Bucheli Concept is an aesthetic medicine clinic in Rio de Janeiro, Brazil. The center focuses on facial plastic surgery, dermatology, and aesthetic physiotherapy. It was founded by Dr. Carlos Bucheli. The team has over 20 years of experience in facial aesthetics. Key procedures include deep plane facelifts, rhinoplasty, Fox Eyes surgery, and blepharoplasty.
The clinic also offers mentoplasty, otoplasty, and facial harmonization with hyaluronic acid fillers. International patients can start care through a remote consultation. This lets them arrange pre-operative lab work in their home city. A final in-person visit happens in Rio before surgery. The medical team has three specialists led by Dr. Bucheli.
","text_type":"short_description","reviews":[],"clinic":{"id":8952,"alias":"bucheli-concept","name":"Bucheli Concept","short_description":"Bucheli Concept is an aesthetic medicine clinic in Rio de Janeiro, Brazil. The center focuses on facial plastic surgery, dermatology, and aesthetic physiotherapy. It was founded by Dr. Carlos Bucheli. The team has over 20 years of experience in facial aesthetics. Key procedures include deep plane facelifts, rhinoplasty, Fox Eyes surgery, and blepharoplasty.
The clinic also offers mentoplasty, otoplasty, and facial harmonization with hyaluronic acid fillers. International patients can start care through a remote consultation. This lets them arrange pre-operative lab work in their home city. A final in-person visit happens in Rio before surgery. The medical team has three specialists led by Dr. Bucheli.
","images":[{"base_url":"clinic/6adf246cdb9ce","title":"غرفة انتظار حديثة في عيادة Bucheli Concept بمقاعد مريحة"},{"base_url":"clinic/6adf246e8e8fd","title":"مكتب استقبال في عيادة Bucheli Concept مع طاقم ودود"}],"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":"ريو دي جانيرو","id":2518,"alias":"rio-de-janeiro"},"address":"Le Monde Office - Av. das Américas, 3500 - Sl 101 Bloco 04 - Barra da Tijuca, Rio de Janeiro - RJ, 22640-102, Brazil"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":2},"accreditations":[]}},{"text":"Dr. Paulo Henrique Laia runs a plastic surgery practice in Belo Horizonte, Brazil. The clinic focuses on facial rejuvenation, breast surgery, and body contouring. Dr. Laia is a Titular Member of the Brazilian Society of Plastic Surgery. He also holds memberships in ISAPS and TEMOS. He completed his plastic surgery residency at the University Hospital of UFMG. He later served as a residency preceptor there.
The practice uses advanced energy-based technologies in surgery. These include Vaser ultrasound-assisted liposuction and Argoplasma thermal tissue treatment. BodyTite radiofrequency and Morpheus micro-needling help improve skin firmness. For breast augmentation, the clinic offers the Motiva-developed Técnica Preservé approach. All surgeries take place at Premier Hospital Dia. Online consultations are available for patients outside Belo Horizonte.
","text_type":"short_description","reviews":[],"clinic":{"id":9046,"alias":"dr-paulo-henrique-laia","name":"Dr. Paulo Henrique Laia","short_description":"Dr. Paulo Henrique Laia runs a plastic surgery practice in Belo Horizonte, Brazil. The clinic focuses on facial rejuvenation, breast surgery, and body contouring. Dr. Laia is a Titular Member of the Brazilian Society of Plastic Surgery. He also holds memberships in ISAPS and TEMOS. He completed his plastic surgery residency at the University Hospital of UFMG. He later served as a residency preceptor there.
The practice uses advanced energy-based technologies in surgery. These include Vaser ultrasound-assisted liposuction and Argoplasma thermal tissue treatment. BodyTite radiofrequency and Morpheus micro-needling help improve skin firmness. For breast augmentation, the clinic offers the Motiva-developed Técnica Preservé approach. All surgeries take place at Premier Hospital Dia. Online consultations are available for patients outside Belo Horizonte.
","images":[{"base_url":"clinic/6adffa08930c3","title":"منطقة استقبال عيادة Dr. Paulo Henrique Laia بديكور حديث ومقاعد مريحة"},{"base_url":"clinic/6adffa0a199ae","title":"جهاز طبي حديث ACCUtite في عيادة الدكتور باولو إنريكي لايا، 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":"بيلو هوريزونتي","id":2682,"alias":"belo-horizonte"},"address":"R. Cláudio Manoel, 48 - 15° andar - Funcionários, Belo Horizonte - MG, 30140-100, Brazil"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"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"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"الاعتماد الدولي للرعاية الصحية TEMOS","country_code":"DE"}]}},{"text":"Juliana Metzker — Plastic Surgeon is a clinic in Belo Horizonte, Brazil. It focuses on plastic surgery, body contouring, and skin-tightening procedures. Dr. Juliana Metzker is a Titular Member of the Brazilian Society of Plastic Surgery. She leads a team of two specialist physicians inside Hospital Dia ProPlástica.
Dr. Metzker trained at the Federal University of Minas Gerais. The clinic uses advanced radiofrequency tools like BodyTite, Morpheus, and Retraction. These reduce localized fat and improve skin firmness. Common procedures include liposuction, abdominoplasty, breast surgery, and gynecomastia treatment. International patients get online consultations, surgical prep guidance, and a compression garment kit for recovery.
","text_type":"short_description","reviews":[],"clinic":{"id":9050,"alias":"juliana-metzker-plastic-surgeon","name":"Juliana Metzker — Plastic Surgeon","short_description":"Juliana Metzker — Plastic Surgeon is a clinic in Belo Horizonte, Brazil. It focuses on plastic surgery, body contouring, and skin-tightening procedures. Dr. Juliana Metzker is a Titular Member of the Brazilian Society of Plastic Surgery. She leads a team of two specialist physicians inside Hospital Dia ProPlástica.
Dr. Metzker trained at the Federal University of Minas Gerais. The clinic uses advanced radiofrequency tools like BodyTite, Morpheus, and Retraction. These reduce localized fat and improve skin firmness. Common procedures include liposuction, abdominoplasty, breast surgery, and gynecomastia treatment. International patients get online consultations, surgical prep guidance, and a compression garment kit for recovery.
","images":[{"base_url":"clinic/6adffb5da7f8c","title":"جهاز جراحة كهربائية حديث مع مقابض في عيادة Juliana Metzker لجراحة التجميل"}],"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":"بيلو هوريزونتي","id":2682,"alias":"belo-horizonte"},"address":"Av. do Contorno, 4747 / 2nd floor, Funcionários, Belo Horizonte – MG, ZIP code 30110-921 (LifeCenter Building)"},"rating":{"rating":0,"google":5,"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"}]}},{"text":"Clinic Dr. Rogério Araújo is a specialized facial center in Belo Horizonte, Brazil. It focuses on otorhinolaryngology, craniomaxillofacial surgery, and facial aesthetics. Dr. Rogério Araújo founded the practice in 2024. He brings over 30 years of medical experience and completed fellowships in France and Spain.
The clinic pioneered robotic head and neck surgery in Minas Gerais. Dr. Araújo performs robotic transoral thyroid surgery to avoid neck scars. Patients use Crisalix 3D simulation to preview results during planning. The facility holds TEMOS and ISAPS accreditations. Regenerative options include Platelet-Rich Fibrin and autologous fat grafting.
","text_type":"short_description","reviews":[],"clinic":{"id":9077,"alias":"clinic-dr-rogerio-araujo","name":"clinic Dr. Rogério Araújo","short_description":"Clinic Dr. Rogério Araújo is a specialized facial center in Belo Horizonte, Brazil. It focuses on otorhinolaryngology, craniomaxillofacial surgery, and facial aesthetics. Dr. Rogério Araújo founded the practice in 2024. He brings over 30 years of medical experience and completed fellowships in France and Spain.
The clinic pioneered robotic head and neck surgery in Minas Gerais. Dr. Araújo performs robotic transoral thyroid surgery to avoid neck scars. Patients use Crisalix 3D simulation to preview results during planning. The facility holds TEMOS and ISAPS accreditations. Regenerative options include Platelet-Rich Fibrin and autologous fat grafting.
","images":[{"base_url":"clinic/6ae0cc76d024e","title":"مبنى عيادة حديث للدكتور روجيريو أراوجو في البرازيل"},{"base_url":"clinic/6ae0cc786ae3e","title":"مكتب استقبال في عيادة Otorrinolife بديكور حديث ونبتة"},{"base_url":"clinic/6ae0cc7a2a51f","title":"غرفة استشارة وعلاج أسنان في عيادة Dr. Rogério Araújo بتصميم عصري"},{"base_url":"clinic/6ae0cc7ba618b","title":"غرفة علاج حديثة في عيادة Dr. Rogério Araújo مع كرسي فحص وإضاءة طبية"}],"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":"بيلو هوريزونتي","id":2682,"alias":"belo-horizonte"},"address":"Rua dos Otoni, 909, Sala 703, Belo Horizonte, MG, Brazil, 30150-274"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2024},"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"}]}}],"meta":{"total_count":4,"total_pages":1}},"clinicsMeta":{"total_count":4,"total_pages":1},"clinicsCount":4,"clinicsCountByEntity":{"clinic_count":95},"doctors":{"doctors":[{"doctor":{"id":21528,"alias":"isabelle-dolavale","name":"Isabelle Dolavale","photo":"doctor/6ae07848775d6","first_year_working":0,"created_at":"2026-10-26T12:22:48.318+00:00","short_description":"Isabelle Dolavale is a specialist at the clinic in Leblon with 15+ years focused on reconstructive and reparative Plastic Surgery. She has completed 2,000+ reconstructive operations and regularly works in burn-treatment centers in Rio de Janeiro, which shapes her scar- and contracture-focused approach. Her practice is supported by CRM-RJ 52.81712-0, RQE 31651, and membership as a Full Member of SBCP.","specialities":[{"id":"pls.003","name":"جراح اختصاص تجميل واعادة بناء","illness_kind_id":38},{"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":8979,"alias":"dr-isabelle-dolavale","name":"Dr. Isabelle Dolavale","short_description":"Dr. Isabelle Dolavale is a reconstructive plastic surgery clinic in Rio de Janeiro. The practice focuses on reparative surgery, aesthetic procedures, and wound care. It also treats children, offering otoplasty from age 6. Dr. Dolavale founded the clinic in 2010. She has over 15 years of experience in complex reconstructive cases.
Since opening, the clinic has performed over 2,000 reparative surgeries. Key procedures include post-bariatric contouring, breast reconstruction, and burn sequelae treatment. Dr. Dolavale is a Titular Member of the Brazilian Society of Plastic Surgery. She also works in reference burn centers in Rio de Janeiro. The clinic helps international patients with documentation for health insurance reviews.
","images":[{"base_url":"clinic/6ae0779c674c0","title":"صورة لامرأة ترتدي سترة بيضاء في عيادة الدكتورة إيزابيل دولافالي"}],"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":"ريو دي جانيرو","id":2518,"alias":"rio-de-janeiro"},"address":"Rua Almirante Guilhem, 366, 8º andar, Leblon, Rio de Janeiro – RJ, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1,"year_foundation":2010},"accreditations":[]}},{"doctor":{"id":21600,"alias":"andre-maschio","name":"André Maschio","photo":"doctor/6adff1a73fa8b","first_year_working":0,"created_at":"2026-10-27T00:06:26.152+00:00","short_description":"الدكتور أندريه ماسكيو جرّاح تجميل في كوريتيبا، متخصص في نحت الجسم عالي الدقة وتجديد شباب الوجه. يستخدم تقنية Renuvion لشد الجلد أثناء إجراءات شفط الدهون. يجمع هذا النظام بين الترددات الراديوية وطاقة نفث البلازما لعلاج ترهل الأنسجة عبر شقوق مجهرية. تلقى الدكتور ماسكيو تدريبًا في جراحة التجميل والجراحة العامة.
Dr. André Maschio is a plastic surgery clinic in Curitiba, Brazil. The practice focuses on facial rejuvenation, body contouring, and breast surgery. The team also corrects protruding ears in children from age six. Advanced procedures include deep plane facelifts and endoscopic lifting.
Dr. Maschio is the lead surgeon and founder. He completed six years of residency in general and plastic surgery. Much of his training took place at Santa Casa de Misericórdia de Curitiba. He now leads technique-focused courses for other surgeons in Portugal and Brazil.
The clinic is accredited by ISAPS and the Brazilian Society of Plastic Surgery. Safety protocols include thorough pre-operative exams and a six-hour cap on combined surgeries. The team uses Renuvion, Vaser, and Ignite for high-definition liposuction. International patients are welcome in Curitiba.
","images":[{"base_url":"clinic/6adfe9237d04d","title":"جهاز طبي Renuvion لإجراءات شد الجلد طفيفة التوغل"}],"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":"كوريتيبا","id":2581,"alias":"curitiba"},"address":"Rua Padre Anchieta, 2194 - sala 406, Curitiba, PR, Brazil, 80730300"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"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":21944,"alias":"daniel-borges","name":"Daniel Borges","photo":"doctor/6ae12db76c5ee","first_year_working":0,"created_at":"2026-10-27T22:35:09.901+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":9157,"alias":"dr-daniel-borges","name":"Dr. Daniel Borges","short_description":"Dr. Daniel Borges is a plastic surgery clinic in Belo Horizonte, Brazil. The practice focuses on aesthetic and reconstructive procedures for the body and face. Key services include breast surgery, rhinoplasty, and body contouring. Children with ear curvature deformities can also receive otoplasty here. Gluteoplasty procedures have grown by 60% over five years. Dr. Borges is a member of the Brazilian Society of Plastic Surgery (SBCP).
He also teaches in the Plastic Surgery Residency at Hospital das Clinicas - UFMG. The clinic holds international TEMOS accreditation for medical tourism standards. The team puts patient safety first by using properly equipped surgical settings. Patients receive clear recovery timelines for liposculpture and intimate surgery. Anesthesia options are explained openly during consultations.
","images":[{"base_url":"clinic/6ae1269a0173d","title":"جهاز التخدير ومعدات المراقبة في عيادة الدكتور دانيال بورغيس"}],"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":"بيلو هوريزونتي","id":2682,"alias":"belo-horizonte"},"address":"Belo Horizonte, MG, Brazil"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":1},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb725c9b963.jpeg","name":"الاعتماد الدولي للرعاية الصحية TEMOS","country_code":"DE"}]}}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{"txt_price":{"text":"تتراوح تكلفة عملية ترميم الأذن في البرازيل ما بين _op_928_price_from_ و _op_928_price_to_. تختلف الأسعار بناءً على التقنية الجراحية، ونوع التخدير، ومدى تعقيد العملية. يوفر المرضى حوالي _price_percent_discount_% مقارنة بالمملكة العربية السعودية، حيث يبلغ متوسط التكلفة _price_compare_SA_average_. تشمل الباقات عادةً الإجراء الجراحي، وأتعاب الفريق الطبي، وزيارات المتابعة الأولية في المراكز الطبية الكبرى.
\n\nرأي خبراء Bookimed: توفر البرازيل قيمة استثنائية للمرضى الباحثين عن جراحات تجميل الوجه المتخصصة. يحمل متخصصون مثل الدكتور أندري ماسكيو في كوريتيبا شهادة RQE، مما يضمن خبرة موثقة مهنياً. وتسهّل عيادات مثل بوشيلي كونسيبت في ريو دي جانيرو الإجراءات للمسافرين الدوليين. توفر هذه العيادات استشارات عن بُعد وتنسق الفحوصات المخبرية قبل الجراحة في بلد إقامة المريض. ويوفر هذا الدعم اللوجستي قيمة كبيرة لمن يديرون خطط ترميم معقدة ومتعددة المراحل في الخارج.
"}},"texts":{"guide_mc":{"text":"اليوم الأول: الوصول
اليوم الثاني: ما قبل العملية
اليوم الثالث: إعادة بناء الأذن
اليوم الرابع: ما بعد العملية
الأسبوع 1-2: إعادة التأهيل المرحلة 1
الأسبوع 3-4: إعادة التأهيل المرحلة 2
الأسبوع 5-6: إعادة التأهيل المرحلة 3
الشهر 3: النتيجة النهائية
يرجى ملاحظة أن هذا دليل عام وأن التجربة الفعلية قد تختلف بناءً على حالة المريض الفردية ونصيحة الجراح وعوامل أخرى.
"},"overview":{"text":"إعادة بناء الأذن هي إجراء جراحي لاستعادة شكل ووظيفة الأذن التالفة أو المفقودة.
\nتعمل العملية على تصحيح شكل الأذن أو مواضعها ، مما يعزز تناسق الوجه. إنه آمن ، ويقدم نتائج دائمة ويعزز احترام الذات.
"},"928":{"operation":{"name":"إعادة بناء الأذن","alias":"ear-reconstruction","use_for_listing":true},"country_price":{"TR":{"amount":3200,"max_amount":5500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1200,"max_amount":4800,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"KR":{"amount":4500,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":3800,"max_amount":6500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":true,"KR":false,"BR":false},"description":"يقوم هذا الإجراء بإعادة بناء الأذنين التالفة باستخدام الطعوم أو الأطراف الصناعية. يحسن المظهر والسمع ، ويعزز الثقة.
"},"1061":{"operation":{"name":"أذن اصطناعية","alias":"prosthetic-ear","use_for_listing":true},"country_price":{"TR":{"amount":3200,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":2800,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"KR":{"amount":4500,"max_amount":8000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":2800,"max_amount":5800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"KR":false,"BR":false},"description":"تستخدم هذه الجراحة بدائل صناعية لاستعادة شكل الأذن والسمع لدى الأشخاص الذين يعانون من آذان تالفة أو مفقودة.
"},"1268":{"operation":{"name":"جراحة شد الأذن","alias":"ear-lift-surgery","use_for_listing":true},"country_price":{"TR":{"amount":1800,"max_amount":3000,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1500,"max_amount":3200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"KR":{"amount":3000,"max_amount":3900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":2600,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":true,"TH":false,"KR":true,"BR":false},"description":"يصحح هذا الإجراء تدلي أو تضخم الأذنين ، وإعادة تشكيلهما لتحسين المظهر الجمالي والثقة بالنفس ، من خلال عملية جراحية لطيفة.
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Walking is encouraged early."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling settles, graft color matures and scalp incision heals. Any revision extends the timeline."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After discharge and first wound and graft checks, with surgeon clearance. Flap or graft concerns delay travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Check dressing, flap, graft and framework cover; may occur before discharge if stay is longer."}},{"purpose":"suture_removal","requirement":"routine","after":{"min":10,"max":21,"unit":"days","qualifier":"Removal of scalp and graft-site sutures or dressings according to healing."}},{"purpose":"assessment","requirement":"conditional","after":{"min":4,"max":8,"unit":"days","qualifier":"After hospital discharge: review of skin cover, ear position and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of shape, skin cover, scalp hair and any revision discussion."}}],"indications":["Acquired total or near-total ear loss, e.g. trauma or burns","Total ear defect after tumor resection with healthy local tissue","Preference for single-stage reconstruction without rib cartilage harvest","Adequate temporoparietal fascia and scalp vasculature for flap coverage"],"main_risks":["Implant exposure through the fascia or skin","Implant or flap infection, possibly requiring implant removal","Temporoparietal fascia flap compromise or skin graft loss","Hematoma or bleeding","Scalp hair loss or scarring at the flap donor site","Facial nerve frontal branch injury (rare)","Altered sensation","Asymmetric or unsatisfactory aesthetic result","Need for revision surgery","Anesthesia-related risks"],"pain":"Moderate pain in the first days, usually controlled with prescribed oral analgesics. Scalp and skin graft donor-site soreness is common and improves over weeks.","preparation":["Surgical consultation assessing the defect, skin quality and scalp","Vascular assessment of superficial temporal vessels, often with Doppler","Photographs and planning with a template from the opposite ear","Preoperative medical assessment and fitness for general anesthesia","Stop smoking and nicotine before and after surgery","Hair clipping at the scalp site as instructed","Discuss expectations, alternatives (rib cartilage, prosthesis) and implant exposure risk","Fasting as instructed by the anesthetic team"],"recovery_timeline":[{"phase":"Hospital monitoring","description":"Usually 1-4 nights of inpatient flap and graft monitoring after general anesthesia, with oral analgesics. Gentle walking starts when allowed.","restrictions":["No pressure on the operated ear","Keep dressings in place and dry","No smoking or nicotine"]},{"phase":"Early home recovery (about weeks 1-2)","description":"Wound and graft checks, then suture removal. Light daily activity and walking are encouraged.","restrictions":["Avoid sleeping on the operated side","No lifting or straining as advised","Avoid hair products or heat near the scalp incision"]},{"phase":"Weeks 2-6","description":"Swelling settles and return to desk or light work is common. Ear protection continues.","restrictions":["Avoid pressure, knocks, tight headwear or glasses on ear","No contact activities","Avoid sun on the graft"]},{"phase":"Weeks 6-12","description":"Non-contact exercise may resume with surgeon clearance. Contact sports usually stay restricted longer.","restrictions":["Protect the ear from trauma","Avoid extreme cold or heat exposure on the ear"]},{"phase":"Months 3-6","description":"Swelling resolves and graft color and scalp hair settle toward the final appearance. Result review is held.","restrictions":["Lifelong protection from trauma, cold and sun injury"]},{"phase":"At any time","description":"Seek prompt assessment for exposed implant, dusky, blue or pale ear, worsening swelling or pain, discharge, fever, spreading redness or bleeding.","restrictions":["Do not wait for a scheduled visit","Do not manipulate or press on the ear"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Return to routine daily activities after uncomplicated surgery, without formal physiotherapy; depends on healing and ear protection."},"result_longevity":"The porous polyethylene framework is permanent and usually keeps its shape if covered by healthy tissue. Late exposure after trauma or infection may need revision or removal.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Unplanned revision, graft repair or implant removal within 2 years; varies with cause, radiotherapy and smoking."},"scars":"Expected scars are a temporoparietal scalp incision, usually hidden within the hair, and a skin graft donor-site mark, with no rib-harvest scar in this protocol. Scalp hair thinning along the incision can occur.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operative session for the primary single-stage protocol."},"stages":[{"code":"operation","label":"Framework placement, fascia flap coverage and skin graft","after":{"min":0,"max":0,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Performed on the day of surgery."}},{"code":"inpatient_monitoring","label":"Inpatient flap and graft monitoring until discharge","after":{"min":1,"max":4,"unit":"days","qualifier":"After Day of ear reconstruction surgery: Uncomplicated course; discharge when flap and graft look viable and pain is controlled."}}],"qualifier":"Primary single-stage protocol; revision surgery or other techniques are outside this range."},"success":{"metric":"Framework retained with stable skin cover and acceptable ear shape, without implant removal","value":80,"unit":"percent","horizon":"12 months after surgery","population":"Selected adults with acquired total ear loss and healthy temporoparietal fascia. Limited model estimate; ear shape only, not hearing restoration.","evidence_status":"limited"},"techniques":[{"name":"Single-stage porous polyethylene framework with temporoparietal fascia flap and skin graft (primary protocol)","suits_whom":"Selected adults with acquired total ear loss and healthy temporoparietal fascia who prefer one stage and no rib harvest","recovery":"Short inpatient monitoring, then several weeks of protecting the ear from pressure and trauma; exposure risk needs ongoing review"},{"name":"Autologous rib cartilage multistage reconstruction (outside primary numerical ranges)","suits_whom":"Patients without suitable fascia or who prefer an autologous framework","recovery":"Multiple stages with chest donor-site discomfort and activity restrictions after each stage"},{"name":"Local flaps, skin grafts or wedge repair (outside primary numerical ranges)","suits_whom":"Partial ear defects, such as after trauma or skin cancer resection","recovery":"Usually shorter, depending on defect size"},{"name":"Prosthetic ear (outside primary numerical ranges)","suits_whom":"Patients unsuitable for or declining surgical reconstruction","recovery":"Minimal if adhesive; staged if implant anchors are placed"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for the primary single-stage porous polyethylene, fascia flap and skin graft procedure; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Front and both side photos of the ears","Close-up photos of the ear defect","Scalp photos showing temple and hairline","Operative or injury report","Previous ear surgery records (if available)","Head and neck CT scan (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; about 10-14 days stay until discharge and first checks. Suture removal and review possible at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/procedure=rekonstrukcia-usnoj-rakoviny/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}