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It focuses on aesthetic and reconstructive procedures for the breast, face, and body. Dr. Augusto Oliveira leads the practice, with a focus on breast reconstruction and contouring. The clinic sits inside the Centro Médico do Vale do Canela. It offers a secure setting with modern surgical technology.</p><p>Dr. Oliveira trained at the University of São Paulo. He holds a specialist title from the Brazilian Society of Plastic Surgery. His advanced training includes breast reconstruction at the Cancer Institute of São Paulo. The team performs mastopexy, facelift, and abdominoplasty. They also treat reconstructive cases, including skin cancer and burn sequelae.</p><p>For traveling patients, the clinic offers optional logistics support. This can include airport transfers, accommodation, and post-operative medications. The facility is designed for privacy and comfort. 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It may be longer after extensive liposuction, marked bruising or complications. Physically demanding work needs a longer break."},"complication_rate_pct":null,"contraindications":["Insufficient donor fat (very thin patients) for desired volume","Pregnancy or breastfeeding","Active infection or unhealed wounds in breast or donor area","Uncontrolled systemic disease or unfit for general anesthesia","Active smoking or nicotine use (relative; impairs fat survival)","Bleeding or clotting disorders, or ongoing anticoagulation not manageable perioperatively","Unrealistic expectations (desire for large volume increase in one session)","Active breast cancer or unevaluated suspicious breast findings","Active eating disorder or unstable psychiatric condition"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge; occasional overnight stay depending on clinic protocol."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":6,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise and pressure on breasts per surgeon guidance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"After swelling settles and the surviving fat volume stabilizes; part of the transferred fat is reabsorbed."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Derived from the clinical course, not from a dedicated study. Short flights are usually allowed after the first postoperative check, once liposuction-site swelling and pain have eased and the patient can walk freely. Surgeon clearance is needed because of the thrombosis risk after liposuction and general anesthesia."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery; small incisions check and compression garment review."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":45,"unit":"days","qualifier":"From surgery; assessment of swelling, fat take and donor sites."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery; review of stabilized volume and need for repeat session."}}],"indications":["Desire for modest breast enlargement (about one cup size) with natural result","Mild breast asymmetry or volume deficiency","Patients preferring to avoid implants","Patients with suitable donor fat who also want body contouring","Mild contour irregularities, e.g. upper pole hollowness"],"main_risks":["Partial fat reabsorption and volume loss","Fat necrosis, oil cysts and palpable lumps","Calcifications that may complicate mammographic interpretation","Infection","Bruising, swelling and contour irregularities at donor site","Asymmetry","Need for repeat sessions","Rare fat embolism or anesthesia-related complications"],"pain":"Mild to moderate discomfort, usually greater at liposuction donor sites than in the breasts; controlled with oral analgesics and settling over 1-2 weeks.","preparation":["Preoperative consultation and breast examination","Breast imaging (mammography or ultrasound) according to age and guidelines","Blood tests and anesthetic fitness assessment","Stop smoking/nicotine in advance per surgeon advice","Review of medications and supplements with the surgeon","Fasting before general anesthesia","Arrange help at home for first days; obtain compression garment"],"recovery_timeline":[{"phase":"Days 0-3","description":"Rest at home, swelling and bruising at donor and breast areas, compression garment on donor area.","restrictions":["Avoid driving initially","No lifting","Avoid pressure on breasts"]},{"phase":"Days 4-14","description":"Gradual return to light daily activity and desk work; bruising fades.","restrictions":["No strenuous activity","Avoid tight bras or pressure on breasts","Avoid prone sleeping"]},{"phase":"Weeks 3-6","description":"Swelling decreases; return to exercise per surgeon.","restrictions":["Avoid high-impact exercise until cleared"]},{"phase":"Months 3-6","description":"Fat volume stabilizes and final shape appears.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Derived from the clinical course. Light ordinary daily activities resume within about a week, while discomfort at the liposuction sites, bruising and swelling persist for 1–2 weeks. Strenuous exercise and pressure on the breasts are restricted for longer, as noted in the exercise guidance."},"result_longevity":"Fat that survives the first months is generally long-lasting, though volume can change with weight fluctuations, aging and hormonal changes.","revision_rate_pct":null,"scars":"Several tiny (a few millimeters) puncture incisions at liposuction donor sites and breast injection points; usually fade to inconspicuous marks.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One surgical session is typical; a second may be done for added volume."},"stages":[{"code":"fat_harvest_and_transfer","label":"Liposuction fat harvest, processing and injection into breasts","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed in the same operation."}}],"qualifier":"Standalone fat transfer; an optional repeat session is typically considered after about 3-6 months."},"success":{"metric":"Fat graft volume retention (survival of transferred fat)","value":60,"unit":"percent","horizon":"12 months","evidence_status":"proven","population":"Adult women undergoing cosmetic breast augmentation with autologous fat grafting. 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