe4f3671f8","title":"Treatment room with modern medical chair at Dr. George Soares Clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Rio de Janeiro","id":2518,"alias":"rio-de-janeiro"},"address":"Av. Olegário Maciel, 414, Sala 303, Barra da Tijuca – Rio de Janeiro, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"Dr. Hilário Santos do Carmo runs a plastic surgery practice in Curitiba, Brazil. The clinic focuses on aesthetic medicine and reconstructive procedures. Main specialties include body contouring, rhinoplasty, and breast surgery. The team also offers non-surgical treatments like Botox and fillers. Dr. Santos do Carmo earned his medical degree from PUC Paraná in 1997.
The practice works across three medical buildings in the Paraná region. All surgeries take place in hospitals with ICU units and full anesthesiology coverage. The clinic holds accreditations from TEMOS and the Brazilian Society of Plastic Surgery. Support is available in Portuguese, English, and Spanish.
","text_type":"short_description","reviews":[],"clinic":{"id":9017,"alias":"dr-hilario-santos-do-carmo","name":"Dr. Hilário Santos do Carmo","short_description":"Dr. Hilário Santos do Carmo runs a plastic surgery practice in Curitiba, Brazil. The clinic focuses on aesthetic medicine and reconstructive procedures. Main specialties include body contouring, rhinoplasty, and breast surgery. The team also offers non-surgical treatments like Botox and fillers. Dr. Santos do Carmo earned his medical degree from PUC Paraná in 1997.
The practice works across three medical buildings in the Paraná region. All surgeries take place in hospitals with ICU units and full anesthesiology coverage. The clinic holds accreditations from TEMOS and the Brazilian Society of Plastic Surgery. Support is available in Portuguese, English, and Spanish.
","images":[{"base_url":"clinic/6adfeb7942e9d","title":"Modern exterior of Dr. Hilário Santos do Carmo clinic in Brazil"},{"base_url":"clinic/6adfeb7ad4b9d","title":"Doctor's office at Dr. Hilário Santos do Carmo Clinic with certificates on wall"},{"base_url":"clinic/6adfeb7c66a16","title":"Reception area at Dr. Hilário Santos do Carmo clinic with staff and clinic logo"},{"base_url":"clinic/6adfeb7db86f0","title":"Reception area with staff at Dr. Hilário Santos do Carmo plastic surgery clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Curitiba","id":2581,"alias":"curitiba"},"address":"Av. João Gualberto, 1342, Sala 712 – Juvevê, Curitiba/PR, Brazil (clinic – Curitiba – Urban Office). Also: Rua Professor Alfredo Parodi, 437 – Araucária, PR; and consults in São José dos Pinhais, PR, Brazil."},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"text":"Dr. Daniele Pace is a private plastic surgery practice in Curitiba, Brazil. The clinic treats adults and children. Young patients can get ear correction here. The flagship procedure is the Deep Plane Facelift. This technique aims for 10 to 15 years of facial rejuvenation. Dr. Pace also teaches the method to other surgeons. Two surgeons with over 20 years of experience founded the clinic in 2025.
The medical team holds advanced degrees in surgical principles and plastic surgery. Dr. Pace is a full member of the Brazilian Society of Plastic Surgery. The clinic also holds TEMOS and ISAPS certifications. Advanced tools include CO2 lasers and regenerative treatments like Nanofat and PRP. Every patient gets a dedicated anesthesiologist and structured recovery protocols. These include pneumatic boots and LED masks to support healing.
","text_type":"short_description","reviews":[],"clinic":{"id":9021,"alias":"dr-daniele-pace","name":"Dr. Daniele Pace","short_description":"Dr. Daniele Pace is a private plastic surgery practice in Curitiba, Brazil. The clinic treats adults and children. Young patients can get ear correction here. The flagship procedure is the Deep Plane Facelift. This technique aims for 10 to 15 years of facial rejuvenation. Dr. Pace also teaches the method to other surgeons. Two surgeons with over 20 years of experience founded the clinic in 2025.
The medical team holds advanced degrees in surgical principles and plastic surgery. Dr. Pace is a full member of the Brazilian Society of Plastic Surgery. The clinic also holds TEMOS and ISAPS certifications. Advanced tools include CO2 lasers and regenerative treatments like Nanofat and PRP. Every patient gets a dedicated anesthesiologist and structured recovery protocols. These include pneumatic boots and LED masks to support healing.
","images":[{"base_url":"clinic/6adfefc5a090f","title":"Medical staff team at Dr. Daniele Pace clinic in modern consultation room"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Curitiba","id":2581,"alias":"curitiba"},"address":"Rua Albino Silva, 80 — Bom Retiro, Curitiba/PR, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"},{"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"}]}},{"text":"Two plastic surgeons operate together on every reconstruction at Cplástica Brasília, adding a second set of eyes during surgery. Options include silicone implants, temporary expanders, latissimus dorsi or TRAM flaps, and fat grafting. Planning is tailored to the tissue removed and skin quality, with input from oncology and mastology teams. The Brasília clinic holds SBCP and TEMOS accreditations, and offers an English-language program with support from consultation through recovery.
","text_type":"mt_wow_description","best_texts":{"techniques":"Silicone implant, two-stage breast reconstruction, latissimus dorsi muscle flap, TRAM flap, fat grafting, immediate or delayed reconstruction","why_its_ranked":"Two plastic surgeons (SBCP) oversee every breast reconstruction. Offers four methods including internal bra technique. TEMOS accredited."},"reviews":[],"clinic":{"id":9029,"alias":"cplastica-brasilia","name":"Cplástica Brasília","short_description":"Cplástica Brasília is a plastic surgery clinic in Brasília, Brazil. The center specializes in breast surgery and body contouring for men and women. Dr. Cristian Haesbaert and Dr. Raquel Camelo lead the medical team. Both surgeons trained at Hospital Federal dos Servidores do Estado in Rio de Janeiro. They follow a two-surgeon model to prioritize patient safety and precision.
The clinic uses the VISBODY 3D platform for surgical planning and AI body measurements. Other tools include Renuvion for skin tightening and Vaser for fat removal. For breast augmentation, the team uses the R24R fast-track protocol. This method aims for a 24-hour recovery. The facility holds SBCP and TEMOS accreditations. International patients can join a dedicated English-language surgery program.
","images":[{"base_url":"clinic/6adff28ecafec","title":"Daher Hospital Lago Sul clinic exterior with palm trees in Brasília, Brazil"},{"base_url":"clinic/6adff290445bd","title":"Modern exterior of Cplástica Brasília clinic in Brazil with glass facade"},{"base_url":"clinic/6adff291a51c3","title":"Modern exterior of Cplástica Brasília clinic in Brazil with accessible parking"},{"base_url":"clinic/6adff2931dbc8","title":"Reception area at Cplástica Brasília with modern decor and comfortable waiting lounge"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Brasilia","id":2683,"alias":"brasilia"},"address":"VITRIUM Centro doctor, SGAS 614 Bl B Sala 305 - Asa Sul, Brasília - DF, 70200-740, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"text":"Reconstruction options here include TRAM, DIEP, and SGAP flaps, or silicone implants with a tissue expander. Hospital stays typically last 1–3 days, with close monitoring through the clinic’s TC Private Recovery model. Implant reconstruction may involve tissue expansion for up to six months. Post-operative care includes two surgical compression garments. The clinic is accredited by SBCP, ISAPS, and TEMOS, and holds a 5.0/5 rating from 181 reviews.
","text_type":"mt_wow_description","best_texts":{"techniques":"TRAM flap, DIEP flap, SGAP flap, silicone implants with tissue expander","why_its_ranked":"Offers TRAM, DIEP, SGAP flaps using your own tissue to reduce rejection risk. Surgeon is SBCP specialist, ISAPS member with Breast Science Experience training. TEMOS accredited, 5.0/5 from 181 reviews."},"reviews":[],"clinic":{"id":9030,"alias":"dr-thiago-costa-plastic-surgery","name":"Dr. Thiago Costa – plastic surgery","short_description":"Dr. Thiago Costa – Plastic Surgery is a specialized practice in Porto Alegre, Brazil. The clinic focuses on aesthetic surgery for the body and face. Key procedures include Lipo HD, abdominoplasty, and breast augmentation with Fast Track Recovery. This breast technique uses a Keller funnel to limit implant contact with the environment. Patients return to daily routines faster than with traditional methods.
Dr. Thiago Costa is a titular member of the Brazilian Society of Plastic Surgery. He won the Dr. Geraldo Peixoto award for best resident in 2008. The medical team includes four doctors who operate in full hospital settings. A key differentiator is the TC Private Recovery model. It offers close monitoring from day one after surgery until discharge. The clinic holds accreditations from SBCP, TEMOS, and ISAPS.
","images":[{"base_url":"clinic/6ae45341810ec","title":"Modern clinic building exterior of Dr. Thiago Costa – plastic surgery in Brazil"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"Avenida Independência, 925 - 503, Porto Alegre, RS, Brazil, 90035-073"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"},{"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"}]}},{"text":"Dr. Raphael Sampaio has performed 1,000+ surgeries and trained under a disciple of Ivo Pitanguy. Sampaio Plastic Surgery in Recife holds TEMOS accreditation and is associated with the Brazilian Society of Plastic Surgery (SBCP). Its breast surgery services include reconstruction, augmentation, lifts, and reductions. The clinic outlines preoperative checks, including cardiac clearance and blood tests, and schedules follow-up appointments.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":9039,"alias":"sampaio-plastic-surgery","name":"Sampaio Plastic Surgery","short_description":"Sampaio Plastic Surgery is a private clinic in Recife, Brazil. It focuses on aesthetic face, breast, and body procedures. Dr. Raphael Sampaio leads the practice with around 20 years of experience. He has operated on over 1,200 people and performed more than 1,600 surgeries.
The clinic holds accreditations from TEMOS and the Brazilian Society of Plastic Surgery. Major procedures include rhinoplasty, facelifts, and breast surgery. The team also treats gynecomastia and keloid scars. For body contouring, the clinic uses Vibrolipo technology to improve fat removal.
Non-surgical treatments include skin bio-stimulators like Ellansé and Sculptra. The clinic sits within the Boa Viagem Medical Center, which offers secure parking and valet services. Patients follow a structured care pathway, including cardiac clearance before surgery.
","images":[{"base_url":"clinic/6ae079f197ff3","title":"Consultation office at Sampaio Plastic Surgery with modern furnishings in Brazil"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Recife","id":2856,"alias":"recife"},"address":"Av. Eng. Domingos Ferreira, 854 Salas A B C Pina, Recife - PE, Brazil CEP 51011-050"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"text":"Clinic Riccardi in Porto Alegre lists TEMOS accreditation and affiliations with ASPS, SBCP, and SBD. Reconstruction can be planned alongside mastectomy or delayed until after recovery. Donor tissue options include the back, abdomen, or buttocks, with scars at the donor site and reconstructed breast. A reduction, lift, or augmentation of the opposite breast may also be recommended to improve symmetry.
","text_type":"mt_wow_description","best_texts":{"techniques":"Immediate vs delayed reconstruction","why_its_ranked":"Uses donor tissue from back, abdomen, or buttocks to match anatomy. Offers immediate or delayed reconstruction with symmetry procedures. TEMOS-accredited with ASPS/SBCP memberships."},"reviews":[],"clinic":{"id":9052,"alias":"clinic-riccardi","name":"clinic Riccardi","short_description":"Clinic Riccardi is a plastic surgery and dermatology center in Porto Alegre, Brazil. The team specializes in body contouring, breast surgery, and aesthetic medicine. Plastic surgeon Dr. Denis Riccardi founded the clinic in 2014. Doctors offer both surgical rejuvenation and non-invasive skin resurfacing. Surgical options include rhinoplasty, facelifts, and gynecomastia correction.
Dr. José Carlos Riccardi brings over 45 years of experience to the practice. He is board-certified by the Brazilian Society of Dermatology. For facelifts, the clinic reports a 10 to 15-year rejuvenation effect. Accreditations include the American Society of Plastic Surgeons and TEMOS. Advanced tools include Morpheus technology and ultrapulsed CO2 lasers for collagen stimulation.
","images":[{"base_url":"clinic/6adffc5e70b3e","title":"Cozy waiting area at clinic Riccardi with armchairs and soft lighting"},{"base_url":"clinic/6adffc603b07d","title":"Consultation room and modern exam chair at Riccardi clinic"},{"base_url":"clinic/6adffc61d96e6","title":"Modern consultation room at clinic Riccardi with exam table and medical sink"},{"base_url":"clinic/6adffc63abb0b","title":"Tea service on reception counter at Riccardi clinic, welcoming patient area"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Porto Alegre","id":2582,"alias":"porto-alegre"},"address":"R. Padre Chagas, 415/404, Moinhos de Vento, Porto Alegre – RS, CEP 90570-080, Brazil"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2,"year_foundation":2014},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"text":"Crisalix 3D simulation lets patients preview planned results before surgery. Dr. Xênia Portella offers TRAM flap reconstruction, expanders, prostheses, and local or distant flaps. Surgery can take place during mastectomy or later, depending on individual evaluation and health status. Dr. Portella is a Titular Member of the Brazilian Society of Plastic Surgery and holds CRM-MG 21.682 / RQE 6273. The clinic also offers consultations in Brazil and Portugal.
","text_type":"mt_wow_description","best_texts":{"techniques":"TRAM flap, latissimus dorsi flap, immediate or delayed reconstruction, tissue expander, silicone prosthesis, Crisalix 3D simulation","why_its_ranked":"Offers TRAM flap using your own tissue, no implant needed. Reconstruction during mastectomy avoids a second surgery. Crisalix 3D simulation. Surgeon: SBCP Titular Member."},"reviews":[],"clinic":{"id":9056,"alias":"dr-xenia-portella-plastic-surgery","name":"Dr. Xênia Portella — plastic surgery","short_description":"Dr. Xênia Portella is a plastic surgery practice in Belo Horizonte, Brazil. The clinic also offers consultations in Portugal. It focuses on aesthetic and reconstructive procedures for the face and body. The team treats conditions like gynecomastia and excess skin after weight loss. Key surgeries include facelifts, rhinoplasty, and breast augmentation. Patients can also get hair restoration through FUT and FUE techniques.
Dra. Xênia Portella is a Titular Member of the Brazilian Society of Plastic Surgery. The medical team includes two doctors. A key strength is the plan that combines surgery with aesthetic medicine. Non-surgical options include Silhouette Soft lifting and Skinbooster hydration. The clinic also uses Intense Pulsed Light for skin texture and stretch marks. Personal planning starts at the first consultation and continues through recovery.
","images":[{"base_url":"clinic/6adffe2d992ab","title":"Modern reception area at Dr. Xênia Portella plastic surgery clinic with stylish decor"},{"base_url":"clinic/6adffe2f28c90","title":"Modern waiting area at Dr. Xênia Portella plastic surgery clinic with minimalist decor"},{"base_url":"clinic/6adffe3093dfd","title":"Reception area at Dr. Xênia Portella clinic, modern design with forest wall mural"},{"base_url":"clinic/6adffe321197a","title":"Reception area at Dr. Xênia Portella clinic with modern decor and forest wall mural"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Belo Horizonte","id":2682,"alias":"belo-horizonte"},"address":"Rua Tenente Brito Melo, 1215/700 Sto Agostinho, Belo Horizonte, MG, Brazil"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}}],"meta":{"total_count":294,"total_pages":30}},"promoSlots":[{"card":{"text":"Dr. Asif Ahmedov has performed 900+ rhinoplasties over _doctor_7060_years_, specializing in aesthetic nose reconstruction with Piezo ultrasonic technology. The procedure typically costs around $3,100, covering surgery, 1-2 nights hospital stay, transfers, and follow-up care. Liv Bona Dea Hospital holds JCI accreditation, ensuring international safety standards. Dr. Ahmedov's expertise includes endoscopic nasal surgery and precise bone reshaping techniques.
Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Somchai Clinic has served 10,000+ patients annually since its founding over 20 years ago. Dr. Somchai Chiewcharnvej and Dr. Siriporn Chiewcharnvej both attended the Asia Pacific Rhinoplasty Expert Forum in Seoul to refine their techniques. Rhinoplasty at the clinic may cost around $200, which typically includes a free initial consultation. Surgeons offer customizable options like ear cartilage grafts or artificial tissue implants. The clinic operates two branches in Bangkok, including a 24-hour location for flexible patient care.
","text_type":"mt_wow_description","best_texts":{"techniques":"Alar base reduction, ear cartilage graft, artificial tissue implant","why_its_ranked":"Surgeons trained at the Asia Pacific Rhinoplasty Expert Forum. Offers ear cartilage or artificial tissue grafts, plus alar base reduction and revision as add-ons."},"additional_data":{"advertising_id":"7326:illness_kind:38"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":2000,"price_to":0,"currency":"USD","id":55863},"operation":{"id":22,"name":"Rhinoplasty (nose job)","alias":"rhinoplasty-nose-job"}}],"reviews":[],"clinic":{"id":7326,"alias":"somchai-clinic","name":"Somchai Clinic","short_description":"Somchai Clinic is a Bangkok dermatology and aesthetic medicine center founded in 2001 by two doctors. It sees 10,000 patients each year and focuses on cosmetic surgery and laser treatments.
Dr. Hilário Santos do Carmo runs a plastic surgery practice in Curitiba, Brazil. The clinic focuses on aesthetic medicine and reconstructive procedures. Main specialties include body contouring, rhinoplasty, and breast surgery. The team also offers non-surgical treatments like Botox and fillers. Dr. Santos do Carmo earned his medical degree from PUC Paraná in 1997.
The practice works across three medical buildings in the Paraná region. All surgeries take place in hospitals with ICU units and full anesthesiology coverage. The clinic holds accreditations from TEMOS and the Brazilian Society of Plastic Surgery. Support is available in Portuguese, English, and Spanish.
","images":[{"base_url":"clinic/6adfeb7942e9d","title":"Modern exterior of Dr. Hilário Santos do Carmo clinic in Brazil"},{"base_url":"clinic/6adfeb7ad4b9d","title":"Doctor's office at Dr. Hilário Santos do Carmo Clinic with certificates on wall"},{"base_url":"clinic/6adfeb7c66a16","title":"Reception area at Dr. Hilário Santos do Carmo clinic with staff and clinic logo"},{"base_url":"clinic/6adfeb7db86f0","title":"Reception area with staff at Dr. Hilário Santos do Carmo plastic surgery clinic"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Curitiba","id":2581,"alias":"curitiba"},"address":"Av. João Gualberto, 1342, Sala 712 – Juvevê, Curitiba/PR, Brazil (clinic – Curitiba – Urban Office). Also: Rua Professor Alfredo Parodi, 437 – Araucária, PR; and consults in São José dos Pinhais, PR, Brazil."},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"doctor":{"id":21679,"alias":"cristian-haesbaert","name":"Cristian Haesbaert","clinic_id":9029,"first_year_working":0,"created_at":"2026-10-27T00:44:31.346+00:00","short_description":"Dr. Cristian Machado Haesbaert is a plastic surgeon at Cplástica Brasília. He performs body contouring and breast surgery. Dr. Haesbaert manages surgical planning and patient education at the clinic. He specializes in fat grafting to the buttocks and gluteal implants.
Cplástica Brasília is a plastic surgery clinic in Brasília, Brazil. The center specializes in breast surgery and body contouring for men and women. Dr. Cristian Haesbaert and Dr. Raquel Camelo lead the medical team. Both surgeons trained at Hospital Federal dos Servidores do Estado in Rio de Janeiro. They follow a two-surgeon model to prioritize patient safety and precision.
The clinic uses the VISBODY 3D platform for surgical planning and AI body measurements. Other tools include Renuvion for skin tightening and Vaser for fat removal. For breast augmentation, the team uses the R24R fast-track protocol. This method aims for a 24-hour recovery. The facility holds SBCP and TEMOS accreditations. International patients can join a dedicated English-language surgery program.
","images":[{"base_url":"clinic/6adff28ecafec","title":"Daher Hospital Lago Sul clinic exterior with palm trees in Brasília, Brazil"},{"base_url":"clinic/6adff290445bd","title":"Modern exterior of Cplástica Brasília clinic in Brazil with glass facade"},{"base_url":"clinic/6adff291a51c3","title":"Modern exterior of Cplástica Brasília clinic in Brazil with accessible parking"},{"base_url":"clinic/6adff2931dbc8","title":"Reception area at Cplástica Brasília with modern decor and comfortable waiting lounge"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Brasilia","id":2683,"alias":"brasilia"},"address":"VITRIUM Centro doctor, SGAS 614 Bl B Sala 305 - Asa Sul, Brasília - DF, 70200-740, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}},{"doctor":{"id":21680,"alias":"raquel-camelo","name":"Raquel Camelo","clinic_id":9029,"first_year_working":0,"created_at":"2026-10-27T00:44:35.455+00:00","short_description":"Dr. Raquel Camelo is a plastic surgeon at Cplástica Brasília. She performs breast surgery and body contouring procedures. Dr. Camelo follows a specialized pathway for breast augmentation and reconstruction. She works with a surgical team in Brasília.
Her work includes silicone implant surgery, mastopexy, and breast reduction. She also performs reconstructive breast surgery. Dr. Camelo uses Ignite RF technology to manage skin quality and recovery after surgery. She creates a specific surgical plan for each patient.
","specialities":[{"id":"pls.001","name":"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":9029,"alias":"cplastica-brasilia","name":"Cplástica Brasília","short_description":"Cplástica Brasília is a plastic surgery clinic in Brasília, Brazil. The center specializes in breast surgery and body contouring for men and women. Dr. Cristian Haesbaert and Dr. Raquel Camelo lead the medical team. Both surgeons trained at Hospital Federal dos Servidores do Estado in Rio de Janeiro. They follow a two-surgeon model to prioritize patient safety and precision.
The clinic uses the VISBODY 3D platform for surgical planning and AI body measurements. Other tools include Renuvion for skin tightening and Vaser for fat removal. For breast augmentation, the team uses the R24R fast-track protocol. This method aims for a 24-hour recovery. The facility holds SBCP and TEMOS accreditations. International patients can join a dedicated English-language surgery program.
","images":[{"base_url":"clinic/6adff28ecafec","title":"Daher Hospital Lago Sul clinic exterior with palm trees in Brasília, Brazil"},{"base_url":"clinic/6adff290445bd","title":"Modern exterior of Cplástica Brasília clinic in Brazil with glass facade"},{"base_url":"clinic/6adff291a51c3","title":"Modern exterior of Cplástica Brasília clinic in Brazil with accessible parking"},{"base_url":"clinic/6adff2931dbc8","title":"Reception area at Cplástica Brasília with modern decor and comfortable waiting lounge"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brazil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Brasilia","id":2683,"alias":"brasilia"},"address":"VITRIUM Centro doctor, SGAS 614 Bl B Sala 305 - Asa Sul, Brasília - DF, 70200-740, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"TEMOS International Healthcare Accreditation","country_code":"DE"}]}}],"meta":{"total_count":3,"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 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