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style=\";text-align:right;direction:rtl\">اليوم 1</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الوصول إلى البلاد ونقل الشخصيات المهمة إلى الفندق.</li><li style=\";text-align:right;direction:rtl\"> تسجيل الوصول في فندق 5 * لإقامة مريحة.</li></ul><p style=\";text-align:right;direction:rtl\"> اليوم الثاني</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> استشارة جراح تجميل.</li><li style=\";text-align:right;direction:rtl\"> اختبارات ما قبل الجراحة ، بما في ذلك اختبارات الدم والتصوير الشعاعي للثدي.</li><li style=\";text-align:right;direction:rtl\"> تركيب مشد ضاغط للاستخدام بعد الجراحة.</li></ul><p style=\";text-align:right;direction:rtl\"> يوم 3</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> جراحة تصغير الثدي تحت التخدير العام.</li><li style=\";text-align:right;direction:rtl\"> تستغرق الجراحة حوالي 2-5 ساعات ، حسب درجة التعقيد.</li><li style=\";text-align:right;direction:rtl\"> ملاحظات ما بعد الجراحة في العيادة.</li></ul><p style=\";text-align:right;direction:rtl\"> اليوم الرابع</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الراحة والانتعاش في الفندق.</li><li style=\";text-align:right;direction:rtl\"> زيارة متابعة من قبل ممرضة للتحقق من الشفاء.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 1</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الراحة المستمرة وتجنب الأنشطة الشاقة.</li><li style=\";text-align:right;direction:rtl\"> ارتداء مشد الضغط لدعم الشفاء.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 2-4</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> الاستئناف التدريجي للأنشطة الخفيفة.</li><li style=\";text-align:right;direction:rtl\"> استمرار ارتداء مشد الضغط.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 4-6</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة إلى العمل حسب طبيعة الوظيفة.</li><li style=\";text-align:right;direction:rtl\"> يمكن استئناف التمارين الخفيفة.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع 6-12</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة الكاملة للأنشطة العادية ، بما في ذلك الرياضة.</li><li style=\";text-align:right;direction:rtl\"> يمكن رؤية النتائج النهائية لتصغير الثدي.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>يرجى ملاحظة أن الجدول الزمني يمكن أن يختلف اعتمادًا على تقدم الشفاء لكل فرد ونصيحة الجراح.</i></p>"},"overview":{"text":"<h3>تقليل الثدي</h3>\n<p>عملية جراحية لتقليل حجم الثدي عن طريق إزالة الدهون الزائدة والأنسجة والجلد.</p>\n<div>[icon-pros]<b>المزايا:</b><span> تخفف من آلام الظهر والرقبة في 70% من الحالات. تقلل من تهيج الجلد وتحسن من الوضعية دون زراعة.</span></div>\n<div>[icon-cons]<b>العيوب:</b><span> احتمال وجود ندوب 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الشارب","alias":"moustache-transplantation"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-10-29T21:06:31.000Z","activeCountries":["BR","TR","TH","KR"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":8,"rehabilitation_days":30,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"جراحة تجميلية","alias":"plastic-surgery","name_forms":{"base_form":"جراحة تجميلية","form_4":"جراحة تجميلية","form_6":"جراحة تجميلية","form_11":"جراحي التجميل","form_12":"جراحي التجميل"}},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":{"value":["general"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"back_to_work_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Desk or light office work after the primary bilateral pedicled reduction is usually possible in 7-14 days, depending on pain control, healing, drains and assessment. Physically demanding work usually needs about 4-6 weeks."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"complication_rate_pct":{"value":{"min":3,"max":10,"unit":"percent","qualifier":"Limited model estimate: adults after primary bilateral standard pedicled reduction mammaplasty (general anesthesia, planned day case) with a clinically significant complication needing reoperation, evacuation, readmission or treated intervention within about 90 days. Includes hematoma, deep infection, flap or nipple-areola necrosis, major dehiscence, VTE. Expected bruising, swelling, soreness and minor delayed healing are excluded. Oncoplastic, adolescent, free-nipple-graft and liposuction-only reduction are outside this range. Higher with smoking, high BMI or very large resections."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"contraindications":{"value":["Pregnancy or current breastfeeding (usually deferred)","Uncontrolled medical conditions (e.g., cardiovascular disease, diabetes)","Active smoking or nicotine use (relative; raises wound-healing and necrosis risk)","Active breast infection or untreated breast malignancy","Significant bleeding or clotting disorders","Unrealistic expectations","Plans for future pregnancy/breastfeeding (relative precaution)","Unstable weight or very high BMI (relative precaution)"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"days_in_clinic":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Planned day case under general anesthesia: discharge the same day after recovery and assessment, with an adult escort and help at home overnight."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"diagnostic_duration_minutes":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"diagnostic_preparation":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"diagnostic_referral_needed":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"diagnostic_result_time_hours":{"reason":"procedure_type","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"exercise_resume_weeks":{"value":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and upper-body training after surgeon clearance."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"final_result_months":{"value":{"min":3,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle gradually; scars continue to mature longer."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"fly_home_after_days":{"value":{"min":7,"max":14,"unit":"days","qualifier":"Counted from surgery, for a short flight only after an actual postoperative assessment shows stable healing, controlled pain, no hematoma or nipple-areola compromise, and comfortable walking. If suture or drain removal is still due after departure, it must already be booked with a suitable clinician at the destination; otherwise stay for the treating clinic check. Long-haul flights need an individualized VTE plan and are outside this range. No guaranteed clearance."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"follow_up_visits":{"value":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressing change and drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"Only if non-absorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing, shape and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of final shape and scars."}}],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"indications":{"value":["Symptomatic macromastia with neck, shoulder or back pain","Skin irritation or rashes under the breasts","Bra-strap grooving","Limitation of physical activity due to breast size","Breast asymmetry with a larger breast","Desire for smaller, lifted breasts for comfort and proportion"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"main_risks":{"value":["Bleeding or hematoma","Infection or delayed wound healing","Visible or hypertrophic scarring","Nipple-areola sensation changes or loss","Nipple-areola or skin necrosis","Asymmetry or contour irregularities","Fat necrosis or seroma","Reduced or lost ability to breastfeed","Anesthesia-related risks and venous thromboembolism","Need for revision surgery"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"pain":{"value":"Moderate soreness, tightness and pulling for the first several days, usually controlled with oral analgesics; improves markedly by 1–2 weeks.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"preparation":{"value":["Preoperative consultation with medical history review and examination","Breast imaging (mammography or ultrasound) as indicated by age and risk","Routine blood tests and anesthetic assessment","Stop smoking/nicotine in advance as advised","Review medications and supplements with surgeon","Stable weight before surgery","Fasting before general anesthesia","Arrange transport home and help during first days","Obtain a supportive surgical bra"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"recovery_timeline":{"value":[{"phase":"Day of surgery (day case)","description":"Surgery takes about 2.5-4 hours under general anesthesia. After recovery and assessment, discharge home the same day in a surgical bra with dressings, drains only if used.","restrictions":["Adult escort and help overnight","No driving","Rest with head elevated"]},{"phase":"Days 1-7","description":"Soreness, tightness, swelling and bruising are expected. Short indoor walks several times daily are encouraged from the first day to lower clot risk. First wound check at about 5-10 days after surgery.","restrictions":["No lifting or pushing","Avoid overhead reaching","Keep dressings dry as instructed"]},{"phase":"Days 7-14","description":"Ordinary light daily activities resume around days 5-10. Desk or light work usually resumes around days 7-14 once pain is controlled and off strong analgesics. Short flights may be possible in this window if cleared.","restrictions":["No heavy lifting","No driving until comfortable and off strong analgesics","Continue supportive bra"]},{"phase":"Weeks 3-6","description":"Swelling and bruising subside. Walking and light activity increase gradually. Strenuous exercise and upper-body training resume at about 4-6 weeks after surgery with surgeon clearance. Physically demanding work usually needs about 4-6 weeks.","restrictions":["No strenuous exercise before about 4 weeks and clearance","Continue supportive bra"]},{"phase":"Months 2-12","description":"Breasts settle into final shape over about 3-12 months and scars mature.","restrictions":["Protect scars from sun"]},{"phase":"At any time","description":"Seek urgent medical assessment for rapidly increasing one-sided breast swelling or pain, bleeding soaking dressings, fever, spreading redness, pus, wound opening, dusky or darkening nipple or skin, chest pain, breathlessness, or calf pain or swelling.","restrictions":["Do not wait for a scheduled review"]}],"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"rehabilitation_days":{"value":{"min":5,"max":10,"unit":"days","qualifier":"Ordinary light self-care, walking and light household tasks after the primary bilateral pedicled reduction. Soreness improves over 1-2 weeks; strenuous exercise and heavy lifting remain restricted until about 4-6 weeks and clearance. Wear the support bra as instructed."},"model":"claude-sonnet-5-5","checked_at":"2026-10-21T00:00:00+00:00"},"result_longevity":{"value":"Long-lasting, but breasts can change with aging, pregnancy, hormonal changes and weight fluctuation; regrowth is possible.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"revision_rate_pct":{"value":{"min":3,"max":8,"unit":"percent","qualifier":"Limited model estimate: adults after primary bilateral standard pedicled reduction mammaplasty needing unplanned corrective surgery (complication management, scar or dog-ear revision, asymmetry or contour correction) within about 1-5 years. Planned stages are not counted. Higher with smoking, high BMI or very large resections."},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"scars":{"value":"Permanent scars around the areola, vertically down to the breast crease and often along the inframammary fold (anchor pattern); they fade over 6–18 months but remain visible.","model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"sessions_or_stages":{"value":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Reduction mammaplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically one surgery; routine follow-up checks are not counted as treatment sessions."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"success":{"value":{"metric":"Patients reporting satisfaction with the overall breast-reduction result (binary yes/no response)","value":85,"unit":"percent of patients","horizon":"About 12 months after surgery","population":"All adults undergoing primary bilateral inverted-T inferior-pedicle reduction for symptomatic macromastia; complications do not exclude patients from the denominator. Oncoplastic, adolescent, free-nipple-graft and liposuction-only procedures are outside this estimate.","evidence_status":"limited"},"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"techniques":{"value":[{"name":"PRIMARY PROTOCOL: Inverted-T (Wise pattern) inferior pedicle reduction, bilateral, general anesthesia, day case","suits_whom":"Most adults with moderate to large reductions; all numerical ranges in this profile refer to this protocol.","recovery":"Desk work about 7-14 days, ordinary function 5-10 days, strenuous exercise about 4-6 weeks."},{"name":"Vertical short-scar (superior or medial pedicle) - outside primary numerical profile","suits_whom":"Mild to moderate reductions with good skin elasticity.","recovery":"Often similar, but not covered by the numerical ranges here; usually no horizontal inframammary scar."},{"name":"Liposuction-assisted or liposuction-only reduction - outside primary numerical profile","suits_whom":"Small reductions in fattier, less glandular breasts.","recovery":"Often quicker with minimal scarring; not covered by the numerical ranges here."}],"model":"claude-sonnet-5-5","checked_at":"2026-10-29T10:12:14.369399+00:00"},"treatment_conditions":{"value":["day_case"],"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+00:00"},"treatment_duration_hours":{"value":{"min":2.5,"max":4,"unit":"hours","qualifier":"Both breasts, standard pedicled reduction under general anesthesia."},"model":"claude-sonnet-5-5","checked_at":"2026-10-15T06:24:59.574846+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=umensenie-grudi/"}],"offerFilters":{"offer_count":0,"city_filter":[{"id":2518,"name":"ريو دي جانيرو","alias":"rio-de-janeiro","country_iso_code":"BR"}],"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}