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The practice focuses on breast surgery, body contouring, and rhinoplasty. Dr. Montoya Fierro is the lead surgeon. He has over 25 years of experience in aesthetic and reconstructive procedures. He trained at Universidad Pontificia Bolivariana and Universidad de Guadalajara.</p><p>For breast augmentations, the clinic uses a periareolar technique to avoid T-shaped scars. Glute augmentations are done through a single, nearly invisible incision. Each patient gets a personal assessment to plan implant type and volume. International patients receive scheduling support by WhatsApp and email. Post-op care includes structured monitoring and recovery dressing protocols.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9442,"alias":"alexis-montoya-fierro-cirujano-plastico","name":"Alexis Montoya Fierro (Cirujano Plástico)","short_description":"<p>Alexis Montoya Fierro is a plastic surgery clinic in Medellín, Colombia. 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الفخذين)","alias":"thighs-liposuction","use_for_listing":true},"country_price":{"TR":{"amount":1800,"max_amount":2800,"currency":"USD","clinic_count":35,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1400,"max_amount":2800,"currency":"USD","clinic_count":14,"price_kind":"from_range","price_source":"mixed","scope":"country"}},"available_clinics":{"TR":true,"TH":true},"description":"<p style=\";text-align:right;direction:rtl\">تعمل هذه العملية على تقليل الدهون في مناطق الفخذين ، مما يؤدي إلى التخسيس وإعادة التشكيل للحصول على مظهر أكثر نعومة وثباتًا.</p>"},"814":{"operation":{"name":"شفط دهون الخصرين","alias":"love-handles-liposuction","use_for_listing":true},"country_price":{"TR":{"amount":1500,"max_amount":1800,"currency":"USD","clinic_count":21,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":900,"max_amount":2300,"currency":"USD","clinic_count":10,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"TR":true,"TH":true},"description":"<p style=\";text-align:right;direction:rtl\">يزيل هذا الإجراء الدهون الزائدة من جوانب الخصر ، ويحدد شكل الجسم عن طريق الإزالة الجراحية ، مما يوفر صورة ظلية جذابة.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":10,"rehabilitation_days":14,"satisfied_percent":78,"treatment_conditions":"outpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"direction":{"id":38,"name":"جراحة تجميلية","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":5,"max":14,"unit":"days","qualifier":"Desk-based work after uncomplicated circumferential liposuction; physical jobs usually need longer."},"complication_rate_pct":{"min":0.5,"max":3,"unit":"percent","qualifier":"Major complications only, such as thromboembolism, deep infection or hematoma. Higher with large volumes and combined procedures."},"contraindications":["Pregnancy","Significant uncontrolled cardiovascular, pulmonary or metabolic disease","Bleeding disorders or unmanageable anticoagulation","Active local or systemic infection","Obesity, BMI above 30-35 (relative)","Active smoking (relative)","Previous VTE or high thrombotic risk (relative)","Untreated body dysmorphic disorder or psychological condition"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typical day case; one night observation is possible after large-volume aspiration."},"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 walking early; strenuous exercise after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually; final contour assessed after this."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after the first check, once walking is comfortable; long flights need longer."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":7,"unit":"days","qualifier":"Early check, garment and drainage review."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Recovery and swelling review."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Contour review."}}],"indications":["Stubborn abdominal, flank and back fat despite diet and exercise","Localized circumferential torso fat with good skin elasticity"],"main_risks":["Bruising, swelling and temporary numbness","Contour irregularities or asymmetry","Seroma","Infection","Bleeding or hematoma","Venous thromboembolism","Fat embolism","Rarely organ or visceral injury, fluid shift or anesthesia complications"],"pain":"Moderate soreness, tightness and bruising for the first week, usually controlled with oral analgesics; gradually improves over 2-3 weeks.","preparation":["Medical assessment and pre-operative blood tests","Stable weight close to target","Stop smoking and nicotine before and after surgery as advised","Review of medications and supplements with the surgeon","Fasting before general anesthesia","Arrange transport and help at home","Obtain compression garment"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest, drainage of fluid from incisions, compression garment, early walking.","restrictions":["No driving","No strenuous activity"]},{"phase":"Weeks 1-2","description":"Bruising and swelling peak then decline; return to light daily activity.","restrictions":["Wear compression garment continuously","Avoid heavy lifting"]},{"phase":"Weeks 3-6","description":"Return to most activity; gradual resumption of exercise.","restrictions":["Wear compression garment as advised","Avoid intense exercise until cleared"]},{"phase":"Months 3-6","description":"Swelling resolves and final contour emerges.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Return to daily activities and desk work in a compression garment. Strenuous exercise takes 3–6 weeks."},"result_longevity":"Treated fat cells are permanently removed, but results persist only if weight is maintained; weight gain can enlarge remaining fat cells and alter contour.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Touch-up or contour correction within about 12 months. Lower with experienced surgeons; higher if irregularity is counted."},"scars":"Several tiny incisions (about 3-5 mm) hidden in natural creases, usually fading to inconspicuous marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation treating abdomen, flanks and back circumferentially."},"stages":[{"code":"liposuction_360","label":"Circumferential liposuction under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Usually one surgical session."},"success":{"metric":"Patient-reported satisfaction with body contour","value":85,"unit":"percent satisfied","horizon":"6 months after surgery","population":"Healthy adults near stable weight with localized fat and good skin elasticity","evidence_status":"limited"},"techniques":[{"name":"Tumescent liposuction","suits_whom":"Standard approach for most patients.","recovery":"Moderate bruising; back to light activity in about 1 week."},{"name":"Power-assisted or vibration liposuction","suits_whom":"Denser or fibrous fat areas and larger volumes.","recovery":"Similar to standard liposuction."},{"name":"Ultrasound or laser-assisted liposuction","suits_whom":"Fibrous areas or mild skin tightening goals.","recovery":"Similar, with possible added swelling or thermal effects."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Single circumferential session of abdomen, flanks and back."},"initial_assessment_documents":["Front, side and back photos of torso","List of current medications including blood thinners","Recent blood test results","Previous abdominal surgery or liposuction reports"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery; stay about 7-14 days until garment review and flight clearance. Later reviews are remote."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/city=medelin/procedure=liposakciya-360/page=2/"}],"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":1},"manualSeo":[],"updatedAt":"2026-11-01T01:15:25.000Z","activeCountries":["CO","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}