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The clinic focuses on facial and body aesthetic procedures. Key options include rhinoplasty, blepharoplasty, abdominoplasty, and breast surgery. Non-surgical treatments like hyaluronic acid and botulinum toxin are also offered.</p><p>Dr. Chaves graduated as a surgeon in 1996. He completed his specialization at Pontificia Universidad Javeriana. The practice holds SCCP and ReTHUS certifications, and he is a member of ISAPS. International patients use the Turismo de Salud workflow. It covers airport pickup, preoperative exams, surgery, and follow-up visits. Virtual consultations are available for initial assessments.</p>","text_type":"short_description","reviews":[],"clinic":{"id":9303,"alias":"dr-nelson-chaves","name":"Dr. Nelson Chaves","short_description":"<p>Dr. Nelson Chaves runs a plastic surgery practice in Bogotá, Colombia. The clinic focuses on facial and body aesthetic procedures. Key options include rhinoplasty, blepharoplasty, abdominoplasty, and breast surgery. 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Desk work is typically resumed after about 2 weeks following laparoscopic or robotic myomectomy (a few days to 1 week after hysteroscopic) and after about 4–6 weeks following open abdominal myomectomy."},"complication_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Major (Clavien-Dindo severe) 30-day complications in a US NSQIP database of 8,363 benign myomectomies. Cumulative major complication rates were about 1.3% for minimally invasive surgery and about 3.3% for laparotomy (larger myomectomies). Minor events such as fever and mild infection are not counted. Hysteroscopic myomectomy alone is lower, under 1%."},"contraindications":["Current pregnancy","Suspected or confirmed uterine malignancy (e.g., leiomyosarcoma) where fibroid morcellation or fertility-sparing surgery is unsafe","Active pelvic infection","Patient not desiring uterine preservation and preferring hysterectomy (relative; alternative option)","Severe uncorrected anemia or coagulopathy (relative; needs optimization first)","Medical conditions making general anesthesia or pneumoperitoneum unsafe (relative)","Very large or numerous fibroids not suitable for minimally invasive approach (relative; open approach considered)"],"days_in_clinic":{"min":1,"max":2,"unit":"nights","qualifier":"Laparoscopic or robotic-assisted myomectomy; open abdominal myomectomy typically 2-4 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":"Return to strenuous exercise and heavy lifting after laparoscopic approach and surgeon clearance; light walking encouraged earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for full uterine healing and symptom improvement such as reduced bleeding and bulk symptoms; surgeons often advise waiting about 3-6 months before attempting pregnancy, depending on fibroid depth."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Derived from the clinical course, not from a flight-specific study. Applies after laparoscopic, robotic or hysteroscopic myomectomy, once the surgeon has done the first postoperative check and the patient is mobile and has little pain. Hysteroscopic myomectomy can allow earlier travel. After open abdominal myomectomy, wait about 2–4 weeks. Long flights carry a thrombosis risk early after surgery."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"From the day of surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":56,"unit":"days","qualifier":"From the day of surgery; review of recovery, histology and symptoms."}}],"indications":["Symptomatic uterine fibroids causing heavy menstrual bleeding or anemia","Pelvic pain or pressure and bulk symptoms (urinary frequency, constipation)","Fibroids associated with infertility or recurrent pregnancy loss where fibroids are considered contributory","Desire to preserve the uterus and fertility","Failed or unsuitable medical or other conservative management"],"main_risks":["Intraoperative bleeding and possible blood transfusion","Conversion to open surgery","Infection","Adhesion formation","Injury to bowel, bladder, ureter or blood vessels","Recurrence or growth of new fibroids","Uterine scar weakness with risk of rupture in later pregnancy; cesarean delivery may be advised","Rarely hysterectomy for uncontrolled bleeding","Venous thromboembolism","Anesthesia-related risks","Unexpected sarcoma finding"],"pain":"Moderate postoperative pain for the first few days, controlled with oral analgesics; shoulder-tip pain from gas after laparoscopy is common. Open surgery pain is generally greater and lasts longer.","preparation":["Pelvic ultrasound and often MRI to map fibroid number, size and location","Blood tests including hemoglobin, with anemia correction if needed","Exclusion of cervical and endometrial pathology as indicated","Preoperative anesthetic assessment","Fasting before surgery per anesthesia instructions","Discussion of fertility plans, risks, possible conversion to open surgery and possible hysterectomy","Review of regular medications with the surgical team","Possible preoperative hormonal treatment to reduce fibroid size or bleeding, as decided by the surgeon"],"recovery_timeline":[{"phase":"Hospital stay (day 0-2)","description":"Monitoring, pain control, early mobilization and return of bowel and bladder function; discharge usually after 1-2 nights.","restrictions":["No driving","No heavy lifting"]},{"phase":"Early recovery (week 1-2)","description":"Gradual increase in walking, fatigue and mild pain settling; light vaginal bleeding or spotting is common.","restrictions":["Avoid heavy lifting","Avoid intercourse and tampons until cleared","Avoid prolonged straining"]},{"phase":"Return to routine (weeks 2-4)","description":"Most return to desk work and daily activities.","restrictions":["Avoid strenuous exercise","Avoid lifting heavy loads"]},{"phase":"Full recovery (weeks 4-6)","description":"Return to exercise and normal activity after follow-up review and surgeon clearance.","restrictions":["Wait for surgeon clearance before intense exercise","Follow advised interval before attempting pregnancy"]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Derived from the clinical course. About 1–2 weeks to ordinary daily activities after laparoscopic or robotic myomectomy (a few days after hysteroscopic), and about 3–4 weeks after open abdominal myomectomy. Strenuous exercise and heavy lifting wait 4–6 weeks."},"result_longevity":"Removed fibroids do not regrow, but new fibroids can develop over time; recurrence varies with age, fibroid number and ongoing hormonal exposure.","revision_rate_pct":{"min":10,"max":20,"unit":"percent","qualifier":"Share of women needing repeat fibroid surgery (myomectomy or hysterectomy) within about 5 years of a primary myomectomy; higher with younger age and multiple fibroids. Imaging recurrence is more common than repeat surgery."},"scars":"Laparoscopic or robotic approach leaves about 3-5 small abdominal incisions (0.5-1.5 cm) that typically fade well; open surgery leaves a larger lower-abdominal (usually bikini-line) scar. There is also an internal uterine scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical admission for the operation."},"stages":[{"code":"myomectomy_surgery","label":"Myomectomy operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of admission."}}],"qualifier":"Single-stage operation for a typical uncomplicated case; follow-up checks are not counted as treatment sessions."},"success":null,"techniques":[{"name":"Laparoscopic myomectomy","suits_whom":"Patients with a limited number of small to moderate, mainly subserosal or intramural fibroids.","recovery":"1-2 nights in hospital; return to desk work in about 2-4 weeks."},{"name":"Robotic-assisted laparoscopic myomectomy","suits_whom":"Similar to laparoscopic, sometimes for more complex or deeper fibroids needing precise suturing.","recovery":"1-2 nights in hospital; return to desk work in about 2-4 weeks."},{"name":"Open abdominal myomectomy","suits_whom":"Large, numerous or deep fibroids not suitable for minimally invasive removal.","recovery":"2-4 nights in hospital; return to work in about 4-6 weeks or more."},{"name":"Hysteroscopic myomectomy","suits_whom":"Submucosal fibroids protruding into the uterine cavity.","recovery":"Usually day-case with return to normal activity within a few days."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Operating time for laparoscopic or robotic-assisted myomectomy; varies with number and size of fibroids."},"initial_assessment_documents":["Pelvic MRI report and images","Pelvic ultrasound report","Hysteroscopy report (if available)","Recent hemoglobin and ferritin results","Gynecologist letter with symptoms and fertility plans","Previous abdominal or uterine surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days including 1-2 hospital nights and first postoperative check; longer after open surgery. 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