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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.</p><p>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.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9017,"alias":"dr-hilario-santos-do-carmo","name":"Dr. Hilário Santos do Carmo","short_description":"<p>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. 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The clinic focuses on plastic surgery, aesthetic medicine, and physiotherapy. Dr. Leila Righi leads the medical team as a full member of the SBCP. The center uses Argo Plasma and Renuvion for advanced skin retraction. For breast surgery, they offer the John Tebbettes Fast Recovery implant technique.</p><p>Four departments manage the full patient workflow. Services range from online pre-consultations to post-operative rehabilitation. Surgeons perform body contouring with vibro-liposuction and hybrid breast augmentation. Intimate surgeries and gynecomastia corrections are also key focus areas. The clinic holds accreditations from both SBCP and ISAPS.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9194,"alias":"clinic-de-plastic-surgery-leila-righi","name":"clinic de plastic surgery Leila Righi","short_description":"<p>Leila Righi Plastic Surgery is a multi-specialty center in Curitiba, Brazil. 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The practice focuses on body contouring and breast procedures. Key services include abdominoplasty, liposuction, and breast reconstruction. The surgeon has performed thousands of procedures. He earned a PhD in Surgery from the University of São Paulo in 2012. He is also a Titular member of the Brazilian Society of Plastic Surgery.</p><p>A detailed checklist is completed before every incision, with cardiology and anesthetic reviews. International patients get clear guidance on risks like implant-related complications. The team uses technologies such as laser resurfacing and radiofrequency. Procedures take place in authorized surgical centers with full hospital support. 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She has spent 20 years specializing in plastic surgery. Her training includes a period at the Cleveland Clinic in the United States.</p><p>The clinic uses Crisalix 3D simulation during consultations to plan surgery. This helps patients see potential results before their procedure. Main services include mastopexy, breast augmentation, and micro-surgical reconstruction with the DIEP technique. Dr. Groth also performs breast reduction and explant surgery. 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The practice focuses on facial rejuvenation, body contouring, and breast surgery. The team also corrects protruding ears in children from age six. Advanced procedures include deep plane facelifts and endoscopic lifting.</p><p>Dr. Maschio is the lead surgeon and founder. He completed six years of residency in general and plastic surgery. Much of his training took place at Santa Casa de Misericórdia de Curitiba. He now leads technique-focused courses for other surgeons in Portugal and Brazil.</p><p>The clinic is accredited by ISAPS and the Brazilian Society of Plastic Surgery. Safety protocols include thorough pre-operative exams and a six-hour cap on combined surgeries. The team uses Renuvion, Vaser, and Ignite for high-definition liposuction. International patients are welcome in Curitiba.</p>","images":[{"base_url":"clinic/6adfe9237d04d","title":"جهاز طبي Renuvion لإجراءات شد الجلد طفيفة التوغل"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"البرازيل","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"كوريتيبا","id":2581,"alias":"curitiba"},"address":"Rua Padre Anchieta, 2194 - sala 406, Curitiba, PR, Brazil, 80730300"},"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/61779fac22b09.jpeg","name":"شهادة الجمعية الدولية لجراحة التجميل الترميمية (ISAPS) مقدمة للطبيب","country_code":"US"}]}}],"meta":{"total_count":4,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"<p style=\";text-align:right;direction:rtl\">اليوم الأول - 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بعد العملية</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> عند الاستيقاظ ، ستكون تحت رعاية فريق طبي.</li><li style=\";text-align:right;direction:rtl\"> سيقومون بمراقبة العناصر الحيوية الخاصة بك والتحكم في ألمك.</li></ul><p style=\";text-align:right;direction:rtl\"> اليوم الخامس - السابع</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> سيتم إدخالك إلى المستشفى للمراقبة والتعافي.</li><li style=\";text-align:right;direction:rtl\"> سيتم إجراء فحوصات منتظمة لمراقبة تقدمك.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 1 - 3 إعادة التأهيل</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> ستبدأ تمارين علاج طبيعي لطيفة.</li><li style=\";text-align:right;direction:rtl\"> يمكن استئناف الأنشطة اليومية الخفيفة.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع الرابع - السادس إعادة التأهيل</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> سيزداد تواتر العلاج الطبيعي.</li><li style=\";text-align:right;direction:rtl\"> العودة التدريجية إلى العمل ممكنة ، اعتمادًا على تعافيك.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع السابع وما بعده</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة التدريجية لممارسة الرياضة والأنشطة الأخرى.</li><li style=\";text-align:right;direction:rtl\"> يمكن رؤية النتائج النهائية للجراحة بعد بضعة أشهر.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>ملحوظة: قد تختلف العملية الدقيقة ووقت الشفاء من مريض لآخر.</i></p>"}}},"relations":{"countries":[{"name":"أذربيجان","alias":"azerbaijan","iso_code":"AZ"},{"name":"ألمانيا","alias":"germany","iso_code":"DE"},{"name":"أوكرانيا","alias":"ukraine","iso_code":"UA"},{"name":"إسبانيا","alias":"spain","iso_code":"ES"},{"name":"إسرائيل","alias":"israel","iso_code":"IL"},{"name":"إيطاليا","alias":"italy","iso_code":"IT"},{"name":"الإمارات العربية المتحدة","alias":"united-arab-emirates","iso_code":"AE"},{"name":"البرازيل","alias":"brazil","iso_code":"BR"},{"name":"البرتغال","alias":"portugal","iso_code":"PT"},{"name":"المكسيك","alias":"mexico","iso_code":"MX"},{"name":"المملكة المتحدة","alias":"united-kingdom","iso_code":"GB"},{"name":"النمسا","alias":"austria","iso_code":"AT"},{"name":"الهند","alias":"india","iso_code":"IN"},{"name":"الولايات المتحدة الامريكيه","alias":"united-states","iso_code":"US"},{"name":"اليونان","alias":"greece","iso_code":"GR"},{"name":"بولندا","alias":"poland","iso_code":"PL"},{"name":"تايلاند","alias":"thailand","iso_code":"TH"},{"name":"تركيا","alias":"turkey","iso_code":"TR"},{"name":"جمهورية التشيك","alias":"czech-republic","iso_code":"CZ"},{"name":"جمهورية الدومنيكان","alias":"dominican-republic","iso_code":"DO"},{"name":"سويسرا","alias":"switzerland","iso_code":"CH"},{"name":"فرنسا","alias":"france","iso_code":"FR"},{"name":"كوريا الجنوبية","alias":"republic-of-korea","iso_code":"KR"},{"name":"كوستا ريكا","alias":"costa-rica","iso_code":"CR"},{"name":"كولومبيا","alias":"colombia","iso_code":"CO"},{"name":"ليتوانيا","alias":"lithuania","iso_code":"LT"},{"name":"مصر","alias":"egypt","iso_code":"EG"}],"cities":[{"name":"بورتو أليغري","alias":"porto-alegre"},{"name":"برازيليا","alias":"brasilia"},{"name":"كوريتيبا","alias":"curitiba"},{"name":"بيلو هوريزونتي","alias":"belo-horizonte"},{"name":"Recife","alias":"recife"},{"name":"Juiz de Fora","alias":"juiz-de-fora"},{"name":"Florianópolis","alias":"florianopolis"},{"name":"Natal","alias":"natal"},{"name":"ريو دي جانيرو","alias":"rio-de-janeiro"},{"name":"R. 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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","Wish to avoid an implant, with enough 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","Height, weight and BMI","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."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=curitiba/procedure=vosstanovitelnaya-hirurgiya-grudi/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":3,"alias":"breast-cancer","name":"سرطان الثدي"}],"rendersOffersList":false}