{"meta":{"humanUrl":"https://ar.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/","canonicalUrl":"https://ar.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/","jsonUrl":"https://ar.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=reconstructive-breast-surgery/data.json","title":"جراحة إعادة بناء الثدي في بورتو أليغري لعام 2026: أفضل 6 عيادات وأسعارها","description":"أفضل عيادات جراحة إعادة بناء الثدي في بورتو أليغري: تقييمات المرضى واستشارة مجانية.","heading":"جراحة إعادة بناء الثدي في بورتو أليغري: 6","locale":"ar","schemaVersion":"ClinicListingPageDataV1","snapshotId":"4de3799b-6cb0afbe","contentVersion":"4de3799b","generatedAt":"2026-10-31T12:32:37.796Z"},"filters":{"country":"brazil","city":"porto-alegre","procedure":"reconstructive-breast-surgery","page":1},"pagination":{"page":1,"totalCount":6,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"البرازيل","url":"/clinics/country=brazil/"},{"name":"بورتو أليغري","url":"/clinics/country=brazil/city=porto-alegre/"},{"name":"جراحة إعادة بناء الثدي","url":"/clinics/country=brazil/procedure=reconstructive-breast-surgery/"}],"entities":[{"name":"البرازيل","alias":"brazil","type":"country","id":31},{"name":"بورتو أليغري","alias":"porto-alegre","type":"city","id":2582},{"name":"جراحة إعادة بناء الثدي","alias":"reconstructive-breast-surgery","type":"procedure","id":108}],"clinics":{"clinics":[{"text":"<p>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.</p><p>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.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9030,"alias":"dr-thiago-costa-plastic-surgery","name":"Dr. Thiago Costa – plastic surgery","short_description":"<p>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.</p><p>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.</p>","images":[{"base_url":"clinic/6ae45341810ec"}],"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":"بورتو أليغري","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":181,"doctors_number":4},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"الاعتماد الدولي للرعاية الصحية TEMOS","country_code":"DE"},{"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"}]}},{"text":"<p>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.</p><p>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.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9052,"alias":"clinic-riccardi","name":"clinic Riccardi","short_description":"<p>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.</p><p>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.</p>","images":[{"base_url":"clinic/6adffc5e70b3e","title":"منطقة انتظار مريحة في عيادة Riccardi مع كراسي وإضاءة ناعمة"},{"base_url":"clinic/6adffc603b07d","title":"غرفة استشارة وكرسي فحص حديث في عيادة Riccardi"},{"base_url":"clinic/6adffc61d96e6","title":"غرفة استشارة حديثة في عيادة Riccardi مع سرير فحص وحوض طبي"},{"base_url":"clinic/6adffc63abb0b","title":"خدمة الشاي على مكتب الاستقبال في عيادة Riccardi، منطقة استقبال مريحة"}],"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":"بورتو أليغري","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":"الجمعية الأمريكية لجراحي التجميل","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"الاعتماد الدولي للرعاية الصحية TEMOS","country_code":"DE"}]}},{"text":"<p>Dr. F. Felipe Laitano is a plastic surgery clinic in Porto Alegre, Brazil. The practice specializes in breast reconstruction and aesthetic breast surgery. Key procedures include explant surgery, mastopexy, and fat grafting. The team also performs abdominoplasty, blepharoplasty, and gynecomastia reduction. A dedicated workflow supports international patients with teleconsultations and surgical planning.</p><p>The clinic uses One STEP technology for lipoaspiration and reconstruction. Dr. Laitano completed his plastic surgery residency at Hospital São Lucas of PUCRS. He is a preceptor training residents in breast surgery. The specialists are members of the Sociedade Brasileira de Cirurgia Plástica. The clinic holds accreditations from TEMOS, ISAPS, and the ASPS.</p><p>Many procedures are outpatient surgeries. Patients often return home a few hours after anesthesia. For delayed reconstruction, patients typically leave within five hours. Reconstruction performed alongside mastectomy requires a two-day stay. The clinic uses structured protocols like pre-operative marking to improve precision.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9181,"alias":"dr-f-felipe-laitano","name":"Dr. F. Felipe Laitano","short_description":"<p>Dr. F. Felipe Laitano is a plastic surgery clinic in Porto Alegre, Brazil. The practice specializes in breast reconstruction and aesthetic breast surgery. Key procedures include explant surgery, mastopexy, and fat grafting. The team also performs abdominoplasty, blepharoplasty, and gynecomastia reduction. A dedicated workflow supports international patients with teleconsultations and surgical planning.</p><p>The clinic uses One STEP technology for lipoaspiration and reconstruction. Dr. Laitano completed his plastic surgery residency at Hospital São Lucas of PUCRS. He is a preceptor training residents in breast surgery. The specialists are members of the Sociedade Brasileira de Cirurgia Plástica. The clinic holds accreditations from TEMOS, ISAPS, and the ASPS.</p><p>Many procedures are outpatient surgeries. Patients often return home a few hours after anesthesia. For delayed reconstruction, patients typically leave within five hours. Reconstruction performed alongside mastectomy requires a two-day stay. The clinic uses structured protocols like pre-operative marking to improve precision.</p>","images":[{"base_url":"clinic/6ae141dedde60","title":"الواجهة الحديثة لمستشفى ساو لوكاس دا بوكرس في البرازيل"},{"base_url":"clinic/6ae141e0a3bf3","title":"الواجهة الخارجية لمستشفى Blanc مع مبنى Medplex الحديث والمدخل"},{"base_url":"clinic/6ae141e219a7d","title":"الواجهة الخارجية لعيادة Dr. F. Felipe Laitano في بورتو أليغري، منشأة طبية حديثة"},{"base_url":"clinic/6ae141e3952d0","title":"منطقة استقبال عيادة Dr. F. Felipe Laitano بمقاعد وديكور حديث"}],"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":"بورتو أليغري","id":2582,"alias":"porto-alegre"},"address":"Avenida Ipiranga 6690, Conj. 520, Centro Clínico da PUCRS, Porto Alegre, RS, Brazil, 26599-000"},"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":"الاعتماد الدولي للرعاية الصحية TEMOS","country_code":"DE"},{"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"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"الجمعية الأمريكية لجراحي التجميل","country_code":"US"}]}},{"text":"<p>Dr. Denis Valente leads a plastic surgery clinic in Porto Alegre, Brazil. The center focuses on body contouring, high-definition liposuction, and breast aesthetics. A key difference is the Lipo One STEP HD protocol. This technique preserves blood vessels and nerves to speed up recovery. It is a refinement procedure, not a weight-loss treatment.</p><p>Dr. Valente is a PhD-qualified surgeon with over 20 years of experience. He is a Professor at UFCSPA and a member of the American Society of Plastic Surgeons. The clinic uses advanced platforms like Argoplasma, Bodytite, and Renuvion for skin tightening. Combined surgeries stay under five hours to improve patient safety. Many international patients travel from Peru for treatment.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9230,"alias":"clinic-de-plastic-surgery-and-procedures-esteticos","name":"clinic de plastic surgery and procedures Estéticos","short_description":"<p>Dr. Denis Valente leads a plastic surgery clinic in Porto Alegre, Brazil. The center focuses on body contouring, high-definition liposuction, and breast aesthetics. A key difference is the Lipo One STEP HD protocol. This technique preserves blood vessels and nerves to speed up recovery. It is a refinement procedure, not a weight-loss treatment.</p><p>Dr. Valente is a PhD-qualified surgeon with over 20 years of experience. He is a Professor at UFCSPA and a member of the American Society of Plastic Surgeons. The clinic uses advanced platforms like Argoplasma, Bodytite, and Renuvion for skin tightening. Combined surgeries stay under five hours to improve patient safety. Many international patients travel from Peru for treatment.</p>","images":[{"base_url":"clinic/6ae172f332346","title":"جراح تجميل في العيادة يحمل كانيولا شفط الدهون، ديكور طبي حديث"},{"base_url":"clinic/6ae172f4d830e","title":"مكتب الطبيب في عيادة clinic de plastic surgery and procedures Estéticos مع نوافذ كبيرة"},{"base_url":"clinic/6ae172f638f05","title":"جراح تجميل في عيادة حديثة بإضاءة داخلية ساطعة"},{"base_url":"clinic/6ae172f7a9675","title":"جراح تجميل يرتدي زي العمليات في عيادة مع خلفية جبلية خلابة"}],"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":"بورتو أليغري","id":2582,"alias":"porto-alegre"},"address":"Jardim Europa, Porto Alegre, Rio Grande do Sul, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}},{"text":"<p>Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.</p><p>A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9242,"alias":"centro-de-surgery-reconstrutiva-dr-sirlei-costa","name":"Centro de surgery Reconstrutiva (Dr. Sirlei Costa)","short_description":"<p>Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.</p><p>A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.</p>","images":[{"base_url":"clinic/6ae17e6500c1c","title":"منطقة الاستقبال في Centro de Surgery Reconstrutiva، ديكور حديث في البرازيل"},{"base_url":"clinic/6ae17e6670905","title":"واجهة مبنى حديثة لمركز Centro de Surgery Reconstrutiva في البرازيل"}],"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":"بورتو أليغري","id":2582,"alias":"porto-alegre"},"address":"R. Ramiro Barcelos, 630/1111 - Moinhos de Vento, Porto Alegre - RS, 90560-032, Brazil"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1996},"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"}]}},{"text":"<p>Dr. Carolina Kurdyk is a plastic surgery practice in Porto Alegre, Brazil. The clinic focuses on aesthetic medicine, plastic surgery, and otorhinolaryngology. Dr. Kurdyk has worked on the Hospital Santa Casa de Misericórdia staff since 2015. She is board-certified in plastic surgery (RQE 38715). Surgical procedures include abdominoplasty, otoplasty, and gluteoplasty with silicone implants or fat grafting.</p><p>The practice uses Fotona lasers that combine Erbium YAG and Nd YAG wavelengths. Morpheus 8 with gold-coated micro-needles is used for body contouring. Office-based options include rhinomodelation and MD Codes® with hyaluronic acid fillers. The clinic also offers Profhilo injectables for skin hydration and firming. Otoplasty is available for children from age six.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9256,"alias":"dr-carolina-kurdyk","name":"Dr. Carolina Kurdyk","short_description":"<p>Dr. Carolina Kurdyk is a plastic surgery practice in Porto Alegre, Brazil. The clinic focuses on aesthetic medicine, plastic surgery, and otorhinolaryngology. Dr. Kurdyk has worked on the Hospital Santa Casa de Misericórdia staff since 2015. She is board-certified in plastic surgery (RQE 38715). Surgical procedures include abdominoplasty, otoplasty, and gluteoplasty with silicone implants or fat grafting.</p><p>The practice uses Fotona lasers that combine Erbium YAG and Nd YAG wavelengths. Morpheus 8 with gold-coated micro-needles is used for body contouring. Office-based options include rhinomodelation and MD Codes® with hyaluronic acid fillers. The clinic also offers Profhilo injectables for skin hydration and firming. Otoplasty is available for children from age six.</p>","images":[{"base_url":"clinic/6ae18cceef775","title":"طبيبة في عيادة Dr. Carolina Kurdyk تحمل حشوة صدر أثناء الاستشارة"}],"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":"بورتو أليغري","id":2582,"alias":"porto-alegre"},"address":"R. 24 de Outubro, 1440 - Sl 509 - Auxiliadora, Porto Alegre - RS, 90510-001, Brazil"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[]}}],"meta":{"total_count":6,"total_pages":1}},"clinicsMeta":{"total_count":6,"total_pages":1},"clinicsCount":6,"clinicsCountByEntity":{"clinic_count":276},"doctors":{"doctors":[{"doctor":{"id":22180,"alias":"andre-monte","name":"André Monte","photo":"doctor/6ae19530553ad","first_year_working":0,"created_at":"2026-10-28T05:56:56.597+00:00","specialities":[{"id":"pls.001","name":"جراح اختصاصي تجميل","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9258,"alias":"clinic-viis","name":"clinic Viis","short_description":"<p>Clinic Viis is a plastic and reconstructive surgery center in Porto Alegre, Brazil. The practice specializes in aesthetic medicine, body contouring, and breast surgery. Medical Director Dr. André Monte leads the clinic. He is a Full Member of the Brazilian Society of Plastic Surgery. Dr. Monte also belongs to the International Society of Aesthetic Plastic Surgery. The clinic opened in 2022. Dr. Monte has performed thousands of procedures during his career.</p><p>The facility uses advanced body sculpting techniques like Lipo HD and Total Definer. Bipolar radiofrequency helps skin retraction during contouring. Surgeons use ultrasound guidance for precise S.I.M.E. gluteal fat grafting. Other procedures include RAFT abdominoplasty and deep-plane facial rejuvenation. The medical team plans each surgery around the individual patient. Dr. Monte trained at the Fluminense Clinic in Rio de Janeiro.</p>","images":[{"base_url":"clinic/6ae18deb8a666","title":"منطقة استقبال وانتظار حديثة في عيادة Viis بديكور بسيط"},{"base_url":"clinic/6ae18dece3217","title":"منطقة انتظار حديثة وغرفة استشارات في عيادة Viis بديكور بسيط"}],"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":"بورتو أليغري","id":2582,"alias":"porto-alegre"},"address":"Castro Alves, 667, Porto Alegre, RS, Brazil, 90430-131"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2022},"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"}]}},{"doctor":{"id":22002,"alias":"felipe-laitano","name":"Felipe Laitano","first_year_working":0,"created_at":"2026-10-28T00:36:25.298+00:00","specialities":[{"id":"pls.001","name":"جراح اختصاصي تجميل","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":9181,"alias":"dr-f-felipe-laitano","name":"Dr. F. Felipe Laitano","short_description":"<p>Dr. F. Felipe Laitano is a plastic surgery clinic in Porto Alegre, Brazil. The practice specializes in breast reconstruction and aesthetic breast surgery. Key procedures include explant surgery, mastopexy, and fat grafting. The team also performs abdominoplasty, blepharoplasty, and gynecomastia reduction. A dedicated workflow supports international patients with teleconsultations and surgical planning.</p><p>The clinic uses One STEP technology for lipoaspiration and reconstruction. Dr. Laitano completed his plastic surgery residency at Hospital São Lucas of PUCRS. He is a preceptor training residents in breast surgery. The specialists are members of the Sociedade Brasileira de Cirurgia Plástica. The clinic holds accreditations from TEMOS, ISAPS, and the ASPS.</p><p>Many procedures are outpatient surgeries. Patients often return home a few hours after anesthesia. For delayed reconstruction, patients typically leave within five hours. Reconstruction performed alongside mastectomy requires a two-day stay. The clinic uses structured protocols like pre-operative marking to improve precision.</p>","images":[{"base_url":"clinic/6ae141dedde60","title":"الواجهة الحديثة لمستشفى ساو لوكاس دا بوكرس في البرازيل"},{"base_url":"clinic/6ae141e0a3bf3","title":"الواجهة الخارجية لمستشفى Blanc مع مبنى Medplex الحديث والمدخل"},{"base_url":"clinic/6ae141e219a7d","title":"الواجهة الخارجية لعيادة Dr. F. Felipe Laitano في بورتو أليغري، منشأة طبية حديثة"},{"base_url":"clinic/6ae141e3952d0","title":"منطقة استقبال عيادة Dr. F. 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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."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/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}