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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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Pediatric patients get a coordinated care plan. This includes speech therapy and psychology to support long-term recovery.</p><p>Dr. Salinas Rendón has around 10 years of surgical experience. She graduated from the University of Antioquia. She later taught postgraduate students there for seven years. The clinic offers otoplasty for prominent ears. Earlobe reconstruction is also available as a 60-minute outpatient service. Breast options include mastopexy and implant removal with reconstruction. The surgeon belongs to the Colombian Society of Plastic Surgery. She joins international forums such as the Chang Gung Forum. The clinic provides dedicated support for foreign patients.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9437,"alias":"dr-ana-maria-salinas-rendon","name":"Dr. Ana María Salinas Rendón","short_description":"<p>Dr. Ana María Salinas Rendón runs a plastic surgery practice in Medellín, Colombia. 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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":10,"unit":"days","qualifier":"Desk-based or light work after primary implant augmentation; physically demanding work or heavy lifting usually needs 4-6 weeks."},"complication_rate_pct":{"min":1,"max":3,"unit":"percent","qualifier":"Major complications needing emergency visit, admission or reoperation within 45 days of primary silicone implant augmentation; excludes minor symptoms."},"contraindications":["Pregnancy or breastfeeding","Active breast or systemic infection","Untreated or suspected breast cancer, or unevaluated suspicious findings","Uncontrolled medical conditions making general anesthesia unsafe","Unrealistic expectations or untreated body dysmorphic disorder","Active smoking or nicotine use (relative; increases wound-healing complications)","Bleeding disorders or need for uninterruptible anticoagulation (relative)","Not yet physically mature or underage (typically under 18)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Primary uncomplicated day-case procedure with same-day discharge after observation; zero planned nights."},"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":"Light walking early; strenuous upper-body and chest exercise typically resumed after about 4-6 weeks per surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for swelling to resolve and implants to settle into final position."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After uncomplicated surgery, once the first wound check shows healing and the surgeon clears travel; long flights need VTE prevention."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"Early wound and dressing check, possibly with suture removal depending on technique."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"Check of implant position, healing and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review of settled result."}}],"indications":["Hypomastia (small breast volume)","Breast asymmetry in volume","Loss of breast volume after pregnancy or breastfeeding","Loss of breast volume after weight loss","Desire for increased upper-pole fullness or improved proportion","Congenital or developmental anomalies (e.g., tuberous breast, Poland syndrome)","Gender-affirming breast augmentation in trans women"],"main_risks":["Hematoma or seroma","Infection","Capsular contracture","Implant malposition, rippling or visible edges","Changes in nipple or breast sensation","Asymmetry or dissatisfaction with size","Implant rupture or deflation over time","Need for revision surgery","Scar problems","Rare breast implant-associated lymphoma (BIA-ALCL)"],"pain":"Moderate pain and chest tightness for the first several days, more pronounced with implants under the muscle; controlled with prescribed oral analgesics and usually mild by 1-2 weeks.","preparation":["Consultation with sizing, implant and incision planning","Pre-operative medical assessment and routine labs as indicated","Breast imaging per age and screening guidelines","Stop smoking and nicotine before and after surgery","Review of medications and supplements with the surgeon","Fasting before general anesthesia","Arrange transport and help at home for the first days","Purchase a surgical support bra"],"recovery_timeline":[{"phase":"Days 0-3","description":"Day case with same-day discharge. Short assisted walks are encouraged. Chest soreness, swelling and a support bra are expected.","restrictions":["No driving until off opioid analgesics and comfortable","Avoid lifting arms overhead or lifting objects","Sleep on the back, elevated"]},{"phase":"Days 4-14","description":"Pain subsides; light daily activities and desk work resumed; first wound check.","restrictions":["No heavy lifting or strenuous activity","Wear support bra"]},{"phase":"Weeks 2-6","description":"Swelling gradually decreases and implants begin to settle; activity gradually increased.","restrictions":["Avoid strenuous upper-body exercise until cleared","Avoid underwire bras if advised"]},{"phase":"Months 3-6","description":"Implants settle and final shape and softness become evident.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after primary implant augmentation; full activity takes longer."},"result_longevity":"Implants are not lifetime devices; many remain satisfactory for 10-20 years, but replacement or revision may be needed sooner or later depending on complications, aging, weight change and patient preference.","revision_rate_pct":{"min":20,"max":35,"unit":"percent","qualifier":"Unplanned reoperation within 10 years of primary silicone implant augmentation; excludes reconstruction, fat grafting and planned changes."},"scars":"Short scar in the inframammary fold, around the areola or in the armpit depending on approach; usually fades to a fine pale line over 6-12 months but varies with individual healing.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for primary implant augmentation."},"stages":[{"code":"implant_augmentation_surgery","label":"Bilateral breast implant placement in a single operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery."}}],"qualifier":"Follow-up checks are routine care and not counted as treatment sessions."},"success":{"metric":"Patients reporting that they are satisfied or very satisfied with breast appearance and size","value":90,"unit":"percent","horizon":"1-2 years after primary surgery","population":"Adult women after primary bilateral cosmetic silicone-gel implant augmentation; excludes reconstruction, fat grafting and cancer treatment.","evidence_status":"limited"},"techniques":[{"name":"Bilateral silicone-gel implant augmentation","suits_whom":"Adults seeking primary cosmetic augmentation; pocket and incision chosen at consultation.","recovery":"Similar recovery to other implants; periodic imaging for rupture may be advised."},{"name":"Saline implants","suits_whom":"Patients preferring adjustable fill volume or smaller incisions.","recovery":"Similar recovery; deflation is evident if rupture occurs."},{"name":"Submuscular or dual-plane placement","suits_whom":"Thinner patients needing more coverage.","recovery":"Often more postoperative pain and slower comfort return."},{"name":"Subglandular placement","suits_whom":"Patients with adequate tissue coverage.","recovery":"Often somewhat less pain; faster early recovery."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operating time for bilateral primary implant augmentation, excluding anesthesia induction and recovery."},"initial_assessment_documents":["Front, side and oblique photos of the chest","Height, weight and current bra size","Desired implant size or cup size","Previous breast surgery or implant records (if available)","Recent mammogram or breast ultrasound (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until wound check confirms healing and surgeon clears travel. Later reviews can be remote."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/city=medelin/procedure=uvelicenie-grudi/page=4/"}],"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":16},"manualSeo":[],"updatedAt":"2026-10-28T19:02:27.000Z","activeCountries":["CO","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}