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Minor events and late implant-related problems such as capsular contracture, rupture or malposition are not counted."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"contraindications":{"value":["Pregnancy or breastfeeding","Active breast infection or untreated breast cancer/suspicious lesion","Active systemic infection","Uncontrolled medical conditions making general anesthesia unsafe","Unrealistic expectations or untreated body dysmorphic disorder","Poor wound-healing conditions (e.g. active smoking or uncontrolled diabetes) are relative contraindications","Age under the approved minimum for silicone implants (jurisdiction-dependent)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"days_in_clinic":{"value":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasionally one night of observation."},"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"exercise_resume_weeks":{"value":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; upper-body and strenuous exercise usually resumed gradually after 4-6 weeks per surgeon advice."},"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"final_result_months":{"value":{"min":3,"max":6,"unit":"months","qualifier":"Implants settle and swelling resolves; scars continue maturing up to about 12 months."},"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"fly_home_after_days":{"value":{"min":5,"max":7,"unit":"days","qualifier":"Derived from the clinical course, not from a dedicated study. Typically the first postoperative check (wound, dressing, early hematoma or infection screen) is at about 5–7 days. Most surgeons clear a patient for a flight after that check, and a short flight is usually acceptable once the patient is walking freely, with leg movement and hydration."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"follow_up_visits":{"value":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":14,"unit":"days","qualifier":"First postoperative check, dressing and wound review."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"Check of implant position and healing."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of settled result."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"indications":{"value":["Breast volume increase for small or underdeveloped breasts (hypomastia)","Loss of breast volume after pregnancy or weight loss","Breast asymmetry","Desire for improved breast proportions in adults"],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"main_risks":{"value":["Capsular contracture","Implant malposition, rippling or asymmetry","Infection","Hematoma or seroma","Changes in nipple or breast sensation","Implant rupture or leak over time","Need for revision surgery","Scarring","Anesthesia-related risks","Rare: breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"pain":{"value":"Moderate pain and tightness, especially when implants are placed under the muscle; usually controlled with oral analgesics and easing over the first 1-2 weeks.","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"preparation":{"value":["Consultation with sizing, implant selection and examination","Breast imaging per age and risk","Medication and supplement review with the surgeon","Stop smoking/nicotine beforehand","Fasting before general anesthesia","Arrange help at home for first days","Obtain a support or surgical bra"],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"recovery_timeline":{"value":[{"phase":"First 48 hours","description":"Swelling, tightness and soreness; dressings or surgical bra in place; rest.","restrictions":["No driving while on strong analgesics","Avoid lifting arms overhead"]},{"phase":"Weeks 1-2","description":"Pain and swelling decrease; return to light daily activity and desk work.","restrictions":["No heavy lifting","Wear support bra as instructed"]},{"phase":"Weeks 4-6","description":"Gradual return to exercise and normal activity as advised.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 3-6","description":"Implants settle and swelling resolves; final shape evident.","restrictions":[]}],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"rehabilitation_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program is usually required."},"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"result_longevity":{"value":"Implants are not lifetime devices; durability varies, and many patients need replacement or revision over the years because of complications, rupture or changes in preference. Regular follow-up is advised.","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"revision_rate_pct":{"value":{"min":20,"max":36,"unit":"percent","qualifier":"Established literature value: cumulative reoperation after primary silicone augmentation at about 10 years, from FDA premarket core studies. Rates are lower earlier (about 10–15% by 3–5 years) and keep rising with time. Reasons include capsular contracture, malposition, rupture, size change and scarring."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"scars":{"value":"Short scar in the inframammary fold (most common), or around the areola or in the armpit depending on approach; usually fades to a fine line over 6-12 months, though hypertrophic scarring is possible.","model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"sessions_or_stages":{"value":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary bilateral augmentation."},"stages":[{"code":"implant_surgery","label":"Bilateral silicone implant placement","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standard primary augmentation alone is a single-stage procedure."},"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"success":{"value":{"metric":"Patient satisfaction with breast augmentation outcome (core-study questionnaires and BREAST-Q-type satisfaction with breasts; share satisfied or very satisfied)","value":90,"unit":"percent","horizon":"10 years","evidence_status":"proven","population":"Women with primary cosmetic silicone breast augmentation (established literature value from long-term core studies, roughly 85–95%)"},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"techniques":{"value":[{"name":"Inframammary incision, submuscular (dual-plane) placement","suits_whom":"Most patients, particularly those with thin soft-tissue coverage.","recovery":"Somewhat more discomfort initially; typical recovery as outlined."},{"name":"Inframammary incision, subglandular placement","suits_whom":"Patients with adequate soft-tissue coverage.","recovery":"Often slightly less early pain; typical recovery as outlined."},{"name":"Periareolar or transaxillary approach","suits_whom":"Selected patients, based on anatomy and implant type.","recovery":"Similar overall recovery; scar location differs."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"treatment_conditions":{"value":["day_case"],"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"treatment_duration_hours":{"value":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for primary bilateral augmentation, excluding anesthesia preparation and recovery."},"model":"claude-sonnet-5-5","checked_at":"2026-10-20T15:38:05.229342+00:00"},"initial_assessment_documents":null,"travel_trips":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=juiz-de-fora/procedure=uvelichenie-grudi-silikonovymi-implantami/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}