Dr. Bruno Gasperin runs a plastic surgery practice in Porto Alegre, Brazil. The center focuses only on aesthetic breast surgery for adults. Dr. Gasperin operates at Hospital da Plástica de Porto Alegre. It is the only hospital in the city dedicated to plastic surgery. The practice uses the R24R rapid recovery protocol for breast implants. Many patients resume basic activities the next day. The clinic also offers the Preservé technique with Ergonomix 2 implants to preserve key ligaments.
Mastopexy without silicone is available through a short-scar technique. This procedure often includes fat grafting to improve cleavage. The practice holds TEMOS and Brazilian Society of Plastic Surgery accreditations. Patients stay in direct contact with a physiotherapist during recovery. Online consultations are open to all patients. The team speaks English, Spanish, and Portuguese.
","text_type":"short_description","reviews":[],"clinic":{"id":9035,"alias":"dr-bruno-gasperin","name":"Dr. Bruno Gasperin","short_description":"Dr. Bruno Gasperin runs a plastic surgery practice in Porto Alegre, Brazil. The center focuses only on aesthetic breast surgery for adults. Dr. Gasperin operates at Hospital da Plástica de Porto Alegre. It is the only hospital in the city dedicated to plastic surgery. The practice uses the R24R rapid recovery protocol for breast implants. Many patients resume basic activities the next day. The clinic also offers the Preservé technique with Ergonomix 2 implants to preserve key ligaments.
Mastopexy without silicone is available through a short-scar technique. This procedure often includes fat grafting to improve cleavage. The practice holds TEMOS and Brazilian Society of Plastic Surgery accreditations. Patients stay in direct contact with a physiotherapist during recovery. Online consultations are open to all patients. The team speaks English, Spanish, and Portuguese.
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The large multicenter database (CosmetAssure) reports 2.3% for implant augmentation. The upper end reflects the somewhat higher rate after reduction (established literature value). Minor events such as delayed healing, scarring or sensory change are not counted."},"contraindications":["Pregnancy or breastfeeding","Active breast infection or untreated suspected breast cancer","Uncontrolled systemic disease (e.g., diabetes, hypertension, cardiac disease) making general anesthesia unsafe","Active smoking or nicotine use (relative; raises wound-healing and necrosis risk)","Bleeding or clotting disorders","Unrealistic expectations or untreated body dysmorphic disorder","Planned significant weight loss or future pregnancy (relative precaution)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical uncomplicated mammoplasty (augmentation, lift or moderate reduction) under general anesthesia; most patients go home the same day, some stay one night after larger reductions."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Return to strenuous exercise and upper-body or chest-loading training, usually after surgeon clearance at 4–6 weeks. Established literature value."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and the breast shape settles (implants drop, tissue softens) over about 3–6 months. Scars continue to mature for up to 12 months or more. Established literature value."},"fly_home_after_days":null,"follow_up_visits":null,"indications":["Breast augmentation for small or asymmetric breasts or volume loss","Breast reduction for symptomatic macromastia (back, neck or shoulder pain, skin irritation)","Breast lift (mastopexy) for ptosis or sagging","Post-pregnancy or post-weight-loss breast changes","Breast asymmetry or congenital shape abnormalities","Reconstruction after mastectomy or injury"],"main_risks":["Bleeding or hematoma","Infection","Delayed wound healing or visible scarring","Changes in nipple or breast sensation","Asymmetry or unsatisfactory shape or size","Nipple or skin necrosis (higher with smoking and with reduction or lift)","Implant-related issues such as capsular contracture, rupture or malposition (if implants used)","Possible difficulty with breastfeeding","Anesthesia-related risks and venous thromboembolism","Seroma"],"pain":"Moderate discomfort, tightness and soreness for the first several days, usually controlled with oral analgesics. It is often greater after submuscular implant placement.","preparation":["Surgical consultation with medical history and breast examination","Preoperative photographs and measurements","Mammography or breast imaging when age or risk indicates","Routine preoperative blood tests and anesthesia assessment","Stop smoking and nicotine products before and after surgery as advised","Review of current medications and supplements with the surgeon and prescribing clinician, including those that affect bleeding; any change is made only on the clinician's direction","Fasting before general anesthesia as instructed","Arrange an adult escort and help at home after surgery"],"recovery_timeline":[{"phase":"First days","description":"Swelling, bruising and tightness; surgical bra or dressings in place; drains used in some reductions.","restrictions":["Avoid lifting arms overhead or heavy objects","No driving while taking strong analgesics"]},{"phase":"Weeks 1-2","description":"Pain and swelling settle; return to light daily activity; sutures removed or dissolve.","restrictions":["Wear supportive bra as directed","Avoid strenuous activity and sleeping on the stomach"]},{"phase":"Weeks 3-6","description":"Gradual return to normal activity as tissues heal.","restrictions":["Avoid heavy lifting and vigorous upper-body exercise until cleared"]},{"phase":"Months 3-12","description":"Swelling resolves, breasts settle and scars mature.","restrictions":["Protect scars from sun"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Derived from the typical clinical course: ordinary light daily activities resume after about 1–2 weeks. Augmentation is at the shorter end, reduction at the longer end. Heavy lifting is still restricted."},"result_longevity":"Reduction and lift results are long-lasting but gradually change with ageing, weight change, pregnancy and gravity, while breast implants are not lifetime devices and many patients need replacement or revision after about 10–20 years.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Repeat or revision surgery after a primary procedure over about 5–10 years. Primary reduction is at the lower end (about 5–10%), and primary implant augmentation is at the upper end (about 10–20%, mainly from capsular contracture, implant malposition, size change or implant replacement). Established literature value."},"scars":"Scar location depends on technique: small inframammary, periareolar or axillary scars for augmentation; periareolar, vertical or anchor-pattern scars for lift and reduction. Scars are initially red and usually fade over 12 months or longer; hypertrophic scarring is possible.","sessions_or_stages":null,"success":{"metric":"BREAST-Q satisfaction with breasts score (0–100), reduction mammoplasty, mean postoperative score (preoperative mean 22.9)","value":73,"unit":"points (0–100 scale)","horizon":"postoperative follow-up (typically at least 3–6 months)","evidence_status":"proven","population":"Women after reduction mammoplasty, pooled BREAST-Q data from 28 studies"},"techniques":[{"name":"Breast augmentation (implant or fat transfer)","suits_whom":"Patients wanting increased volume or improved upper-pole fullness","recovery":"Usually about 1 week to return to desk work; exercise resumes gradually over several weeks."},{"name":"Breast reduction (reduction mammoplasty)","suits_whom":"Patients with symptomatic large, heavy breasts","recovery":"Often 2-4 weeks off work; longer restrictions on strenuous activity."},{"name":"Breast lift (mastopexy)","suits_whom":"Patients with sagging or ptotic breasts with adequate volume","recovery":"Typically 1-2 weeks off work; exercise limited for several weeks."},{"name":"Augmentation-mastopexy","suits_whom":"Patients with both volume loss and ptosis","recovery":"Longer and with higher revision likelihood than either procedure alone."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":4,"unit":"hours","qualifier":"Operating time for one session under general anesthesia: about 1–2 h for augmentation or a simple lift, and about 2–4 h for reduction. Established literature value."},"initial_assessment_documents":["Front, side and oblique photos of the breasts","Height, weight and current bra size","Desired result or target cup size","Recent mammogram or breast ultrasound report","List of blood thinners","Previous breast surgery or implant records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until the first follow-up and drain or dressing and suture checks."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=mammoplastika/page=3/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":12},"manualSeo":[],"updatedAt":"2026-10-13T19:25:34.000Z","activeCountries":["BR","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}